MDCMI Online Application

MATER DEI CMI COLLEGE

ENATHU, ADOOR

Affiliated to the University of Kerala | A CMI Educational Institution
Enathu PO, Mannady Road, Adoor Via,Pathanamthitta(Dist), Pin-691526

Phone: 04734 212535, 8129965643, 9847942667
Email: materdeicollegeenath@gmail.com, Web: www.mdcmi.ac.in

APPLICATION FOR ADMISSION TO THE FIRST YEAR UG PROGRAMME 2023-26 [B.Com Commerce with Computer Application,B.sc Psychology , B.com Finance,BA - English Language and Literature, B.com Tax procedure and Practice] All the fields are mandatory

Name of the Applicant

Course Applied for

Additional Language Selected
Malayalam Hindi

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Kerala University Online Application No

Chellan No

Sex
Male Female

Blood Group

Mother Tongue

Nationality

Date of Birth (as given in certificate)

Age

Religion

Caste

Malankara Catholic (Yes/No)
YES NO

Parish

Whether the Candidate belongs to SC/ST/OBC/OEC

NCC/NSS/Sports/ Dependent of Ex-service person

Address for Communication (With PINCODE)

Email ID of Applicant

Mobile No. of Applicant

Father's Name

Occupation

Mobile No

Whatsapp No

Mother's Name

Occupation

Mobile No

Whatsapp No

Guardian Name, Address & Relationship Phone/Mobile No.

Group Selected for Plus Two Course HSE/CBSE/ ICSE/VHSE
Science Commerce Humanities Others

If Open School

Proficiency in extra/co-curricular activities with details:

Do you require hostel accommodation
Yes No

Do you require College Bus facility
Yes No

Details of Qualifying Examination:

Examination Passed

Name of Board

Year

Name of Institution where the applicant last attended

Marks Scored

Out of Marks

% of Marks

Statement of Marks of Qualifying Examination

Subject One

Marks Secured

Maximum Marks

Subject Two

Marks Secured

Maximum Marks

Subject Three

Marks Secured

Maximum Marks

Subject Four

Marks Secured

Maximum Marks

Subject Five

Marks Secured

Maximum Marks

Subject Six

Marks Secured

Maximum Marks

Subject Seven

Marks Secured

Maximum Marks

Subject Eight

Marks Secured

Maximum Marks

Subject Nine

Marks Secured

Maximum Marks

Grand Total

No. of time taken to pass the qualifying Examination

Details of remittance of application fee:

Name of the Bank : Union Bank
Branch : Enathu
Ac/ No : 697302010001091
IFSC CODE: UBIN0569739

Date of Remittance

Transaction ID