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St. Joseph's Academy of Higher Education and Research, Moolamattom

Admission Application Form — 2026 – 2027

Self-Financing Institution | Affiliated to Mahatma Gandhi University

1. Student Information

1. Full Name (as per certificates)

2. Date of Birth

3. Gender ☐ Male ☐ Female ☐ Other

4. Blood Group

5. Religion

6. Caste

7. Reservation Category

8. Nationality

9. Aadhaar Number

10. Mobile Number

11. WhatsApp Number (if different)

12. Email Address

13. Communication Address (House name, Street, Place, District)

14. PIN Code

2. Father's Information

15. Father's Name

16. Father's Occupation

17. Father's Mobile

18. Father's Annual Income (₹)

3. Mother's Information

19. Mother's Name

20. Mother's Occupation

21. Mother's Mobile

22. Mother's Annual Income (₹)

4. Programme Preference — St. Joseph's Academy

23. Programme Preference 1 (write clearly)

24. Programme Preference 2

25. Programme Preference 3

Available Programmes: M.Sc Actuarial Science • MPES • MSW • B.Com (Hons) Accounting & Financial Markets / Co-operation & Logistics / Finance & Taxation / Logistics & Marketing • B.Sc. (Hons) Computer Science / Psychology • BA (Hons) Animation & Graphic Design • BCA (Hons) • B.P.Ed. • BPES (Hons)

Declaration: I hereby declare that all information furnished above is true and correct to the best of my knowledge. I understand that any false information will lead to cancellation of my admission.

Signature of Applicant

Signature of Parent / Guardian