National Service Scheme 2023

Volunteer Registration Form

Are You Foreign Student? *

Registration Number *

Name of Student / Volunteer *

Student / Volunteer Parent Name *

Date of Birth *

Category (As mentioned by KEA) *

Gender *

Blood Group

Email *

Mobile Number *

Admission Date to Course *

University / Institution *

College *

Program Name *

Course *

Branch *

Address *

Land Mark

Block

City/Village *

Pincode *

District *

Other Fields of Interest

Previous Achievements

Fields marked with ( * ) are mandatory.

Note: Registration Numbers are the unique seat numbers assigned to Students by the University.

Note: Student Name should be as per SSLC marks card.

Note: State will be automatically selected when District is selected.