etlab | UG Student Registration for Academic Year 2023

Personal Details

Name *

Gender *

Blood Group

Date of Birth *

Mother Tongue

Place of Birth

Nationality

Religion *

Caste *

Category

Eligible Reservation Category

PWBD (Person With Benchmark Disability)

Creamy Layer

APL/BPL

Aadhar No *

Whether OEC

Admission Details

Admission for *

Academic Year *

Kannur University Online Application Number

Programs Opted at SN College(Preference should be given as per Kannur University online aaplication)

Program Opted *

Index Mark

Preference 2

Index Mark

Preference 3

Index Mark

Preference 4

Index Mark

Preference 5

Index Mark

Preference 6

Index Mark

Preference 7

Index Mark

Type

Nativity

Qualification

Higher Secondary School Details

Board

Year

Reg No

HSE Stream Studied

No. of Appearances

Higher Secondary Percentage Obtained

Subject 1

Obtained Mark

Percentage

Subject 2

Obtained Mark

Percentage

Subject 3

Obtained Mark

Percentage

Subject 4

Obtained Mark

Percentage

Subject 5

Obtained Mark

Percentage

Subject 6

Obtained Mark

Percentage

Total Mark

Overall (%)

Secondary School Details

Board

Year

Reg No

TC Details

Last Institute (As per TC)

TC No

TC Date

Contact Details

Present Address

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Permanent Address [ same as present address ]

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Student Phone No *

Email *

Land Phone

Personal Marks for identification

Personal Marks 1

Personal Marks 2

Hostel Facilities (Only for girls)

Do you need Hostel Facilities

NoYes

Other Details

NCC CADET IN HIGHER SECONDARY LEVEL

NSS VOLUNTEER IN HIGHER SECONDARY LEVEL

NCC Level

Student Police Cadet(SPC) In Higher Secondary level

Scout/Guide/Rover /Ranger In Higher Secondary level

Ex-servicemen

Sports

Parent Details

Father's Name *

Mother's Name *

Father's Occupation

Mother's Occupation

Father's \ Guardian's Mobile No *

Mother's Mobile No

Parent Email

Phone Office

Select Guardian

Annual Income

Name of Guardian

Relationship with the student

Address of Guardian

Guardian's No

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UG Student Registration 2023