UNIVERSITY OF KERALA www.keralauniversity.edu APPLICATION FOR REGISTRATION AS A REGISTERED GRADUATE 1. Name in full as entered in the diploma. (Women applicants should add the word woman after their names). (a) English (b) Malayalam 2. Father's Name 3. (a) Religion: (b) Community: 4. (a) Place of birth Place : District: State: (b) Date of birth 5. Present occupation 6. Address 7. Particulars of degree taken (a) Degree (b) Name of University (c) Month & Year of passing the examination (d) Date on which the degree was issued (e) College from which the applicant appeared for the examination (f) Whether the degree in original is enclosed 8. Whether Chalan / D.D. for Rs.20/- is enclosed being the registration fee (No. & date of chalan / D.D. should be given DECLARATION I do hereby declare that I am employed / residing at ---------------------------------------------------------which is within the territorial jurisdiction of the University of Kerala. Station: Signature of applicant Date : RULES FOR REGISTRATION OF GRADUATES 1. The application for Registration as a Registered Graduate should be made in the prescribed form available from the university Office Stores on payment of Rs.2/ 2. The fee for registration is Rs.20/-which shall be remitted in University Cash Counter or by D.D. 3. The application for registration should be accompanied with the Chalan receipt / D.D for Rs.20/-and the degree certificate in original. Application without these documents will not be entertained. 4. The following classes of graduates are eligible for registration as Registered Graduates of the Kerala University under the Kerala University (Registration of Graduates) First Statues 1975. They will be so eligible only so long as they continue to be employed in or normally resident within the revenue districts of Thiruvananthapuram, Kollam, Alappuzha, (except Kuttanad Taluk) and Pathanamthitta (except Kozhancherry, Mallappally, Thiruvalla, and Ranni Taluks) (a) A graduate of the University of Travancore / Kerala who became eligible for a degree in any faculty not less than three years before the date of application for registration and who has taken the degree. (b) A graduate of any other Statutory University in India of any foreign, University that has been recognized by the Syndicate for purpose of registration, who become eligible for a degree in any faculty not less than three years before the date of application for registration and who has taken the degree. (c) Holders of Honorary degree of the Travancore / Kerala University.
