NAME OF THE STUDENT *

DATE OF BIRTH*

NATIONALITY *

EMAIL*

ADDRESS FOR COMMUNICATION *

PHONE NO *

WHATSAPP NO*

COURSE INTERESTED* Choose.. BA LLB B.Com LLB

RELIGION *

NAME OF PARENT/GUARDIAN *

PARENT/GUARDIAN PHONE NO *

RELATIONSHIP WITH GUARDIAN *

NAME OF THE QUALIFYING EXAMINATION *

UNIVERSITY / BOARD*

NAME OF INSTITUTION LAST STUDIED*

TOTAL PERCENTAGE OF MARKS * (Attach self-attested copies of mark sheet)

UPLOAD MARK LIST *

UPLOAD PHOTO *

EXAM CENTRE * Choose.. KOLLAM THIRUVANANTHAPURAM ERNAKULAM KOZHIKODE

FEE REMITTANCE MODE* Choose.. BANK TRANSFER DEMAND DRAFT

UPLOAD TRANSFER RECEIPT

DEMAND DRAFT NUMBER*

DEMAND DRAFT DATE*

NAME OF THE BANK*

DECLARATION

I hereby solemnly and sincerely affirm that the statements made and the information furnished in the application form as also in all enclosures thereto submitted by me are true to the best of my knowledge. Also I hereby agree to abide by the rules and regulations of the college if admitted.

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