Kukke Sri Subrahmanyeshwara College

Basic Info

* Name :

Enter Name

* Mobile Number :

WhatsApp Number :

Same as Mobile number

* Email Id :

* Date of Birth :

Enter Date of Birth DD/MM/YYYY

* Current Address :

Enter Address

* Permanent Address :

Same as Present Address Enter Permanent Address

Academic Details

* Batch :

* Branch :

Current Info

* Current Status :

Working

Not Working

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Payment Information

* Amount (in Rs) :

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( Registration )

* Mode of Payment :

Other

NEFT

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* Upload Scanned Copy(Screenshot) of Payment Receipt :
(File Format .gif,.png,.jpg,.jpeg,.bmp,.pdf)
(File Size Max 3MB)

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* Upload Your Recent Passport Size Color Photo:
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Any other Comments / Request :