IRIS MED/ENGG ENTRANCE COACHING CENTRE
NAME OF THE APPLICANT *
SEX *
DATE OF BIRTH *
NAME OF THE PARENT/GUARDIAN
ADDRESS FOR COMMUNICATION
CONTACT NUMBER
WHATSAPP NUMBER *
NAME OF THE SCHOOL
MARKS OBTAINED IN 10 TH STD(GRADE FOR STATE & %FOR CBSE )
MARKS OBTAINED IN 12 TH STD(If completed only)(PERCENTAGE)
COURSE TO WHICH ADMISSION IS *
BATCH
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CATEGORY
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PAYMENT DETAILS
FEES CAN BE PAID DIRECTLY OR ACCOUNT TRANSFER.
BANK NAME : PUNJAB NATIONAL BANK
NAME : IRIS INSTITUTE
Branch : Bank Road, Calicut
Current A/C NO : 4257002100023178
IFSC CODE : PUNB0425700
Please send your payment receipt screen shot image on IRIS WHATSAPP NUMBER - 7356 782 333
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