Loyola Institute of Tech. & Science

Student's Registration form

Registaration Date:

Student's Name:

Gender :

Male Female

Email :

Phone Number :

Intrested Course:

Country:

State:

District:

Address:

Referred By:

Additional informations:

Loyola Nagar, Thovalai - Rajavoor Road, Kanyakumari, 629302

+91 92447 75556 & +91 92447 75544

lites2008@hotmail.com

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