Online ID

CAP23UG575709
UNIVERSITY OF CALICUT
117.209.38.2508-CAP23UG575709-06.07.2023
CENTRALIZED ADMISSION PROCESS
( To be kept with the applicant and produced at the college at the time of admission )

UGCAP- REGISTRATION 2023-24

I. Details of Fee Remitted

Amount Chalan No Date of remittance
445 231676851 06-06-2023 16:38:58

Instructions:

II. Personal Details

1. Name FATHIMA V
2. Gender Female
3. Date of birth 17-Nov-2004
4. Address VENGASSERI HOUSE MUNDUMUZHI VAZHAKKAD PO,
VAZHAKKAD, KONDOTTY, MALAPPURAM, KERALA, INDIA - 673640
5. Email vfathima04@gmail.com
6. Mobile 8590357120
7. Name of Parent/Guardian MUTHU KOYA V
8. Mobile No [Parent/Guardian] 7306646865
9. Annual Income [Parent/Guardian] 95000
10. Aadhaar Card No 4861-8998-6913
11. Religion MUSLIM
12. Reservation MUSLIM
13. Caste MUSLIMS (ALL SECTIONS FOLLOWING ISLAM)
14. Do you belong to non-creamy layer? Yes
15. Are you belong to Economically Weeker Sections ? Not Applicable
16. Are you orphan? No
17. Whether applying for community quota in aided Yes
colleges?.
18. Whether applying for Sports Quota?. No

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Instructions:

III. Weightage & Disability Details

1. Are you a Person with Disabilities (Minimum 40% Not Applicable
Disability)?.
2. Have you got First Place/A Grade in Kerala State No
HSE/VHSE Arts Festival?.
3. Widows and children of Jawan /Ex-servicemen/ BSF No
Personnel killed or disabled in action
4. Are you a holder of NSS Certificate in +2 Level?. No
5. Are you a holder of NCC Certificate ? No
6. Are you a holder of SPC Certificate in +2 Level?. No
7. Are you a holder of Rajya puraskar/ Nanma mudra No
Certificate for Scouts/ Guides/ Rovers/ Rangers
Certificate in +2 Level?.
8. Do you belong to Tamil Linguistic Minority?. No
9. Have you studied Tamil as a subject in school level?. No

IV. Educational Details

1. Register Number 22252064
2. Board of Examination HSE
3. Year of passing 2023
4. Stream SCIENCE
5. Number of chances taken 1
6. Name of last institution studied FAROOK HSS

V. Mark Details
Sl No Paper Name Marks Obtained Maximum Marks
1 English 170.00 200
2 Arabic 200.00 200
3 Physics 191.00 200
4 Chemistry 192.00 200
5 Biology 188.00 200
6 Mathematics 196.00 200
Total 1137 1200

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Instructions:

VI. College Details

Priority College Programme Index Mark

VII. Community College Details

College Programme Index Mark
SULLAMUSSALAM SCIENCE COLLEGE , AREAKODE B.Sc MATHEMATICS 963.00

MUHAMMED ABDUL RAHIMAN MEMORIAL ORPHANAGE(M.A.M.O) COLLEGE, MUKKOM B.Sc MATHEMATICS 963.00

DECLARATION
I FATHIMA V hereby declare that the information given in this application is true and correct to the best of my knowledge and belief.
In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.

Place: Signature of the Candidate

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