Affiliated to the Central Board of Secondary Education, New Delhi, Affl. No. 930757
Kakkad, Kannur-670 005, Kerala Tel: ( 0497 ) 2619004, 2747044, 2728516, 2725025

ONLINE APPLICATION FORM

Class to which the admission is sought:
Name of Pupil:
Sex:
Date of Birth:
Father's Name:
Father's Occupation & Educational Qualification:
Mother's Name:
Mother's Occupation & Educational Qualification:
Any brother / sister studying in the Institution:
If Yes, Name:
class:
Address of parent / local guardian :
Address for communication:
Phone:
Religion:
Nationality:
Mothertongue:
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