Registration

College of Horticulture/Agriculture Alumini Association ( COHAAA ) – Reg No R – 113 /08

Vellanikkara , KAU Post , 680656 , Thrissur , Kerala

( Registered Society Under Societies Registration Act XXI , 1860 )

Application form for Membership / Associate Membership

Name*

Upload Photo(Passport Size)

Date Of Birth*

Age :

Sex:*

Year of Admission in College of Horticulture, Vellanikkara Thrissur :*

a) BSc (Agri \ Hort):

b) MSc:

c) Phd :

Admission Number :

Basic Degree qualified :*

From Which College :*

Additional Qualification :

Home Address :*

Post Office :

Pincode :*

District :

State :

Country :

email :*

Mobile Phone No :*

Whats app No:*

Land Phone No :

Designation :

Official Address :

Specify From which post :

Whether married :

If married name of spouse:

Create Login Password :*

Confirm Password :*

Application Confirmation.

Open ssl loaded