* Fields are Mandatory
         

    Name of the Candidate *  
    Father's Name *  

    Gender *

    Male         Female

    Date of Birth *           (Eg. 04/05/1992   for   4th May 1992)
    Religion *  
    Community *  
    Board of Examination *            
    State of Schooling +2 *     Tamilnadu          Kerarla            Andhra Pradesh      
    Rest of India       Canadian       NRI        Foreign National  
    Name of the School where Studying / Studied 12th STD *  
    Address of the School where Studying / Studied 12th STD *  
    Year of Qualifying Examination 10+2 OR Equivalent *
 
    HSC (12th standard) Registration Number  
    Nationality *     Indian       NRI       Canadian       Foreign National  
    Physically Challenged *
 
    Address for communication *  
 
 
    City *  
    State *  
    Country *  
    PIN Code *  
    Phone Number with STD code  
    Mobile Number *  
    Fax Number  
    E-mail *  

    Mother Tongue *

 

    Social Economic Status *

    Village         Town

    Parent's / Guardian's Occupation *

 

    Blood Group *

 

    Jesus Calls Young Partner / Children Blessing Plan No (if any)

         

    How did you come to know about Karunya University ? *