UNIVERSITY OF KERALA www.keralauniversity.edu APPLICATION FOR ELIGIBILITY CERTIFICATE Rates of fee for Eligibility Certificates 1. Foreign Degrees/Diplomas/Exams. - Rs.500/ 2. P.G. and Professional Degrees from Outside Kerala, but within India - Rs.250/ 3. All other Degrees/Diplomas/Exams Rs.100/ 1. Name of the Candidate ( in block letters) 2. Postal address of the Candidate 3. Examination Passed ( for which Eligibility Certificate is required) 4. Name of the University/Board/institution which awarded the Degree/Diploma/Certificate 5. Register Number and year of passing (Attach attested Photostat copy of the Certificate/Mark list.) 6. Name of Course undergone (Specify whether regular, correspondence, Private or open University scheme) If regular attach copy of T.C. 7. Course for which admission is sought in the Kerala University 8. Details of fee remitted Demand draft No./Pay-in-slip No. Date Name of Bank I hereby declare that the entries made above are correct to the best of my knowledge. Signature of the Candidate Station: Date: Note: The candidate shall furnish along with the application, a copy of the qualifying Certificate For office use only Verified by Asst. Section Officer Asst. Registrar Dy. Registrar DOCUMENTS TO BE SUBMITTED ALONG WITH THE APPLICATION FOR ELIGIBILITY CERTIFICATE 1. Attested photocopies of Degree Certificate/Provisional Certificate and Mark lists 2.In the case of regular candidates attach copy of T.C./Course Certificate. 3.In the case of Correspondence/Private candidates attach attested copies of previous examinations viz. 10+2+3. 4.In the case of M.B.B.S./B.D.S. etc. attach attested photocopies of Degree Certificate/Provisional Certificate and Completion of Internship Certificate. 5.Fee- refer application form.
