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Guest Lecturer Registration Form
DD Office:
*
SELECT
DD KOLLAM
DD KOTTAYAM
DD ERNAKULAM
DD THRISSUR
DD KOZHIKODE
Subject:
*
Name of applicant:
*
Residential address:
*
Gender:
*
SELECT
Male
Female
Other
District :
*
SELECT
Trivandrum
Kollam
Pathanamthitta
Alappuzha
Kottayam
Ernakulam
Thrissur
Idukki
Palakkad
Malappuram
Kozhikode
Wayanadu
Kannur
Kasaragod
Pincode:
*
Age:
*
Date of Birth (DD-MM-YYYY):
*
Mobile Number (10 Digit):
*
Email ID :
*
Have you cleared NET?:
*
SELECT
Yes
No
Do you have PhD?:
*
SELECT
Yes
No
Aadhar / Voters ID Number:
*
Upload Aadhar / Voters ID (PDF only):
Upload Your Recent Photo (JPG,JPEG,PNG) (150 width x 200 height):
SSLC Mark / Grade:
*
Upload Your SSLC Certificate (PDF only):
Post Graduation Mark / Grade:
*
Post Graduation Percentage:
*
Upload Post Graduation Mark list (PDF only):
Upload Post Graduation Original/Provisional Certificate (PDF only):
Duration of Experience (From to) :
Upload Your Experience certificate (PDF only):