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CAMILA NET – GEN CAMPUSNear AXIS Engineering Collage
Kodally PO – Kodakara, Thrissur, Kerala
Pin : 680699 Ph: 7059 400 500
www.camilacampus.com
ADMISSION FORM 20….. 20…..
FILL IN BLOCK LETTERS
Application No
Full Name
Age
Sex
Nationality
Father’ Name
Mother’ Name
Date of Birth
Blood Group
Occupation
OccupationAddress Communication Permanent
Pin Pin
Phone No
Mobile No
Religion Caste Category
Aadhar No
Name of Institution last studied
TC No. and Year
Accadamic Information
Course Reg. No Month Year of Passing Marks Obtained Percentage
HSE
SSLC / CBSE
Madrasa
Admission No Second Language
DECLARATION
FOR OFFICE USE
I here by declare that all the above mentioned are true to the best of my knowledge andbelief. And I promise to obey all the rules and regulations of this college.Signature of Student ....................................... Signature of Parent .......................................
Place .................................................................... Date .................................................................
Details of Fee ......................................... Receipt No ........................ Date.......................................
Course ...................................................................................... Amission No: .....................................
Document Attached: SSLC +2 TC Migration
Others........................................................................................................................................................
Signature of Manager .......................................... Signature of Principal...................................
AffixPassport
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