Yeldo Mar Baselios College

Please fill the given form and press submit.

Academic Year *

Course Applied *

Add-ons

Name Of the Applicant With Phone Number *

Gender *

Male Female Other

Nationality *

Age & Date of Birth *
(Attach relevent copy of the SSLC Certificate)

DOB :

Mother Tongue *

Address with PIN Code and Phone *

Religion and Caste *
(State whether SC/ST/OBC/OEC/FC)

Reference Code If Any

I do hereby declare that the details furnished above are correct and that I will abide by the rules and regulations of the college.

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