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Candidates are expected to give correct information in each column. Failure to do so will result in the application being
rejected without further notice. Read the instructions before filling up the application form.
APPLICATION FORM FOR FINAL B. A. APRIL/SEPT. 200.....
Details of fee remitted Name of Treasury
Amount Chalan No. Date of remittance
Part I English
Part II Additional Language
(....................................................)
12. Details of Papers now appearing under Part III
Pattern I Main (.....................................................) Pattern II Main I (.............................................................)
*I hereby certify that the entries made above have been verified by me, and I have found them to agree with those
in the records of this college. (For Regular college/SDE First appearance only)
CERTIFICATE
.....................................................................................................
.......................................................................................................
Identifying Officer’s
Name, Designation .........................................................................................................
......................................................................................................
Passport size Photograph and Address
(bust to be affixed here)
(Members of the Teaching Staff not below the rank of a Lecturer of University
teaching Departments and affiliated Colleges, Gazetted Officers, Head Masters and
Head Mistresses of High Schools and Members of the Senate, State Legislature and
Parliament are authorised to sign the identification form)
Signature of Identifying Officer with Seal
(To be signed on the Photograph) Signature of the Candidate.......................................................................
(To be signed in the presence of Identifying Officer)
Pareeksha Bhavan,
Calicut University P. O. 673 635