Online ID

EN17MCA10727

UNIVERSITY OF CALICUT
MCA(MASTER OF COMPUTER APPLICATION) ADMISSION 2017 APPLICATION FORM

DETAILS OF FEE REMITTED

Amount E-Chalan No Date of remittance Mode of remittance

500 171333416 2017-05-05 10:50:20 OTHER

Personal Details
Name of candidate SHITHU KRISHNA PS
Gender MALE Date Of Birth 04-09-1996
Marital Status SINGLE Nationality INDIAN

Communication Details
Permanent Address PADINJAREPURAKKAL,MOOKKUTHALA,NANNAMMUKKU,PIDAVANOOR PO

Address of Correspondence PADINJAREPURAKKAL,MOOKKUTHALA,NANNAMMUKKU,PIDAVANOOR PO

State KERALA District MALLAPURAM

Mobile 9539624802 Email shithukrishna@gmail.com
Guardian's Name SUBRAHMANYAN PP Guardian's Occupation CARPENTER

Reservation Details
Religion HINDU Category OBH
Guardian's Annual Income 48000 Is Handicapped NO

Academic Details
Marks/CGPA Year of Pass Aggregate
Name of Exam Board/University Subjects
Marks/CGPA Obt Max Percentage
Plus Two HSE SCIENCE 1129 1200 2014 94.08
Degree Calicut University BCA 0 0 2017 0

Declaration

I hearby declare that I will abide by rules and regulations of University.The particulars given above are correct to the best of my knowledge.

Place: Date: Signature of Applicant: Signature of Parent/Guardian:

Candidate shall submit the application copy to : Chief Co-ordinator, CCSIT Centre, Calicut University Campus, University of Calicut,
P.O. Calicut University-
673635