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 *

10. A) Present Address with District and Pin code *

11. Religion and Caste*(Indicate General/SC/ST/OEC)

12. Reg. No. Year and Month of passing the qualifying examination and University*

13. College or Colleges attended with Dates*

Course	College	From	To

14. Optional subjects studied under Part III for the UG Degree Examination*

15. Are you physically handicaped?

16. Whether your father is an Ex-service man or now serving in the Army, Navy or Air Force?

17. Approved records of Games, Sports, NCC, NSS etc.

18. Statement of Marks*
    A) Degree Examination

Marks Secured*

PARTS	MAX. MARK	I CHANCE	II CHANCE	III CHANCE	MERIT MARK
Part I
Part II
Part III (a) Main Theory
Practical
Complementary 1
Complementary 2
Total for Part III
Total for Main

     B) Any other exams passed with details

19. The period if any, the applicant has discontinued his/her studies and reasons thereof

20. Scholarships/concessions enjoyed for Degree Course

21. Whether any of your relatives have been students of this college? If yes, enter names, years of study, present address etc.

22. The source from which you came to know about this institution?

23. 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.

24. Whether the applicant applied through Centralised Allotment Process of MG University?