Course for which admission is sought*

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Name*

Permanent Address

House*

Post*

District*

Pin

Email*

Mob. Phone Number*

House*

Post*

District*

Pin*

Gender*

Age*

Date of Birth*

Place of Birth*

Identity Card*

Aadhaar Other

ID Number

Aadhaar Number

Account Number*

IFSC*

Bank Name*

Branch*

Name of Father/Guardian

Occupation

Name of Mother

Occupation

Name & relationship with Guardian*

Contact Number of Guardian*

Type of family

BPL APL

Religion*

If Christian, specify the Diocese and Parish

Specify whether Dalit Catholic

No Yes

Community*

Select Option SC ST OBC OEC Not Applicable

Education

If any other, specify

Board, College & University

Year of passing (Std. 10 OR Degree)

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Institute Account Details (For remitting fees)
Official Name - Inter Diocesan Centre for Human Resources Development
Account Number - 0453053000001695
Bank - South Indian Bank
Branch - Arunapuram
IFSC Code - SIBL0000453

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Refund Policy

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Amount*

Date*

Name of the account holder*

I may be granted provisional admission.

Class number allotted:

Admission may be granted.

Name and signature of the student:

Admission Officer/Coordinator:

Orders of the Principal: