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APPLICATION FORM FOR TECHNICAL COURSES
Academic Course Registration (Distance Education)

Course Details

Select Exam Time

:
 April/May Examination
  October/November Examination
  On Demand Exam

Select Course

:
 Diploma In Mechanical Engineering
  Diploma In Computer Science Engineering
 Diploma In Electrical Engineering
  Diploma In Automobile Engineering
 Diploma In Civil Engineering
  Diploma In Chemical Engineering
 Diploma In Fire & Safety Engineering
  Diploma In Electronic Engineering

Student Details

Name of Candidate

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Father's Name

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Mother's Name

:

Guardian Name for Orphan

:

Address

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Email

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Pincode

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Contact No

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Permanent Address

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Email

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Pincode

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Contact No

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Age

:

 

 

Gender

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Mother Tongue

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Religion

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Employment

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Nationality

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Photo

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The Examination Center Selected State

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X th Bord Exam Details (Senior Secondary Course Only)

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Other Educational Qualification Details

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Registration Fee Details

 

 

 

 

 

 

 

 

 

Enter Code

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DECLARATION OF STUDENT/PARENT

I hearby declare that,I am enrolling myself for the correspondence course of distance education. I have gone through the brochure and website of this course and Ihave fully understood it. I agree and accept the terms and conditions said in the brochure and website.I also agree that it is my personal responsibility to study the course and to pass the examination

All disputes and claims will be resolved by way of Arbitration according to the Arbitration and Conciliation Act,1996 and the Jurisdiction will be in Ernakulam district. If the applicant violates any of the terms of the rules and regulations of the course he/she is likely to be terminated and no part of the fee collected would be refunded. The institution will not be liable for any failure due to act of God, act of Government or Statutory undertaking or anything beyond the institution's control nor we would be liable for any incidental or consequential loss or damage arising out of this

I accept the declaration