Sai Madhuvan Registration Form

This registration form is to be used only for Alumni of Residential Balvikas

This form is to be used only for new registrations of Alumni. If an Alumni wants to make any updates to the details that was already provided at the time of registration, please contact the respective District Education Coordinator (DEC) or send an email to pratima1087@gmail.com for the updates to be done.

Fields marked as “(required)” are mandatory, without which this form cannot be submitted.

    Choose the Education district of Karnataka where you attended Balvikas (required):



    Date of birth (required):

    Blood Group (optional):

    Gender (required): MaleFemale


    Exam passed in Balvikas:

    State Level (or Group II) (required):

    Pre-sevadal (or Group III) (required):

    You have attended minimum 6 months to 1 yr of Balvikas and are 14 yrs or more in age? (required)

    Upload Balvikas Certificate (optional):

     


    Are you interested in (optional):

    Proficiency in (optional):

    Areas of talent (optional):


    (Please be patient after you submit this form. It may take a few minutes if you have a slow internet connection.)

    Balvikas Karnataka Logo

    For any inquiries and clarifications, please send a mail to pratima1087@gmail.com

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