Application for admission to the B.A (Honours) / B.Sc (Honours) / B.Com (Honours), B.Voc. Programme

Fields Marked with * are required fields.
Category in which admission is sought:*
CAP No:*
(Enter the CAP No. provided by the University)
Major Programme desired: *
Choice I: *
Choice II:
Choice III:
Name in full (as in S.S.L.C. Book):*
(in block capitals with initials at the end)
Expansion of initials, if any:
Email Address of Student: *
Gender: *
Male Female
Marital Status: *
Single Married
Age / Date of Birth: *
Place of birth with Taluk and District: *
Nationality: *
Name of Father: *
Name of Mother: *
Permanent home address with District and Pincode: *
Name and address of Parent or Guardian with district: *
Mob./Ph. No of Parent / Guardian: *
Occupation and average annual income of parent or guardian: *
Relationship to the guardian: *
Address to which communications are to be sent: *
Religion & Community: *
(If belonging to OEC specify)
If Catholic: *
Yes No
Name & Place of Institution: *
Exam Reg. No: *
Name of Exam. * Year of Passing * Mark / Grade*
The period, if any, during which the applicant has discontinued his studies and reason thereof.
Second Language: *
Malayalam Hindi
Sports / Games:
Others, if any:
Details of Qualifying Examination (Plus Two )
Name & Place of Institution: *
Name of University / Board : *
Exam Reg. No: *
Month of Passing: *
Language* Marks Secured * Max.Marks *

*English is not a Second Language.

Marks of Core Subjects* Marks Secured * Max.Marks *
Total of above:

*Enter core subjects only.

No. of chances taken for passing the qualifying examination: *

I hereby agree to obey all rules and regulations of the college as well as instructions issued by the Principal from time to time and promise that I will not engage in any strike or agitations, for the better working of the college.

Please check this box to accept the above declaration.