MAR IVANIOS COLLEGE OF ARTS & SCIENCE,MAVELIKKARA

(Affiliated to University of Kerala)

A Self Financing College, Managed by Malankara Catholic Diocese of Mavelikara Kallumala P.0, Mavelikara PIN: 690110
Phone. 0479 2344601, 9061202814
Email: marivaniosmvk@gmail.com. Web: www.micasmvk.ac.in

APPLICATION FOR ADMISSION TO THE BA/B.Sc/B.Com. PROGRAMMES 2023-24 (Make all entries in block letters)

Name of the Applicant

Course applied for

Choice if any

Additional Language Selected
Malayalam Hindi

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Kerala University Online Application No

Chellan No

Sex
Male Female

Blood Group

Mother Tongue

Date of Birth (as given in certificate)

Age

Religion

Caste

Malankara Catholic (Yes/No)
YES NO

Parish

Whether the Candidate belongs to SC/ST/OBC/OEC

NCCNSS/Sports/ Dependent of Ex-service person

Address of Applicant (With pin code & Dist) Mobile & Phone No. (with STD code):

Email of Applicant

Father's Name

Occupation

Mobile No

Whatsapp No

Mother's Name

Occupation

Mobile No

Whatsapp No

Guardian Name: Address & relationship Phone/Mobile No.

Group Selected for Plus Two Course HSE/CBSE/ ISC/VHSE
Science Commerce Humanities Others

Proficiency in extra/co-curricular activities with details:

Do you require hostel accommodation
Yes No

Do you require College Bus facility
Yes No

Education Details.

SSLC

% of Mark

Board/ University

Year of Passing

Name of the School

No.of attempt

Plus Two

% of Mark

Board/ University

Year of Passing

Name of the School

No.of attempt

Details of Mark obtained for Plus Two (Fill in only whichever is applicable)

English

Language

OPTIONAL SUBJECTS (Specify Optional Subjects )

Subject I

Marks (Out of 100/200)

Subject II

Marks (Out of 100/200)

Subject III

Marks (Out of 100/200)

Subject IV

Marks (Out of 100/200)

Grand Total(Out of 500/1200)

Index Marks

PART B

Recommendation if any Name, Address and Phone No:

Name

Address

Relationship to the candidate