CHINMAYA MISSION COLLEGE
CHINMAYA GARDENS , KOLAZHY -680010
PHONE NO: 04872201315
MOB :9895865424 , 8547927315
MAIL : cmctsr@gmail.com
Web : cmctsr.org

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COURSES OFFERED
COURSES *
PLEASE SELECT COURSE FROM THE LIST
SECOND LANGUAGE
ONLY FOR U G COURSES
Clear selection
DIPLOMA COURSES
OPTIONAL WITH ANY UG/PG COURSES
Clear selection
NAME OF THE APPLICANT *
In Capital Letters ( As given in 10th Standard Certificate)
DATE OF BIRTH *
ENTER DOB IN THIS FORMAT DD/MM/YYYY   ( EG: 05/05/2003  OR  05-05-2003)
AGE *
GENDER *
BLOOD GROUP *
NAME OF FATHER / GUARDIAN *
RELATIONSHIP WITH  YOU *
EG:  FATHER / MOTHER
OCCUPATION *
RELIGION  AND COMMUNITY *
ADDRESS FOR COMMUNICATION *
HOUSE NAME AND PLACE
DISTRICT *
PINCODE *
MOBILE NUMBER *
LANDLINE  /   MOBILE NUMBER 2
EMAIL ID *
ENTER DETAILS OF  SSLC / 10 TH   *
MAIN / GROUP   , BOARD / UNIVERSITY , MONTH & YEAR OF PASS , % OF MARKS /GRADE
ENTER THE DETAILS OF  PLUS 2 / HSC *
MAIN / GROUP   , BOARD / UNIVERSITY , MONTH & YEAR OF PASS , % OF MARKS /GRADE
ENTER THE DETAILS OF DEGREE FOR DOING PG
MAIN / GROUP   , BOARD / UNIVERSITY , MONTH & YEAR OF PASS , % OF MARKS /GRADE
DECLERATION *
Required
AFTER SUBMISSION WE WILL CONTACT YOU SHORTLY..........
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