Admission Form

Application Date

Name of Course Applied for

Name of LBS Unit

Time Slot First Preference

Time Slot Second Preference

Time Slot Third Preference

Name with initials

Date of Birth

Gender

Aadhar Number

Email Address

Phone Number

Name of Parent/Guardian

Religion

Caste

Whether belong to SC/ST/OBC/OEC/GEN

Whether eligible for OEC Fee concession

Permanent Address

House No.

Street

City

District

State

Same as Permanent Address

Communication Address

House No.

Street

City

District

State

Educational Qualification

Name of Course	Year of Passing	Total % Marks obtained (If grades, convert to percentage.)	Option
			Add

( *Copies of the Certificates should be Attested )

Course Name	Year	Total Marks	Option

Photo

(Dimensions 155 x 200 pixels. Size of file should be between 20kb - 50 kb)

Documents attached

Aadhar/ID Proof	Upload File
Marklist of Qualifying Exam	Upload File
SSLC Certificate(Age Proof)	Upload File

*Document should be in pdf
*Maximum Size of Document is 100 KB

Certified that the details furnished above are true and I here by agree that I shall abide the rules and regulations of എല്‍.ബി.എസ് സെന്റര്‍ ഫോര്‍ സയന്‍സ് & ടെക

I Agree

Admission Form

LBS Centre

LBS Centre for Science & Technology [HO]

Extra Police Road, Nandavanam, Palayam,Thiruvananthapuram

Ph: 0471 2324396

Kalamassery Regional Unit

HMT Junction, NAD Road, Kalamassery

Ph: 0484 - 2541520, 2551466

Thrissur Regional Unit

Alumvettuvazhi Road, Chiyyaram, Thrissur

Ph: 0487 - 2250657, 2250751

Kozhikode Regional Unit

17/420, Indira Gandhi Road, Kozhikode

Ph: 0495 - 2720250

Kannur Regional Unit

Old Engg. College Campus, Near S.N.Park, Kannur

Ph: 0497-2702812