Student Application Form

VYASA VIDYA PEETHOM (VVP), KALLEKAD, PALAKKAD

APPLICATION FORM FOR KERALA ADMINISTRATIVE SERVICE COACHING

Name

Gender

Age

Date of birth

Mobile number

Mail Id

Do you belong to SC/ST/OBC?

Address

House name

Street

City

District

State

Current academic status

School / College

Class / Semester

Appearing / Cleared

Are you a kin of frontline covid worker ?

Designation of frontline covid worker

Your relationship with frontline covid worker
(Son / Daughter / Grandson/ Granddaughter/ Brother / Sister)

Parent Details

Parent's name

Parent's occupation

Parent's phone number (alternate phone number)

I am interested in joining Kerala Administrative Service coaching in Vyasa Vidya Peethom Academy. I agree to appear for the admission/ scholarship test and abide by the terms & conditions of the instituition.

I Agree