SREE NARAYANA GURU MEMORIAL by 44nt1I

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									                         SREE NARAYANA GURU MEMORIAL
                           ARTS AND SCIENCE COLLEGE
                                          ( Affiliated to the UNIVERSITY OF KERALA )
                                 Valamangalam South.P.O. Thuravoor, Cherthala, Alappuzha – 688 532
                                              Phone: 0478 2561737, Fax: 0478 2561737
                                           Email : college@sngmc.org URL : http://www.sngmc.org

         Application No. ………………                            Application for admission to B.Sc. (Three year course) 200__ - 200__

         Note : Applicants are requested to fill the forms with care after reading the prospectus. They should write neatly and
                legibly and fill in all the sheets. The memo card should be fully addressed and adequately stamped.

                                                      (The complete set should be duly filled in)

         1. Name in Full (in block letters)

         2.   a) Expansion of initials

              b) Sex                                                                    Male/ Female

         3.   Place of birth Taluk and District
                                                     st
         4.   Age and Date of Birth (Age as on 1          October
              of the Year of Admission )

         5.   Permanent address with District
              Phone No. if any

         6.    Full address to which communications are
               to be sent

         7.   Caste , Community and Religion (State whether
              Sch. Caste/ Tribe or Other Eligible Community)

         8.   Number of times the applicant appeared for the                                    i                       ii                       iii
              Plus Two examination with Register no. at                                 Reg No.                 Reg No.                  Reg No.
              each appearance.                                                          M/S…………….               M/S……………….               M/S…………..

         9.   Name of the School last attended

         10. Course to which admission is sought



         11. Second Language required under paper II

         12. Approved records of proficiency in Games, Sports,
             N.C.C & N.S.S ( Copies of certificates should be attached )

         13. Whether the applicant is Handicapped or Department
             of Ex-Servicemen ( Copies of certificates should be attached )

         14. Whether a native of Kerala                                                 Mother Tongue:

         15. Name, Occupation and Annual Income of Parent or
             Guardian.

         16. Number of times the applicant appeared for the
             S.S.L.C Examination with Register number.

         17. The periods if any, during which the applicant
             discontinued his/ her studies and the reasons thereof

         18. No. and date of the Transfer certificate

                                                                                                                                                 P.T.O
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
         Application No.

         Name and Address of Parent/Guardian:                                                     ID-03                        Form -A
         (a) Occupation of Parents:           Father……………………………….
          (b) Official Address           ………………………………………………                             Subject…………………………                      General Merit
              (with Phone Number)         ……………………………………………..                                                                  Reservation
                                          ……………………………………………..                           II Language……………………                    Management Quota
19. Marks at the Plus Two Examination

    Subject                                                               Maximum Marks                        Marks Awarded

    Part A – English

    Part B – Second Language

         (…………………………………………)

    Part C – Optional Subjects
    1.
    2.
    3.
    4.

         Total for Optional Subjects

         Grand Total

    20. Whether the applicant requires hostel accommodation


                                                     DECLARATION

                  I hereby declare that the above statements made by me are true. I fully realize that if any time any of the statements
is found to be contrary to facts, I shall forfeit my admission to the college. Further I Promise to abide by all the rules and regulations
of the college.


                                                                                                      Signature of Candidate
Place:

Date:
                                                                                                      Signature of the Parent
Note:    Applications not accompanied by copies of the Plus Two Certificate duly attested will not be considered.
         Full and accurate information should be given against each of the above columns.

                                                      FOR OFFICE USE ONLY
Computation of Rank Marks

   Main Subject           Total Marks         Subject Marks         Weightage              Total           Handicap          Rank Marks
                           Secured +2                                 Marks                               Marks if any
                            Exam (A)                (B)             If any (C)         A+B+C=(D)              (E)               (D-E)

B.Sc ……………….
………………




Number of chances taken by the candidate to pass the Plus Two examination…………………..

Note:    C=       Weightage Marks
         (i)      NCC 15 marks (copy of eligibility certificate obtained from the directorate of NCC should be attached.)
         (ii)     NSS 15 marks (copy of certificate should be attached.)
                  (Either NSS or NCC Marks only can be added)
         (iii)    Department of Ex-Servicemen Marks 15 (copy of Eligibility Certificate from District Sinik Board should
                  be attached)

         E=       Handicap marks for every successive attempt after the first attempt to complete the Plus Two           examination.
         Date of Admission
         Course to which admitted
         Admission No.                                                                                                   PRINCIPAL

								
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