Kannur University

KANNUR UNIVERSITY

Bachelor of Physical Education

ORIGINAL DEGREE APPLICATION FORM

For 2017 Admn onwards...

* required field

Name(As Per SSLC certicate) * :

Register Number * :

Email ID * :

Gender * :

Male

Female

Transgender

DOB * :

Land phone :

Mobile phone * :

Aadhaar Number :

Category :

Permanent Home Address

Address * :

City * :

Post Office * :

District * :

State * :

Pincode * :

Address to which the certificate should be sent

Check this box if Permanent Address and Address to which the certificate should be sent are the same.

Address * :

City * :

Post Office * :

District * :

State * :

Pincode * :

Center of Exam * :

Semester wise details of B.P.Ed examination

Examination	Month of Passing *	Year of Passing *	SGPA Obtained *
First Semester
Second Semester
Third Semester
Fourth Semester

CGPA :