LEMENT COLLEGE OF ADVANCED STUDIES, PATTAMBI  (Affiliated to University of Calicut)
Application Form for Admission (2021-22)
Application fee Rs.100 to be remitted to
 *Account No. 0770081000000029
IFSC : SIBL0000770
Account Name :Lement foundation*
Bank : South Indian Bank, Shoranur
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Full Name of the student : *
Transaction ID and Date of remittance of Application fee *
Course Applied for  (Degree Programmes) : *
Required
Course Applied for  (PG Programmes) :
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Date of Birth: *
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Place of Birth : *
Address for Communication : House Name : *
Place : *
Post Office : *
District : *
PIN Code : *
Nearest Landmark : *
Contact details : Personal Mobile No: *
Father's contact No: *
Mother's contact No. *
Guardian's contact No.
Last School/Institution studied: *
Course studied: *
Stream of Course: *
Board Studied: *
Degree studied : Course & College
Total marks /percentage obtained : 10th Standard *
Total marks /percentage obtained : 12th Standard *
Total marks /percentage/CGPA obtained in Degree
Total marks /percentage obtained : Other :
Name of the Parent : *
Parent's occupation *
Presently Brother/Sister studying in this institution: *
If you have not got the first option of course, then what will be your second and third options: *
Reason for applying in Lement College, if any : *
Date of filling the application *
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