Download Form for IDE admission (for Gulf centres also)

Form No: 101 UNIVERSITY OF KERALA Application F or m Institute of Distance Education (Please read the instructions before filling up the form) Provisional ID No. A . Course Details Affix a stamp size Photograph Signature of the Candidate 1. Name of the Course 2. Option for Study Centre (i) (ii) (iii) 11. Nationality 3. Option for Examination Centre (i) (ii) (iii) 12. Reservation Category ('C'-SC, 'T'-ST, 'B' -OBC, 'O' -Other reserved category, 'N'-No reservation) 4. Second Language (Applicable only for BA/BCom Courses) C. T .C Details 13. Name of the Institution (from which TC is obtained) B. P ersonal Details 5. Name of the Candidate (leave space between words) 14. Name of the last Course (attended in the Institution) 15. TC No. 6. Name of the Father/Guardian (leave space between words) 16. Date of Issuing TC (DD - MM - YY) 17. Pass or Fail (P or N) 18. TC Type 7. Postal Address (leave space between words) D. Matriculation Details 19. Institution last attended 20. University affiliation of Institution ( If applicable) 21. Valid Matriculation Order No. (of Kerala University) 22. Date of Matriculation Order ( If applicable) Pin Phone 8. Permanent Address (leave space between words) E. Employment Details 23. If employed give details (Designation & Office Address) Pin Phone 9. Date of Birth (DD - MM - YY) 10. Sex (F/M) Pin Phone F . Details of Qualif ying Examination 28. Register No. 24. Name of the Course 29. Month & Year of Passing (MM -YY) 27. Name of the Institution 30. Name of the University/Board G. Details of Marks of Qualif ying Exam (read instructions for section G carefully) Course Type25. 26. Institution Type H . F ee Details 59. Eligible for fee concession (Y or N) 62. Draft No / Chalan No. 60. Date of Payment (DD MM YY) 63. Name of the Bank or Friends / Cash Counter 61. Amount Rs. 64. Location of the Bank or Friends / Cash Counter Defect Code ( Office Use) No. Tick Assistant Noted Rectified Section Officer Noted Rectified 1 2 3 4 5 6 7 8 9 10 11 12 Design & Typesetting by K.U.C.C Instr uctions to fill up Application for m Institute of Distance Education Use o ne column for each character . If number of columns is insufficient, use a bbreviations already in use or mention only the first three letters of each word with a blank space in between. Ignore words lik e 'of ', 'the', 'and' etc A. 1. Name of Course 2. Applicable only for B.Sc Computer Science, BCA, PGDCA & Certificate Course in Communicative English. See Table II for Codes of Study Centres (Applicant can choose three Centres in the order of preference. Study centres in Table II may not conduct classes for 3. See Table III for codes of Exam Centres of IDE (Applicant can choose three Centres in the order of preference). 4. Applicable only to degree courses with second language option. Second Languages for B.A., B.Com are Malayalam and Hindi B. 5. Give the name as in the certificate of the qualifying examination. Leave space between adjacent parts of the name. For Eg. Rajendhra Rao V Panikar 9. Date format is DD MM 12. Write 'C' for Scheduled Caste, 'T' for Scheduled Tribe, 'B' for OBC, 'O' for Other reserved category & 'N' for categories having no reservation. C 17. Write 'P' if the applicant has passed the course. otherwise 'N'. 18. Write '1' if original TC is attached, '2' if duplicate with declaration is attached and '0' if neither is attached D 19 If the candidate had his immediate past studies in some other University (or equivalent) and/or had obtained migration to that University (or equivalent) the name of the college and University should be mentioned against item no. 24 and 25 respectively, (even if it is not relevant to the present course of study) 20. If more than twelve characters are needed, mention only the first three characters of each word (separated by blanks). 21. A candidate is a matriculate of University of Kerala, if a migration certificate has not been issued in favour of him corresponding to (or after the issue of) the latest order of matriculation certificate issued for him from this University. If the matriculation order given to the candidate for an earlier course under this University is still valid, the candidate can skip item no. 21 & 22. If matriculation order is awaited, enter '99' in the last two columns for item no.21 and leave item no. 22 blank. F . Details of the examination which makes the applicant eligible for the course applied for 25. This item is applicable to those applying for PG Courses only. Write '1' for course having one main and two subsidiaries, '2' for two main course, '3' for three main course, '4' if all subjects are of equal importance '5' if final year subjects are of equal importance & '6' for others. 26. Write '1' if the candidate has completed the qualifying course in a University Department, write '2' if Affiliated College '3' if Study Centre under Distance Education Scheme of Universities and '4' if others. The applicant who completed the course under Distance Education Scheme in a study centre which is also an Affiliated College under any University shall indicate '3' against item no. 26 G. Details of how to fill up mark details This Section gives provision for filling up the marks obtained in 9 different Groups. Each row is meant for a group. For eg. A chemistry graduate applying for the PGDCA Course will fill up the rows as follows. English, Second language, Main subject & each of the subsidiary subjects are considered separate groups. W rite the subject name (viz ENGLISH) against item no.31, total marks secured for all the papers in ENGLISH against item no.32 & maximum marks for ENGLISH against item no.33. Similarly write the subject name of Second Language (eg. Malayalam, Hindi ...) against item no.34 and so on. Subjects Marks awarded Maximum Marks 31. E N G L I S H M A L A Y A L A M C H E M I S T R Y M A T H E M A T I C S P H Y S I C S 32. 1 5 0 1 2 0 2 4 0 1 5 0 0 8 0 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 3 0 0 2 0 0 6 0 0 2 0 0 2 0 0 H. Fee can be remitted either by cash at University Cash Counter/ Friends counters or by Demand drafts drawn in favour of "The Finance Officer, University of Kerala, Thiruvananthapuram". Please note that, drafts payable at SBT Service Branch, Thiruvananthapuram or Kerala State Co-operative Bank Head Office Branch, Thiruvananthapuram only will be accepted from Applicants residing within the State. Those residing outside the State may submit SBI drafts payable at SBI Main Branch, Thiruvananthapuram. 63. The name of the Bank / Counter where the fee is remitted. If columns are insufficient, the first three letters of each word should be mentioned. BA/BCom Code Centre 105 FMN College , Kollam 106 Govt. Arts College, Thiruvananthapuram 117 MSM College, Kayamkulam 123 NSS College, Pandalam 124 NSS College, Nilamel 125 S.D College, Alappuzha 131 S.N College, Cherthala 134 S.N College, Varkala 138 St.Johns College, Anchal Code Centre 123 NSS College, Pandalam 125 S.D College, Alappuzha 132 S.N College, Kollam 144 University College, Thiruvananthapuram Code Centre 106 Govt. Arts College, Thiruvananthapuram 123 NSS College, Pandalam 125 S.D College, Alappuzha 132 S.N College, Kollam Design & Typesetting by K.U.C.C