MALABARMESS
Application For Hostel 2024-2025
(Read
Rules and Regulations
before submitting the application.)
Name of the Applicant
*
(in BLOCK Letters)
Name of the Parent or Guardian
*
Occupation
*
Name of Mother
*
Occupation
*
Name of Father
*
Occupation
*
Select Course
*
Select
Repeaters Medical
Re-Repeaters Medical
Repeaters Engineering
Re-Repeaters Engineering
Date of Birth
*
Gender
*
Male
Female
Phone Number (Parent)
*
Whatsapp Number (Parent)
*
Email
*
Address
*
School Last Studied
*
Class & Roll No
*
10
th
Marks/Grade
Kerala
CBSE
10
th
Register Number
12
th
Marks/Grade
Kerala
CBSE
12
th
Register Number
Stream Selected
Computer Science
Biology
Image
(Max:1024KB, Only Accept JPG,PNG)
Entrance Score:
NEET
KEAM MED
KEAM ENGG
JEE Main
IIT
NEET Roll Number
*
Permenent sickness like,Heart diseases,Epilepsy,Asthama,Migrain etc... Should be indicated below
*
Place
*
Name of Applicant
*
Date
*
Name of Parent
*
Submit
