orm Form No.

1(A)

UNIVERSITY OF KERALA
Application for Registration
University Examinations
(Please read the instructions in page 3 &4 before filling up the form)

Price Rs.20/-

A. General Details

1. Name of the Programme 2. Specialisation 3. Name of the Institution (use abbreviations if needed)

D. Details of Examination

22. Candidate Code (of I st chance of I st Sem/Yr.) 23. Programme Code 24. Scheme Code 27. Admn.Year
25. Sem/ Yr. 26.(for off.use)

28. Institution Code

29.(for off.use)

30. Details of Courses now appearing for

Personal B. Personal Details

4. Student ID No. (If already allotted) 5. Name of the Candidate (leave space between words)

Course Name/Paper Name

Course Code

6. Date of Birth (DD - MM - YY) 8. Religion 9. Community

7. Sex (F/M)

10. Communication Address (leave space between words)

31.Number of courses Pin 11. Phone No. with STD Code (if any) 33. Year of Exam

32. Centre Code 34. Month of Exam

Fee E. Fee Details (application forms with Item Nos.40,41 & 42 left
blank will be rejected, if group payment)

Qualifying C. Qualifying Examination Details

12. Name of Examination 13. Specialisation 14. University / Board 15. Register No / Candidate Code 16. Scheme Code 17. Sem/Year 18. Exam Month 19. Exam Year

35. Eligible for fee concession ( Y or N) 36. Reservation Category

(C- SC, T- ST, B - OBC, O - Other reserved category, N- No reservation)

(if appearing for I st Sem/Year for the first time)

37. Date of Payment

(DD MM YY format)

38. Payment Mode

(C for Cash, D for Draft)

39. Whether Group payment

( Y or N)

40. Serial No.

(if group payment)

41. Amount Rs. 42. Chalan No. 20.Class /Division 43. Name of the Friends / Cash Counter 44. Location of the Friends / Cash Counter

21. Percentage of Marks (of relevent subjects)

45. Semester/Year History (Applicable to re-appearance only)

Appearance No. Exam Code Candidate Code Result Code
Affix a passport size Photograph (Photo needed only for the first appearance in the first Semester/year of course)

46. Programme History (Not applicable to I st Sem/Year)

Sem/Year No. Exam Code Candidate Code Result Code

Signature of the Candidate

Name and Designation of the Identifying Officer with seal

Signature of the Identifying Officer

(both on the Photograph and inside the box)

Place : Date :

F. Matriculation Details
47. Institution last attended

(if appearing for I st Sem/Year for the first time)

49. Valid Matriculation Order No. (of Kerala Univeristy) 50. Date of Matriculation Order ( If applicable)

48. University affiliation of Institution ( If applicable)

I hereby declare that the entries made in this application form are true to the best of my knowledge and that they have been made in my own hand writing. Place : Date: Signature of the Candidate

I hereby certify that the information furnished by the candidate in this application has been verified by me and that I have found them to agree with the records available in this office. The candidate has a valid matriculation in this University with Matriculation No. dated ............... Date : Office seal CERTIFICATE CERTIFICATE This is to certify that Shri/Smt................................................................................................... belongs to Scheduled Caste/Scheduled Tribe/Backward Community/OBC/OEC and is appearing for the Examination for the First/ Second consecutive chance. The Director, Scheduled Caste Development Department/District Development Officer concerned has been requested to sanction the examination fee (strike off whichever is not applicable) Serial number of the candidate in the reimbursement list. Date : Office seal Signature of the Principal
Design & Typesetting by K.U.C.C

Signature of the Principal

Instructions Instructions to fill up form (form Application for m (form No.1A)

Use o ne column for each character. If number of columns is insufficient, use a bbreviations already in use or one character. abbreviations mention only the first three letters of each word with a blank space in between.

1. 2. 3. 4. 5. 6. C.

Eg: For B.Com Eg. For HISTORY

A H I S S K T N O L O R L Y L L E G E A M

Eg. For Sree Narayana College, Kollam

C O

This item need to be filled up only if unique identification number for each student of the University has been already allotted. Give the name as in the certificate of qualif ying examination. Leave space between adjacent parts of the name. qualifying examination. The format is DD MM YY Eg:- 24 May 1980 as 2 4 0 5 8 0

This section is applicable only to the Ist appearance of the Candidate in the Ist Sem/Year

12. eg : BA or BSC 13. eg: ECONOMICS If the specialisation needs more than twelve characters mention only the first three letters of each word of specialisation separated by blanks Eg: MANAGERIAL ECONOMICS can be written as M A N E C O

14. If more than twelve characters are needed, mention only the first three characters of each word separated by blanks. The first three characters of the name of the state also should be included at the end. The word University can be ignored. Eg: For University of Calicut, Kerala C A L K E R

16&17. Applicable only to those Candidates who have passed qualifying examination under the computerised system of Kerala University. 18. Month of qualifying exam 19. Year of qualifying exam 20. Enter D, F, S, or T for Distinction, First, Second or Third. 21. The percentage marks in the qualifying examination is to be written here. Consider only the marks of those subjects/papers which are relevant for the course applied for Eg: 70.35 is to be written as 7 0 . 3 5

22. Candidate Code - This Column is not applicable to those appearing for the Ist Semester/Year of a course for the first time 23. Programme Code - A three digit number representing each course under Kerala University. See Table -1 attached. 24. Scheme Code - Indicate the last two digits of the year in which the scheme was introduced. 25. Semester/Year - Candidates belonging to year course should mention the year corresponding to the examination they are appearing now. Similarly candidates belonging to semester courses should indicate the semester corresponding to the examination. 26. This is not to be filled by the Candidate 27. Admission Year - Indicate the last two digits of the year of admission of the candidate to the Ist Semester/Year of the present Semester/Year course. 28. Institution Code - See the Table-2 for Institution Codes. 29. This is not to be filled by the Candidate

30.

If the course name needs more than nine characters indicate only the first three letters of each word of the subject/papers separated by blanks Course codes are available along with the scheme. The subjects / papers of any one semester / year are to be shown in the table. If the candidate wishes to appear for subjects/papers of different years/semesters separate application form semester. for m should be used for each year / semester.

31. 32. 33. 34. 35. 36.

The total number of course/papers that candidate appears for as per this application. The Institution Code of the centre where the candidate wants to write the examination. The last two digits of the year of present examination should be written eg. 01 or 02 for 2001 and 2002 respectively. Month of present exam is to be written in three letters eg. SEP or MAR Those who are eligible for fee concession should indicate Y others should indicate N Categories eligible for reservation should mention the respective code here. C, T and B are for SC, ST and OBC . Other categories eligible for reservation should indicate O . Those who are not under reservation category should indicate N. If the fee remitted is for only one candidate, indicate N. If the remittance is for a group of students by the Principal indicate Y In the case of group payment, Principals will forward a list of candidates for whom group payment is effected. The serial number of the candidate in the list is to be shown against item 40. If column numbers 40, 41 and 42 are left blank, the application form will be rejected. If payment is for a single candidate item number 40 may be left blank. The amount remitted for one candidate is written here. Even if group payment effected by institutions, amount w.r.t. one candidate alone should be shown here. Fee can be remitted either by cash at University Cash Counter/ Friends counters. The name of the Bank / Counter where the fee is remitted. If columns are insufficient, the first three letters of each word should be mentioned. Location of the Bank / Counter where the fee is remitted. Details of previous appearances for the semester now appearing for shall be written. If the number of appearances is more than five show the details of only the last five appearances. For Result Code write P for whole pass, S for pass in certain subjects, F for failed in all subjects, C for cancelled, M caught for malpractices, O for others. (Absence is to be treated as failure) Details of last appearance in each of the previous semesters (only one entry per semester). Result Code is as in Item No. 45

39. 40.

41. E. 43. 44. 45.

46.

Photo Section is relevant only for those candidates appearing for the first time in the first semester/year of the course.
F Matriculation details need to be filled up only if the candidate is applying for the first year /semester examinations. If the candidate had his immediate past studies in some other University or equivalent even if it is not relevant to the present course of study the name of the college and University should be mentioned against item 47 and 48, if he had obtained migration to that University or equivalent. Name of the college / Institution with abbreviations if needed. Name of University to be written as described in 14. A candidate is a matriculate of University of Kerala, if a migration certificate has not been issued in favour of him corresponding to (or after the issue of ) the latest order of matriculation certificate issued for him from this University. If the matriculation order given to the candidate for an earlier course under this University is still valid, the candidate can skip Item No. 49 & 50. If matriculation order is awaited, enter 99 against Valid Matriculation Order No of Kerala University (item 49). Date should be written in the format DD MM YY . For example , if a student got matriculated in the Kerala University w.r.t an order dated 28/05/1998. The candidate should write

47. 48. 49.

50.

2 8

0 5

9 8
Design & Typesetting by K.U.C.C

TABLE - I
105 B.A. Philosophy

COURSE CODES

216 B.Sc. Environmental Science & Environment And Water Management 110 B.A. Sanskrit Language & Literature 220 B.Sc. Mathematics 111 B.A. Sanskrit Special 225 B.Sc. Statistics 115 B.A. Malayalam Language & Literature 230 B.Sc. Physics 116 B.A. Malayalam And Mass Communication 235 B.Sc. Chemistry 120 B.A. Tamil Language & Literature 238 B.Sc. Bio - Chemistry 125 B.A. Hindi Language & Literature 239 B.Sc. Polymer Chemistry 129 B.A. Journalism And Mass Communication And Video Production 130 B.A. English Language & Literature 133 B.A. English And Communicative English 245 B.Sc. Botany 135 B.A. Arabic Language & Literature 247 B.Sc. Botany And Biotechnology 138 B.Com Computer Application 248 B.Sc. Biochemistry And Industrial Microbiology 140 B.A. History 250 B.Sc. Zoology 141 B.A. Islamic History 255 B.Sc. Home Science 145 B.A. Political Science 320 B.Sc. Computer Science 150 B.A. Economics 328 B.Sc. Physics And Computer Application 156 B.A. Sociology 332 BCA . 157 B.A. Psychology 337 B.Com Commerce & Tax Procedure And Practice 158 B.A. Music 338 B.Com Commerce & Tourism And Travel Management 159 B.Com . 339 B.Com Commerce & Hotel Management And Catering Service 195 BBA 340 B.Sc. Electronics 205 B.Sc. Geography 350 B.Sc. Bio-Technology 210 B.Sc. Geology 241 B.Sc. Chemistry And Industrial Chemistry 242 B.Sc. Hotel Management And Catering Science

TABLE - II
100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139

INSTITUTION CODES
140 141 142 143 144 145 146 800 801 802 803 804 805 806 807 808 809 812 814 815 822 823 824 950 951 952 954 955 956 957 958 959 St Stephens College,Pathanapuram Kollam St Xaveirs College,Thumba Thiruvananthapuram T K M College Of Arts Science, Kollam T K M M College,Nangiarkulangara Alappuzha University College, Thiruvananthapuram V T M N S S College,Dhanuvachapuram Thiruvananthapuram Govt. College , Ambalappuzha A.J College of Science and Technology,Thonnakkal Thiruvananthapuram C.H.M.M College of Advanced Studies,Palayamkunnu Thiruvananthapuram College of Applied Sciences,Adoor Pathanamthitta College of Applied Sciences,Mavelikkara Emmanuel College,Vazhichal Thiruvananthapuram K.V.V.S College of Science and Technology,Adoor Pathanamthitta Marthoma College of Science and Technology,Ayur National College,Ambalathara Thiruvananthapuram S.S Vidhya Peetom College,Kilimanoor Sree Vidyadhiraja Arts and Science College,Karunagappally, Kollam Naipunya School of Management, Near Manorama Jn,Cherthala, Alappuzha PMSA Pookoya Thangal Arts and Science College, Kadakkal, Kollam Sree Narayana College of Technology,Vadakkevila, Kollam Sree Narayana Guru Memorial Arts & Science College,Thuravoor Cherthala College of Applied Science,Dhanuvachapuram Thiruvananthapuram College of Applied Science,Kundara Kollam UIT,Kuravankonam Thiruvananthapuram UIT,Neyyattinkara Thiruvananthapuram UIT,Mulamkadakam Kollam UIT,Adoor Pathanamthitta UIT,Pathanapuram Kollam UIT,Pirappancode Thiruvananthapuram UIT,Alappuzha Alappuzha UIT,Yeroor Kollam UIT,Kottarakkara Kollam

All Saints College,Chakai Thiruvananthapuram Bishop Moore College,Mavelikara Alappuzha Christian College,Chengannur Pathanamthitta Christian College,Kattakada Thiruvananthapuram D.B College,Sasthamcottah Kollam F.M.N College, Kollam Govt. Arts College, Thiruvananthapuram Govt. College For Women,Vazhuthacadu Thiruvananthapuram Govt. College,Kariavattom Thiruvananthapuram Govt. Sanskrit College, Thiruvananthapuram Govt. College,Attingal Thiruvananthapuram Govt. College,Chavara Kollam Govt. College,Nedumangad Thiruvananthapuram Iqbal College,Peringamala Thiruvananthapuram K N M Govt College,Kanjiramkulam Thiruvananthapuram M M N S S College,Kottiyam Kollam M S M college,Kayamkulam Alappuzha Mahatma Gandhi College ,Kesavadasapuram Thiruvananthapuram Mannaniya College Of Arts And Science,Pangode Thiruvananthapuram Mar Ivanios College,Nalanchira Thiruvananthapuram N S S College For Women,Neeramankara Thiruvananthapuram N S S College,Cherthala Alappuzha N S S College,Pandalam Pathanamthitta N S S College,Nilamel Kollam S D College,Sanathanapuram Alappuzha S G College,Kottarakara Kollam S N College,Chempazhanthy Thiruvananthapuram S N College,Chengannur Pathanamthitta S N College for Women, Kollam S N College,Chathannur Kollam S N College,Cherthalla Alappuzha S N College, Kollam S N College,Punalur Kollam S N College,Sivagiri, Varkala Thiruvananthapuram Sree Ayyappa College,Thiruvanvandoor Alappuzha St Michaels College,Cherthala Alappuzha St Cyrils College,Adoor Pathanamthitta St Johns College,Anchal Kollam St Josephs College For Women, Alappuzha