Instructions
×
Registration should be completed online
Information must be accurate
Fill the application form in English only
For More Enquires : 9072 500 438
International Shelter for Hope, Opportunities, Realization and Employability
Runby : Markaz Rayhan Valley
Karanthur (PO), Kunnamangalam, Kozhikode - 673571
Phone: Office. 9072500438
Email: ishore.mrv@markaz.in
Instructions
STUDENT'S PROFILE
Name of the Student
(With Initial)
*
Date of Birth
*
Age
*
Student's Photo
(Studio photo taken within 6 month)
*
Photo Must be in Passport (PP) Size. Max Upload Size 500KB
Aadhar Number
*
Name of Father
*
Place
*
State
*
Select State
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
UNION Territories
Andaman and Nicobar Islands
Chandigarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadeep
Pondicherry
District
*
Select District
-- select one --
PIN
*
Mobile Number
(Without Country Code)
*
Whatsapp Number
(Without Country Code)
*
Department to which admission is sought
*
Departments
Science Academy
Commerce Academy
Humanities Academy
Islamic Heritage (Daras)
UG & PG (Wayanad Campus)
