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Course*
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MBBS
Name (As in 10th Certificate)*
Aadhar No*
Gender*
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Blood Group*
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O-
AB+
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Religion*
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Caste*
Marital Status*
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Date of Birth*
Age*
Name of Father/Guardian*
Name of Mother*
Occupation*
Annual Income*
Permanent Address with District & Pin-Code*
CHERUKKAATTU PADINJATTINKARA VEEDU, VAYALA PO, MANNOOR, ANCHAL 691306, KOLLAM DIST.
Present Address with District & Pin-Code*
TC 96/465 PRA-A4, PULLIYIL LANE, MEDICAL COLLEGE PO, ULLOOR, 695011, TRIVANDRUM DIST.
Parent's Mobile No 1*
Parent's Mobile No 2
Parent Email*
Student Mobile No
Email*
Educational Profile
Qualifying Examination
Name of the Board
Year of Passing
% of Marks
SSLC/Equivalent
Higher Secondary/Equivalent
Anti-Ragging Undertaking reference number obtained after online submission
Details of marks obtained in higher secondary examination
Subjects
Marks Obtained
Maximum Mark
% of Marks Obtained
Total of Physics, Chemistry & Biology
English
Physics
Chemistry
Biology
Mathematics
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KUHS Online Basic Entry - Temp ID No
CEE Online Entry
MCI Online Entry
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Admission Status*
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NEET UG-2024 Roll No
NEET UG-2024 Score
NEET UG-2024 Percentile
KEAM UG-2024 Application No
KEAM UG-2024 General Rank
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