Int. MCA
Application
2017-2018

APPLICATION FORM FOR INTEGRATED MCA ADMISSION 2018-19

20/05/2018

(Fill in the blanks or put tick (√) wherever applicable)

1. Name of Candidate

2. Address for Communication

Pin:

Mobile:

E-mail:

3. Course opted

  • Int.MCA

4. Year of Passing

5. Total Marks

6. % of Marks

Fees Structure for 2017-18 Integrated MCA admissions
No Tuition Fee per year Course details
1 Rs.35,000/-~ Integrated MCA 5 year duration (10 Semesters)

ELIGIBILITY

  • All Students who have passed 10+2 examination with Physics and Mathematics as compulsory subjects along with one of the Chemistry/Biotechnology/Biology/Technical Vocational subject are eligible.
  • Obtained at least 45% marks aggregate in the above subjects taken together are eligible.
  • Students need not required to attend any Entrance Examination to take admission.

Contact Numbers

+91 9447041215, +91 9447041219, +91 4842652600

7. Admission Quota Selected

8. Date of Birth

9. Family Income

10. Whether belongs to SC/ST/OEC/OBC

11. (a) Name of Father

(b) Occupation

12. Mobile No Parent

+91

13. E-mail

Parent

Sl Type of Scholarship Sl Type of Scholarship
1 * CKC 2017 Merit type - 1 14 GATE Score Holders
2 # CKC 2017 Merit type - 2 15 KKRA – Kuzhoor Kara Residents Association
3 ~ CKC 2017 Merit type - 3 16 MCM - Merit Cum Means
4 AICTE TFW 17 MITEPPL - Muvattupuzha IT and Electronics Park Pvt. Ltd.
5 E - Grantz (SC/ST/OEC) 18 Parivarthana Christian
6 Award under Beedi workers welfare fund 19 Post Matric for OBC
7 Award under Cine workers welfare fund 20 Samunnathi for Forward Community
8 Award under IOMC workers welfare fund 21 Single Girl child under Indira Gandhi Scheme
9 Award under LSDM workers welfare fund 22 Single Girl child under Pragati/Saksham Scheme
10 Central Sector Scheme for College/University Students 23 Sitaram Jindal
11 Central Sector Scheme for Top Class Education for SC Students 24 Snehapoorvam
12 CH Muhammed Koya 25 Technolodge Muvattupuzha
13 Fisheries Department 26 TEDS - Technolodge Entrepreneurship Development Society

Rs. 5,500 per month for Food and Accommodation.
(Fully furnished, Daily clean/wet maintained, hygienic, centralised hot water, Medical assistance, Church/Temple travel by college bus, 24 hour generator backup, Wi-Fi, Round the clock digital library, Sharing accommodation, homely atmosphere, fresh and tasty homely food to requirement etc. ensures the hostel for most safe and better stay)

Rs. 4,500 per month for Food and Accommodation. (All above but dormitory accommodation)

Rooms with attached bath, Air conditioning etc are available on request on special rate.

DECLARATION

I, hereby declare that all the facts furnished above
by me is factual to the best of my knowledge.