APPLICANT DETAILS
Name DIONA JAYESH MATHEW Application Number 125127048
Email ID dionajayeshmathew@[Link] Mobile Number +919645996082
Gender Female Date of Birth 01/07/2007 Nationality Indian
CATEGORY DETAILS
Category General Sub Category General
PROGRAM DETAILS
Program Level Undergraduation - UG Stream Nursing
Course [Link]. Nursing
Tentative Test Location 1 Bangalore Tentative Test Location 2 Kottayam Tentative Test Location 3 Ernakulam
PARENT OR GUARDIAN DETAILS FOR COMMUNICATION
Full Name Jessymol Joseph
Email jesanalil75@[Link] Mobile Number 96599618062
ADDRESS DETAILS
Address Type Address 1 Address 2 City State Country Pincode
Correspondence Address Thottananiyil house, Vadakkumury PO, Karimkunnam Thodupuzha Kerala India 685586
Permanent Address Thottananiyil house, Vadakkumury PO, Karimkunnam Thodupuzha Kerala India 685586
PAYMENT DETAILS
Transaction Id 113581068008 Date 19/12/2024 Amount INR 2000.00
DECLARATION
• I hereby confirm that the above-mentioned details are correct. I declare that all the
particulars stated in this application form are true to the best of my knowledge and belief. I
have read and understood all provisions of the admissions process and agree to abide by them. I
also affirm that I fulfill the eligibility requirements for the program(s) applied. I
understand that I can only apply once for each group. In case I apply more than once, only
one of my applications will be accepted, and the application and entrance test fees remitted
will not be refunded.
• If it is found at a later stage, during active verification, that I have provided false, incorrect
or untrue information w.r.t educational qualifications, marks, nationality, etc., or submitted an
eligibility document from an unrecognized board or university, my admission or degree will
be canceled without notice, with forfeiture of all fees paid.
• Jurisdiction for disputes, if any, shall be at the Udupi Court, Karnataka, India only.