APPLICATION FORM FOR HOSTEL ADMISSION
Students those who require hostel facility are requested to apply with the above link.Preference will be given to those who are from outside Thrissur district.For more information kindly contact Us:   94960 44874

(Use Capital Letters Only).

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NAME OF THE CANDIDATE *
(Capital Letters as in +2 Mark Sheet)
NAME OF THE COURSE *
Branch *
Sr. Number *
GENDER *
DATE OF BIRTH *
MM
/
DD
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YYYY
FATHER'S NAME *
MOTHER’S NAME *
RELIGION *
CASTE *
ANNUAL FAMILY INCOME (IN RS) *
RESIDENTIAL ADDRESS WITH PIN CODE *
CONTACT NO. OF THE PARENT *
NAME OF LOCAL GUARDIAN *
ADDRESS OF LOCAL GUARDIAN WITH PIN CODE *
CONTACT NO. OF LOCAL GUARDIAN *
SAVINGS BANK A/C NO. *
 (SOUTH INDIAN BANK, CAMPUS BRANCH)
 CATEGORY OF SEAT (CEE, MGT, NRI) *
 HAVE YOU JOINED IN
1 - N.C.C. 2 - N.S.S. 3 - Ball Badminton. 4 - Shuttle. 5 - Bakset Ball. 6 - Volley Ball. 7 - Kho. 8 - Foot Ball.  9 - Athletics. 10 - Table Tennis. 11 - Chess. 12 - Carroms. 13 - Gymnasium. 14 - Yoga. 15 - Cricket. 16 - Debate. 17 - Drama. 18 - Music. 19 - Quiz. 20 - Photography. 21 - Others (Please mention the respective numbers in the box)
BLOOD GROUP *
DATE OF JOINING
MM
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DD
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YYYY
Declaration of Student *
I  will abide by the rules, regulations and discipline of the Hostel. I am liable for expulsion if I do not follow the same.
Required
Place: *
Date: *
MM
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DD
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