Application Form – Millath College of Teacher Eduaction

OPTIONAL SUBJECT FOR WHICH ADMISSION SOUGHT :*

PERSONAL DETAILS

NAME OF APPLICANT :*

DATE OF BIRTH IN FIGURES :*

AGE :*

SEX :*

MALE

FEMALE

IN WORDS :*

NAME OF FATHER OF GUARDIAN :*

RELATIONSHIP :*

RELIGION :*

HINDU

MUSLIM

CHRISTIAN

OTHER

CASTE :*

ARE YOU NATIVE OF KERALA*

YES

IF YES , NAME OF THE DISTRICT :*

PERMANENT ADDRESS :*

CONTACT ADDRESS :*

Post Office*

PIN*

Post Office*

PIN*

Panchayath*

Village*

Panchayath*

Village*

Thaluk*

District*

Thaluk*

District*

E-mail ID :*

Mobile No :*

Aadhar No :*

DETAILS OF EDUCATION QUALIFICATIONS

DEGREE (GRADUATION (U.G)) :*

B.A

B.Sc

YEAR*

UNIVERSITY*

POST GRADUATION DEGREE (P.G) :*

M.A

M.Sc

M.com

YEAR*

UNIVERSITY*

DO YOU HAVE A POST GRADUATE DEGREE IN THE SUBJECT FOR WHICH ADMISSION IS SOUGHT*

YES

MARK OBTAINED :

GRADUATION B.A B.Sc

SUBJECT

MARK OBTAINED

GRADE OBTAINED

PERCENTAGE

SEMESTER SCHEME CONSOLIDATED MARKS

YEARLY SCHEME MARKS PART: 1,2 & 3

POST GRADUATION M.A,M.Sc,M.Com

OBTINED CONSOLIDATED MARKS

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S.S.L.C*

PLUS TWO*

DEGREE

Consolidated Mark List*

Provisional Certificate*

Certificate*

PG(Optional)

Consolidated Mark List

Provisional Certificate

Certificate

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T.C*

Conduct Certificate*

Other University Students Eligibility And Migration Certificate

Caste Certificate*

Income Certificate*

Photo*

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DECLARATION BY THE APPLICANT

I hereby Declare that the facts given in the Application True.
I will make available to the college Authorities all the Original Certificate.
I have Attached self Attested copies of all the necessary documents in support of the Application.
If selected for the course, I undertake to abide by all the rules and Conditions prescribed for the Course by the University of Kerala by the College.
If discontinue my Students I am bound to pay all fees due to the college.
If admitted I agree to pay all fees due to the College on the Dates Prescribed and also agree to Keep all My Original Certificates in the College Office till the course is Completed.

Date :*

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Place :*

APPLICATION FEE : 300/-

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Transaction Id*

Transaction Time*

Transaction Date*