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Cost of Application Form Rs.20/-


Code No.

Fee Remitted Rs ...... . ... ./- Receipt No. Dt ...


.. ./.. ... .I.. ...... ..
Cash Counter/Chalan /SBTiDraft/Friends Janas
evana Kendram

M AH AT M A GANDHI UNIVERSITY
APPLICATION FOR REGISTRATION
TO TH E CBCSS DEGREE EXAMINATI
...r.\~tT.......
SEM EST ER: MA RCH -AP RIL /OC TOB
ER- NO
ON
*PR Number shou VEM BER 20.?
ld be lled in by the candidates EXCEPT THEJ.. ..... ..
FIRST SEMESTER REGUI.AR
* Permanent Register Number:
Nam e of Can dida te
1.

2.
(CA PIT AL LET TER S )
Nam e of Coll e e
MALV J"OSE
51 UtcORutE COLLE<nE ARUVITHURA
3.
4. ) M
5.
e
I(
Add ress for com mun icati on with kO--ff,..._")I~ "i (:p! ST) , k. IH2.A-LA, Pi-\~
6. CJ1':f g- 2.C,O l~'I
Pho ne num ber and Ema il
o~e. llnt.4.U.-.
1. 'l ,_ .8.~ ~ ...
a, tMtl1 •CatipIN Cod e ...t7. -=,. :T. ......
* . Whe ther Elig ible for Fee
7 conc If Yes, State Category : ..... ..... ..... . ; .....
essi on (✓) . ..... ..... .. . .. ... .
OF THE PRINCIPAL:
* . Stat e whe ther havi ng Suff icien t
8 Atte s / No]. Tf No, State whether applied for
ndance(✓) · SIG NAT URE OF THE PRINCIPAL:
Condonation [Ye s/ No]

**DETAILS OF COURSES
1. Com mon Cou rse I (EN GLI SH) 1) Titlc.f.N..tJ.C..1~L:-.f.~~e.-.--:1V.N.!:-:-l'.Q
.c,.t.~-:-.~N6iLLSH.
2) Title ..... ..... ..... ..... ..... ..... ..... ... ..... .....
2. Com mon Cou rse II (Addl. Lan gu~ e) . . ..... ..
Title ..... ..... ..... ..... ..... : ..... ..... ..... .....
3. Cor e Cou rse 1) Title.C.~.\C.. . .T.O\::{OMP~'.fl;.~.fVN..D.'f ..... . ..
2) Title. C~l.C-.RT.C?.~.~ .M.l;'..Tiffil..O~Y..Of ..P.R-
\J'1~!Vf.~.1.S.J\fVP..Rf~.lJJ:\.41~iNl1,1.e.s
P0~.t:1~HNVJ.~ND. ~- ~~."-1.lll\6itf
3) Title .. C.~~ .CJ?J?.O.\~JQfJ'.W.I\Rt .. ..~M~
4) Title . . . .. .. .... .. ..... .... ..... .... .. . .... ... .. ...
. ~I. ...... .................. .
... .. ..... . ...... ..... .... ..... . .. .
5) Title ..... ..... . ...... . . ..... . ..... ..... ... ... .....
...... .. ....... .. ..... ..... ..... .... .
6) Title ..... ..... ..... ..... ... ·.... . :... ...... .. .. ... ....
..... .. .... ..... ..... . ... ...... .
4.
5. .
Cho ice Base d Core Cou rse Titl : ...
Com plem enta ry Cou rse 1) Titl e.
i1:~ ..... 'i .. ·.:'h'i .... ..'E:°M. 'fr6'
·.:. p1s ctfTE i,{~1H°E'M·,-.11c.f~"I .
. HM31~~ii,'i.t(f.H.s . .. . ~-ii;
"irj
2) Titl~.S.T.\.<.MT .. :-:a.r.\-l!,.. J10.l., ...... )..,:"\ ..·,:;,· .:.;;,oGfti~jfo~ Pl&? ift& ,~
Y. .. .~:tfli i. . ~
Voc ation al Core/Optional Core Title ..... .Q,-:-,. Tlfe!of.Jt
6. .... .. . ... ..... ...... .... ... . . ... ..... ..... ..... ..
Ope n Cou rse Title ..... .. . ..... ..... ..... ... .... .. .. . ..... .
7. ••• ••• •••••••• •••• •• •• •.•••••••• .. . ••• •• ••••• ••• ••••••
• ••••• ••• ••• ··
8. Proi ect & Viv a
Sign atur e of the Candidate: ~ Signature of the Head of the Department
:

*Co lum n No. 7 &8 shou ld be reco mme nded


**D etail s of courses should ·be attested com by the Principal
pulsorily by the HOD to ensure that the titles
are ente red correctly by the candidate. of the papers

Place: 'E Ll KU L. ~M
Date: 2 ~ lC)qf 2.0 l\ Signature of the Principal with office seal

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