Application Form

SCMS SCHOOL OF ARCHITECTURE
SSET Campus, Vidya Nagar, Karukutty , Ernakulam
Corporate Office: SCMS Campus, Prathap Nagar, Muttom, Aluva - 683 106
Phone: 0484-2623803/04, 2623885/87, Fax: 0484-2623855
APPLICATION FOR ADMISSION TO B.Arch. 2015
(Recognized by Council of Architecture and Affiliated to Mahatma Gandhi University, Kottayam )
Instructions for filling the Application Form
1) Fill in the application form in Capital Letters only.
2) Please enclose attested photocopies of all testimonials along with the form. All certificates (originals) should be produced at
the time of admission.
3) Make sure you sign and put the date on the form. Filled in application should be sent to the Corporate office .
4) Partially filled up or incorrectly filled up applications will be summarily rejected.
1. Name ( as in the Matriculation (Class X) Certificate) :
………………………………………………………………………………….………………………………
2. Sex(Please tick)
3. Age & Date of Birth
4. Nationality
5. Religion
Male
years , DD
Female
MM
Affix a recent
passport size photo
here
YYYY
…………………………………………………….……………………..….………….……….
…………………………………………………….…………………………...….….
6. Whether belonging to reservation category
Yes
No
If yes, name the category …………………………………………………………………………………………………………….
7. Permanent Address …………………………………………………….…………………………………………….…...….………...
……………………………………………………………….……………………………..………………………...….……………..
………………………………………………………………………….…………………..……………………...….……….……….
State………………………..…………………………………PIN………………………………….
8. Mailing Address……………………………….……………..………………………………………...….………….………..……….
…………………….……………..……………………………………………………..………………………...….………….………..
…………………….……………..……………………………………………………..…………………...….………..…..…………..
State……………………………………………..……………PIN……………………………………………………………………...
9. Contact Telephone No.…………….………….………
Mobile ………….………..…………………….
email : ………………………………..…………………………………………………………..………….…………….………….…..
10. Father’s Name……………………………………………………………………………………..……………………..………..…….
Occupation…………………………………….……
Contact Phone….……….………..…………………..
11. Mother’s Name……………………………………………………..………………………………..………………..…….……..…….
Occupation……………………………………….……
Contact Phone ….……….…………….…….………
12. Educational Qualifications (enclose attested copies of Mark sheets & Certificates)
Name of Exam
Year
of Passing
Board
School
Marks
Obtained
Max.
Marks
% of
Marks
Matriculation (Class X)
Plus Two (Class XII)
13. Entrance Test (NATA) details (enclose Score Card)
Name of Exam
Test appeared on
RegNo. (RollNo)
Score obtained
Total Score
13. Any other achievement - Academic or otherwise ....................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
14. Documents to be submitted along with the application. (Failure to submit photocopies of relevant certificates will
disqualify the application). Downloaded application should be submitted along with DD worth Rs. 750/- drawn in
favour of Director, SCMS School of Architecture payable at Ernakulam
Matriculation (Class X) Certificate
Plus Two Marksheet
Stamp size photo
Application Fee /DD
NATA Score sheet
DECLARATION: We hereby declare that the particulars given here in this application and the testimonial submitted
in support of them are true to the best of my knowledge and belief. We have read and understood the prospectus
and in the matter of admission, fee structure, refund policy and such other matters relating to admissions in SCMS
School of Architecture and agree to abide by them if admission is granted to us.
Date:
Signature of the Candidate
Name & Signature of the Parent/Guardian