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.marivanioscollege.in

APPLICATION FOR ADMISSION TO THE MA/M.Sc/M.Com. PROGRAMMES 2022-23 (Make all entries in block letters)

Name of the Applicant

Course applied for

Expansion Of Initials

Choice if any

Nationality

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

NCC(C/B/Weightage)/NSS/Sports/ Dependent of Ex-service person

If Sports person which level,(National/State,Dist,University)

Whether Differntly abled(Blind/Deaf/Orthopaedic/Brain Diseases)

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

Email of Applicant

Whatsapp Number 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.

Proficiency in extra/co-curricular activities with details:

Do you require hostel accommodation
Yes No

Do you require College Bus facility
Yes No

CCPA/Marks in Degree/Equivalent Examination

CCPA/
CGPA
OUTOF

English

Additional Laguage

Foundation Course

Core Course.

Compl Course1

Compl Course2

CCPA(S)/ CGP(S)Total

Max CCPA/CGPA

CREDIT/ MAX MARK

For Kerala University enter CCPA (S)/ SGPA (S).

For Kerala University enter CCPA / CGPA.

Education Details.

% of Mark

Board/ University

Year of Passing

Institution Name

No & Date of TC

Whether the applicant is realated to any former student(s)of this college,If so give the details including present address

Reason for break of study,If any

Does the applicant receive any military/other concession/Scholarship.