PG Application - Admission - Kodaikanal Christian College

Degree course applied for ( please tick the correct box ) *Master of Science in Computer (MSC - Computer Science)Master of Business Administration (MBA)Master of Computer Applications (MCA)Master of English Literature (MA English)Master of Foreign Trade (MFT)Master of Social Work (MSW)

First Name *

Middle Name

Last Name *

Date of Birth

Sex *MaleFemale

Nationality

Permanent Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Country

Address of Communication

Phone Number *

Father / Guardian Name *

Father / Guardian Occupation

Father / Guardian Present Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Country

Phone Number *Father / Guardian's

Address of CommunicationFather / Guardian

Email Address *

Mother Tongue

Can you read & write English?YesNo

Medium of instruction School/ College

Language of choice under Part 1(Not Applicable for BBA Applications)

Religion

Do You belong toSC / STBC / MBCSC / ST Convert

IF BC/MBC indicate Sub-caste

Do you have any physical handicaps ?VisionHearingPhysical DisabilitiesOther

If others please mention

Are you the child of a Serviceperson ?YesNo

Name

Rank

Do you require residence at the hostel?YesNoStudents who are not resident of Kodaikanal must stay at collage hostel

Qualification Examination Passed

Board / University

Registration Number

Date of Passing

No Of AttemptsOneMore than one

Name of the last institution attended

Address of last Institution

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Scholarship Received :Name

Amount

Awards and Honors received

Statement of Mark

Subject *

Maximum Mark *

Maximum Mark Obtained *

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Subject

Maximum Mark

Maximum Mark Obtained

Total Maximum mark

Total mark obtained

Extra Curricular Activities

Activities

Level of Participation

Awards / Commendation

Activities

Level of Participation

Awards / Commendation

Activities

Level of Participation

Awards / Commendation

Activities

Level of Participation

Awards / Commendation

Activities

Level of Participation

Awards / Commendation

How did you come to know about college?

Do you know anyone who has studied / is studying at KCC?if so , please give their name

Do you have Passport?YesNoIf yes please give the following details

Nationality

Passport Number

Date of Issue

Date of Expiry

Country / Department of Issue

Do you have Visa for India?YesNoIf yes please give the following details

Visa Number

Date of Issue

Date of Expiry

Purpose of Visa

Entry typeSingleMultiple

Do you have Driving License?YesNoIf yes please give following details

License no

Place Of Issue

Photo of Applicant

No file chosen

Dimension : 413 x 531. Size below 50kb

Applicant Signature

No file chosen

Dimension : 200 x 80. Size below 25kb

Parent / Guardian Signature

No file chosen

Dimension : 200 x 80. Size below 25kb

Payment

Please click the below register button and do the payment for a successful application.

Application for admission of Postgraduate Degree Courses