CHRIST COLLEGE (AUTONOMOUS), IRINJALAKUDA

Application for Admission to U.G. / P.G. Courses 2020-2021

Under Management Quota
1. Management Quota Application Form No. : (Will be filled by Office)

2. College Online Application Number : :

3. Name (In Block Letters) :
4. Age : Gender :
5. Course & Subject to which admission is sought :
*(If admission to another subject is required,
separate Management Quota Application Form
with separate fees should be submitted)

6. Total Marks & Percentage of Marks :

(A copy of the Mark list to be attached)

7. Name of Qualifying Examination :

8. Name and home address of parent/guardian :

9. Phone Number :
10. Occupation of parent :
11. Annual Income :
12. Religion (specify if Syrian Catholic) :
13. Institution last attended :
14. If studied in Christ College give the subject and class No. :
15. Number of Chances :
16. Involvement in Catholic activities :
(Only for catholic students – to be attested by the
Vicar / Director of Catholic activities in college)
17. Involvement in Fine Arts / Sports & Games :
18. Any other relevant information / Recommendation :
(Recommendation letters if any, should be submitted along with this application form)
Declaration
I assure that I will not indulge in student strike or any other disruptive activity which may
disturb teaching learning process in the College. I also assure that I will not involve in any
activity against the College or Management.

If I am involved in any such activity, I am ready to pay the compensation imposed by the
College Management.

Signature of the Applicant

I assure that my son/daughter/ward will not involve in any of the activity which is
detrimental to the academic activity of the college. If my son/daughter/ward has involved in any
such activity, I am willing to pay the compensation if any imposed by the Management.

Signature of Parent/Guardian