Admissions - Vidyaniketan

APPLICATION FOR ADMISSION FOR PLUS 2 (Coaching)

N. B. Use BLOCK LETTERS in filling this form
Students should remit their fees at any nearby South Indian Bank only and should send the receipt to the given WhatsApp no.
Vidyaniketan S.B A/C.No.0485053000000139
Vidyaniketan WhatsApp.No.9495017803

Name of the Applicant (as the SSLC Book)^*

Gender^*

Expansion of Initials^*

Date of Birth^*

Photo

Age^*

Religion^*

Caste(If Catholic, mention Diocese)^*

Year of Passing SSLC Examination

No.of Appearances

Name & Place of the Institution last attended

Name of the Parent/ Guardian ^*

(Specify the Relationship)^*

Medium of Instruction

Postal Address With Pin code^*

Occupation of Parent / Guardian

Mobile No^*(Parent)

Phone No

Course^*

Language chosen under Part II (Malayalam / Hindi)^*

Upload your certificates here

I, hereby declare that the above particulars are true to the best of my knowledge and belief.