Application Form Marthoma College of Special Education

Application for M.Sc. Audiology 2025-26

Admission Quota

Course

College Name

Applicant Name

Applicant Photo

Applicant Signature

Gender

Date of Birth

Age as on 31-12-2026

Religion

Cast

Mobile No.

Father Name

Mother Name

Annual Income

Permanent Address Same as Permanent Address

Communication Address

Details of Qualifying Examination

Highest Exam passed

Name of University Board Issuing the Certificate

Month, Year of passing

Marks Obtained

Class 10th
Class 12th
B.ASLP Sem 1
B.ASLP Sem 2
B.ASLP Sem 3
B.ASLP Sem 4
B.ASLP Sem 5
B.ASLP Sem 6
B.ASLP Sem 7
B.ASLP Sem 8
Total Marks

CRR No.

If the candidate is claming any reservation or other benefits, furnish details

Application Fee Details

PAYMENT DETAILS

NAME- MAR THOMA COLLEGE OF SPECIAL EDUCATION
BANK- SOUTH INDIAN BANK
BRANCH-KASARAGOD

A/C NO- 0321053000008273
IFSC CODE- SIBL0000321

AMOUNT : 1000 INR

Transaction ID.

Transaction Date

Bank Name

Declaration

I do hereby declare that the particulars given in the application are true to the best of my knowledge and belief. If any of the particulars given by me in this application is proved fraudulent at any later stage of admission, I shall be liable for disciplinary action and my admission shall become null and void. I shall produce the originals certificates at the time of admission. I carefully and thoroughly read the Prospectus, I am ready to abide the terms and conditions mentioned in the Prospectus.

Marthoma College of Special Education

(Affiliated to Kerala University of Health Sciences & Recognized By Rehabilitation Council Of India)

Application for M.Sc. Audiology 2025-26

Details of Qualifying Examination

Marks Obtained

Application Fee Details

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