Paurastya Vidyāpīṭham

Vadavathoor, Kottayam 10, Kerala, India

Student Registration Form for Baccalaureate

in Philosophy

1. Family Name (Block Letters) ……………………..

2. Baptismal Name……………………………….

3. Official Name (as in SSLC certificate)......................................

4. Date of Birth……………………….(in words………………………………

5. Place of Birth……………………… 6.Nationality……………………….

7. Name of Father………………. 8.Name of Mother……………………..

9. Parish………………………………………

10. Diocese/Religious Congregation………………………

11. Full address with Pin Code, Phone Number and Email

Home Promoting Superior

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12. Academic Qualifications

 Particulars Year/Month of Mark/ Percentage/ Name of Institution/University
passing Grade Weightage

S.S.L.C
Plus Two

Degree/PG
Other
Qualifica-
tion

13. Please furnish overleaf the marks obtained for Language and Psychology subjects in
Degree/Minor Seminary Examinations (attach documents to prove the details furnished).
14. Signature of the Student
15. Recommendation of the Rector/Superior
16. Place……………
17. Date……………….

………………………………………….For Office use …………………………

Register No………………

Signature of the Head of the Department

Signature of the President

Details of registration fee remitted:

(Office Seal)
 18. Marks obtained for Languages and Psychology in Degree/Minor Seminary
Examinations:

University Marks Minor Seminary Marks

Particulars Sem. 1 Sem. 2 Sem. 3 Sem. 4 Total Average % of Marks % of Marks

Marks Marks Obtained

English

Malayalam

Hindi

Syriac

Latin

Sanskrit

General Psychology
Abnormal Psychology

Signature of the Student