PgApplication (3)
PgApplication (3)
Personal Information
Program which you are applied for MASTER OF SOCIAL WORK 2025 ADMISSION
Gender Male
ABC ID 132086987334
Nationality INDIAN
Religion HINDU
Community OBH
Caste VISWAKARMA
Name of Guardian MURUKAN D
MELATHIL PUTHEN VEEDU CHELLAMCODE ,POOVATHOOR
Communication address: House Name
P.O,NEDUMANGAD
Communication address: Place / Street Name CHELLAMCODE
Communication address: Post Office POOVATHOOR
MELATHIL PUTHEN VEEDU CHELLAMCODE ,POOVATHOOR
Permanent address: House Name
P.O,NEDUMANGAD
Permanent address: Place/Street Name CHELLAMCODE NEAR PUTHUMANGALAM TEMPLE
Permanent address: Post Office POOVATHOOR
State Kerala
District Thiruvananthapuram
Pin Code 695561
Mobile Number 9645371264
Alternate Mobile Number 9645866364
E-mail ID [email protected]
Educational Qualifications
SSLC Details
SSLC Register No Percentage
700079 86
Degree Details
Period Aggregate UG
Register Programme
College/Institute University Programme Main Subject of percentage Result
Number Type
study / CGPA awaiting
BETHANY
KERALA 2020 -
3041902143 COLLEGE BA ECONOMICS YEAR WISE 40 No
UNIVERSITY 2022
NALANCHIRA
Other Information
Documents Uploaded
Priority Campus
1 MAIN CAMPUS, KALADY
2 REGIONAL CAMPUS, TIRUR
3 REGIONAL CAMPUS, PAYYANNUR
Payment Details
I hereby declare that all the statements made in this application are complete, true and correct to the best of my knowledge and
belief. I understand and agree that in the event of any information being found to be false or incorrect or concealed or misstated, at
any stage or if I am found not eligible to be admitted to the program, according to the requirements as given in the original
notification or University/UGC regulations, my candidature for the program applied is liable to be rejected and if already admitted,
the said admission will be cancelled/revoked.
Place :
Date :
Signature of the Candidate