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UG Application Form

1. Admission For*
2. Name in full (In BLOCK LETTERS)*
3. Expansion of initials
4. Age & Date of Birth*
5. Sex & Marital Status*
6. Place of Birth*
7. Whether a native of Kerala State*
8. Name, Occupation and Annual Income of Parent or Guardian* (Specify the relationship)
9. A) Permanent Address with District and Pin code *
     B) Contact Number of Parent or Guardian
10. A) Present Address with District and Pin code *
     B) Contact Number of Parent or Guardian
11. Religion and Caste*(Indicate General/SC/ST/OEC)
12. The school/ Institution in which the Applicant studied with phone no. & years of study
13. The number of times the applicant appeared for the +2 Examinations with years and Register Numbers* (Fill in as Once, Twice, Thrice etc.)
No. of chances takenMonth & YearRegister Numbers
1st
2nd
3rd
14. The period if any, during which the applicant discontinued his/her studies and the reasons thereof.
15. Language chosen under Part II
16. Are you physically handicaped?
17. Whether your father is an Ex-service man or now serving in the Army, Navy or Air Force?
18. Approved records of Games, Sports, NCC, NSS etc.
19. Marks obtained for HSE/VHSE/CBSE/ISCE/Equivalent Examinations* (Attach one copy of Mark statement)
a. Kerala Higher Secondary Education (H.S.E.) OR Indian School Certificate Examination (ISCE)
PartPart I First LanguagePart II Second LanguagePart III OPTIONS (Specify each)Over all Grade/GrandTotal
Subjects Studied
Grade obtained
Marks obtained
Max. Marks2002002002002002001200
b. Kerala Vocational Higher Secondary Education (V.H.S.E.)
PartPart I Part II Part III OPTIONS (Specify each)Over all Grade/GrandTotal
Subjects Studied English G.F.C. Vocational Subject
Grade obtained
Marks obtained
Max. Marks2002002002002002001200
c. Central Board of Secondary Education (C.B.S.E.)
English core Subjects (Specify each) GrandTotal
Grade obtained
Marks obtained
Max. Marks100100100100100500
20. Whether any of your relatives have been students of this college? If yes, enter names, years of study, present address etc.
21. The source from which you came to know about this institution?
22. A) Whether the student intends to stay in the college hostel?
       B) If not a day-scholar, specify the address where the student intends lodging, other than college hostel.
23. Name, Address and phone no of local guardian, if any.
24. E-mail ID & Permanent Mobile Number Guardian
25. Whether the applicant applied through Centralised Allotment Process of MG University?