ETTUMANOORAPPAN COLLEGE

CHOORAKULANGARA,ETTUMANOOR-686 631
(Affiliated to Mahatma Gandhi University, Kottayam)
e-mail : ettumanoorappancollege@ymail.com
APPLICATION FOR ADMISSION TO THE DEGREE COURSE

Course Opted:
IChoice:
IIChoice:
IIIChoice:
Full Name as in SSLC Book (in block letters) :
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Name in Malayalam :
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Age :
Date of Birth :
Place of birth :

Nationality :
Religion, Caste / Community (SC/ST) as in SSLC Book :
Present Address :
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Mobile :
Pincode :
Aadhaar No :
Name and Address of Parent :
Land Phone :
Mobile :
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Occupation and income of the Parents :
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Annual Income Rs :
Name of School Last Attended :
Details of Qualifying Exam :
Reg.No :
Year :
No. of Chances :
Name and address of local guardian if any with Phone No. :
Subjects and Marks of Qualifying Examination:
Subjects Max Marks Marks Scored Grade Obtained
Part-I English
Part-II Language
Part-III Optional Subjects
1
2
3
4
5
6
Total Grade
Second Language Opted by -B.Sc / B.Com students :