BJM Government College Chavara, Kollam

Admission Request Form

Fill in your details below. You will be asked to review everything before it is submitted.

Full Name (As in 10th Board Certificate/Aadhar Card) *

Do not use any dots or special characters in the name. Separate parts of the name by space.

Gender *

Email *

Mobile Number *

Admission Category *

Admission Mode *

APAAR Id

Exam Register Number (of the present programme)

University Application Number

Admission Number

Index Mark (as given in allotment memo)

Study Programme *

Semester *

Address Line 1 (House Name/House Number Street) *

Address Line 2 (Locality Post office City)

District *

State *

Pincode *

Parent Name *

Do not use any dots or special characters in the name. Separate parts of the name by space.

Relation to Student *

Parent Mobile Number *