liceo

Liceo IMD student Database - Online Registration

Pre Registration Academic Year 2021-2022

Step 1 : Personal Details
Step 2 : Contact Details
Step 3 : Hostel Details
Step 4 : Course Details
Step 5 : Documents Upload
Step 6 : Education Details

First Name (as per passport)
Middle Name (Optional)
Last Name (as per passport)
Valid Phone Number
Telegram Number (with country code)
Whatsapp Number(with country code)
Email
Gender
Date Of Birth
Upload Photo
Blood Group
Nationality (as per passport)

Family Details

Name of Father/Guardian
Phone Number (should be verifiable) Invalid Mobile Number(10 Digits)
Email Email-id is invalid
Name of Mother/Guardian
Phone Number (should be verifiable) Invalid Mobile Number(10 Digits)
Email Email-id is invalid
Father Occupation
Mother Occupation

Address Details

Communication Address
Country
State
District
City
Pincode
Same us above
Permanent Address in Home Country
Country
State
District
City
Pincode

Do you have a passport?

Yes

No

Passport Number (current)
Date of issue
Place of issue
Date of expiry

Need Accommodation

Yes

No

Center

Chennai
NEET Qualified

Current batch
Direct to Philippines or Studied B.S in India
Year and month of start of B.S course
Responsible Person for Fee Payment
- Name
- Occupation
- Relationship
- Contact Number Invalid Mobile Number(10 Digits)
- Email
Lateral Entry

Yes

No
- Name of University
- Name of College
- Year of Passing
- Percentage

10^th Mark sheet
11^th Mark sheet
12^th Mark sheet
NEET Mark sheet
Under Graduate Mark Sheet(Only for Lateral Entry)
Transfer Certificate
Migration Certificate
Birth Certificate
Community / Caste Certificate(Only for SC/ST/OBC Students)
Copy of Passport(All Pages including the front and back cover)
Passport size photo scan with white background
Student Aadhar card(front side)
Student Aadhar card(back side)

10^th Details

School Name
Board
School Address
District
State
Country
Year of Passing
10^th Percentage

10^th Mark Details

Subject
Mark

12^th Details

School Name
Board
School Address
District
State
Country
NEET Score
Year of Passing
12^th Percentage

12^th Mark Details(Physics,Chemistry,Biology Mark is compulsory.)

Subject
Mark

I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief.

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