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College of Horticulture Alumni association ( COHAA ) – 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:
*
select
Male
Female
Transgent
Year of Admission in College of Horticulture, Vellanikkara Thrissur :
*
a) BSc (Agri \ Hort):
Select
Not applicable
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
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1984
1985
1986
1987
1988
1989
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2012
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2015
2016
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2026
b) MSc:
Select
Not applicable
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
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1991
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2011
2012
2013
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2015
2016
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2018
2019
2020
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2025
2026
c) Phd :
Select
Not applicable
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
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1995
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2001
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2005
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2010
2011
2012
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2015
2016
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2018
2019
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2021
2022
2023
2024
2025
2026
Admission Number :
Basic Degree qualified :
*
Select
B Sc (Agri)
B Sc (Hort)
From Which College :
*
Select
College of Agriculture(erstwhile College of Horticulture), Vellanikkara Thrissur
Other
Additional Qualification :
Home Address :
*
Post Office :
Pincode :
*
District :
State :
Country :
email :
*
Mobile Phone No :
*
Whats app No:
*
Land Phone No :
If Working Now
Designation :
Official Address :
If Retired,
Specify From which post :
Whether married :
If married name of spouse:
Create Login Password :
*
Confirm Password :
*
Application Confirmation.
Please Ensure All The Record are Currect Before Your submission.
SAVE
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