UNIVERSITY OF KERALA www.keralauniversity.edu APPLICATION FORM FOR READMISSION TO PRE DEGREE/ DEGREE/P.G.COURSE IN AFFILIATED COLLEGES/UNIVERSITY DEPARTMENTS 1. Name of Candidate in full (IN BLOCK LETTERS) with initials at the beginning 2. College/Department to which the candidate requires readmission with town and Pincode 3. Details of Course, namely,Group/subject and Class/Semester for which the candidate requires readmission. 4. Year of discontinuance of the course with class:group/subject and reason for discontinuance. 5. Details of fee remitted (Pre-Degree course Rs.50/Degree Course Rs.100/P.G.Course Rs. 150/-) 6. If T.C. was obtained by the candidate, give full details T.C.No., date etc. 7. Details regarding Reg.No., Year and Centre of Examination last attended/registered by the candidate DD/Chalan----------------------------Date------------------------------------Fee Rs.--------------------------------- Signature of the Candidate To be filled in by the College Office/University Department 1. Details of discontinuance of Course - (i) The date/term from which the candidate discontinued the class (Also specify the academic year and name of the course and class) (ii) If the candidate was irregular in attending the class, the number of days of shortage of attendance. (iii)Date of issue of T.C. (iv) State whether the Candidate will earn the required minimum attendance to appear for the examination if admitted now. 2. Details of the class with group/subject and the date/term from which the candidate can be granted readmission to make up for the shortage of attendance. 3. If the candidate has completed the course in a particular academic year and has failed to register for the examination, the same may be specified. 4. Whether vacant seat is available to accommodate the candidate. 5. Whether an additional seat is required 6. Recommendation of the Principal/Head of the University Department Certified that the details given above are verified and found correct. Signature of the Principal/ Date: Office Seal Head of the University Dept. For office use Acad.B/D Assistant S.O. A.R. D.R. Registrar
