Student Registration Proforma
Kerala University of Health Sciences
Thrissur-680 596
Proforma-Student Registration (Report Generated On: 2024-12-26)
1. Year of Admission : 2024
2. Course Level : UG ParaMedical
3. Course : B. Sc Nursing
4. Sub Speciality (if any) : -
5. Name of College : CSI College of Nursing, Karakonam
6. Name of Candidate : ANASWARA A S
7. Name of Candidate
with initials expanded : ANASWARA ANIRUDHAN SOBHA
8. Temporary Student ID : 202405156
9. Entrance Examination Details
Name of Examination Authority Reg.No. Rank No Year Admission Quota
Admission to Professional Degree Courses LBS 34007 8866 2024 Open
in Nursing and Paramedical Streams- 2024
10. Personal Details
Sex FEMALE Address for Communication
Date of Birth 2006-07-14
Age 18
Adhar No 470420107243
Blood Group AB+ ANASWARA BHAVAN,VITTIYARAM,ANAVOOR
Name of Parent/Guardian ANIRUDHAN.D
Relation FATHER
Mobile No 8075202180 District Trivandrum
Email ID anuanaswara028@gmail.com State Kerala
Category OBC Country India
Religion CHRISTIAN Pin Code 695124
Caste Nadar Mother Tongue MALAYALAM
Nativity Keralite Nationality Indian
11. Details of Qualifying Examination
Name of Qualifying Examination Reg.No Year Percentage Percentage of Marks Division/ Board/University
of Marks (In Case of UG Grade
Courses)
PCB Biology Maths
BOARD OF HIGHER 23007522 2024 94.83 95.00 195.00 A+ KERALA STATE
SECONDARY EXAMINATIONS 188.00 BOARD
12. Details of Intership, if any
Period From Period To Name & Address of Institution
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Student Registration Proforma
13. Other Details, if any
Migration Certificate,if any
Equivalence Certificate,if any
Council Registration Certificate,if any
School where educated UNIVERSITY COLLEGE, THIRUVANANTHAPURAM
SSLC Reg No, Date and authority issuing it 526079, JUNE 2022, GOVERNMENT OF KERALA
University exam permitted to appear
Research degree which student is a
candidate for
Other requirements, if any , suggested by
governing council
14. Any Other Relevant Details, if any
DECLARATION
I..............ANASWARA A S............... hereby agree that the forgoing information is correct and complete to the
best of my knowledge and belief, nothing has been concealed/distorted. If I am found to have concealed/distorted, any
material information,the University shall be able to take action against me and summarily cancel my registration and
admission,and also agree to abide by the Rules and Regulations of the University.
Place : Signature
Date : Name of Student
Verified with actual records and found correct
Place :
Date : College Seal Name & Signature of Principal
FOR OFFICE USE ONLY
Registration Sanctioned/Cancelled & Reason
Name & Signature of Official
Please Note:
Category Codes & Description
Gen-General , EZ-Ezhava , MU-Muslim , BH-Backward Hindu , LC-Latin Catholic(Other than Anglo Indian) , BX-BackwardChristian , KU-Kudumbi ,
SC-Scheduled Caste , ST-Scheduled Tribe , OE-Other Eligible Cimmunity , AI-Anglo Indian
Nativity Codes & Description
OCI-Overseas Citizen of India, PIO-Person of India Origin, AIS-All India Service
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