MAR IVANIOS LAW COLLEGE

Puliyoor, Chengannur, Alappuzha Dist., Kerala
Ph: 088485 28779, E-mail: marivanioslawcollege@gmail.com, Web: marivanioslawcollege.ac.in

DETAILS OF CANDIDATE
Name*
Expansion of Initials
Passport Size Photo (Max 200kb) *
Name of Course * BA LLB
B.Com LLB
Mobile Number *
WhatsApp Number *
Email ID*
Aadhar Number*
Date of Birth*
Gender* Male Female Other
Blood Group*
Nationality*
State*
Mother Tongue*
Religion*
Caste * SC
ST
OBC
OEC
If Christian, specify Malankara Catholic
Malankara Nadar Catholic
Latin Catholic
Syro-Malabar
(specify parish & Diocese)
Upload Letter from parish (Pdf)
If others (Specify)

Marks obtained in the Qualifying examination (Plus Two)
Name of the Qualifying Examination *
Board/ Syllabus *
Name of the School Last attended *
upload copy of mark list (Pdf)
Register No
Month & Year of Pass
Max. Mark
Marks Secured
Percentage

Details of TC

TC No
TC Date
Name of Institution
Not yet received

Details of Xth Standard

Upload copy of mark list (Pdf)*
Name of School *
Reg. No *
Month/ Year of Pass *
Percentage *
Anti Ragging Undertaking Reference Number
Extra-Curricular Activities


Any Award or Prize received


Permanent Address (CAPITAL LETTERS) *
Communication Address (CAPITAL LETTERS) *

Details of Parents
Father’s Name*
Occupation/ Profession*
Currently working at
Designation
Phone number *
WhatsApp Number (if any)
Email ID
Mother’s Name *
Occupation/ Profession *
Currently working at
Designation
Phone number *
WhatsApp Number (if any)
Email ID
Name and Address of Local Guardian*
(If parents are not residing in Alappuzha)


Relationship with the Candidate*
Contact Number*
Email ID
Anyone from Candidate’s family is related to Law profession/ Police Dept Yes No
If Yes, Name of the person*
Relation with the Candidate*
Currently working at (with details) *
Designation*

PAYMENT DETAILS*
QR Code Transaction link (Click here)
If the transaction is done through the link above,
Date of the payment
Transaction Number
Upload receipt
If done through any other mode of payment,
Date of the payment
Transaction Number
Other details (If any)
Upload payment receipt*
DECLARATION BY CANDIDATE (Click Here)* I, hereby declare that details furnished above are correct and that I will abide by the rules and regulations of the College.
If you agree, Click me
DECLARATION BY PARENT/ GUARDIAN (Click Here)* I, ...... on behalf of my son/daughter/ward ........................ hereby undertake to pay to the college / examination fees and other dues timely. Further, I also under take to pay / compensate any damage / destruction / loss to the college property for which my son/ Daughter / Ward may directly / indirectly have been responsible for. I hold myself responsible for his/her conduct and behaviour in the College.
If you agree, Click me