Application Form UG

Course applied for

Name of the Applicant (as in SSLC certificate)

Age & Date of Birth (as in SSLC certificate)

Religion & Caste

Whether belongs to SC/ST/OBC/OEC

Gender

MaleFemale

Blood Group

Permanent Address (with PIN Code & Dist.)

Address for Communication (with PIN Code & Dist.)

E-mail

Father’s Name & Designation

Father’s Mobile No

Mother’s Name & Designation

Mother’s Mobile No

Guardian’s Name

Guardian’s Mobile No

Name and address of the Schools last attended

SSLC

PLUS TWO

OTHER

	Subjects	Marks/ Grade secured	Board	Register No & Period of Study (CBSE Roll No)	Year of passing
SSLC	Write only total marks/Grade for all subjects together
Plus Two	Part I English
	Part II (Hindi/Malayalam)
	Part III Optionals






	Total

Second language preferred for Degree :