NETWORK INSTITUTIONS

Applicant – POOJA J R
Print Application Form

LOYOLA COLLEGE OF SOCIAL SCIENCES

SREEKARIYAM, THIRUVANANTHAPURAM-695 017, KERALA, INDIA
Telephones: +91-471-2591018, 2592059, Telefax : 91-471-2591760
Email: lcsstvm@asianetindia.com Web: www.loyolacollegekerala.edu.in
(Accredited (Third Cycle) with a CGPA of 3.72 on Four Point Scale at A Grade in 2014 NAAC)


Candidate code:  2122064
Application No:    14709


MSW, MAHRM and MSWDM (3 courses)

Name POOJA J R
Gender Female
Age 25
Date of birth 10/03/1996
Religion and Caste Hindu, Ezhava
Category OBC
Email poojajr005@gmail.com
Certificates (NSS, NCC, Sports) None
Address for communication and Pin.

Midhun Bhavan Aruvippuram Aruvippuram


695126
Permanant address

Midhun Bhavan Aruvippuram Aruvippuram

Name of Parent/Guardian and Occupation RAVI K, COOLIE
Annual Family Income 19000
Mobile&Email (Parent/Guardian) 9567117608, mithunavpm@gmail.com
Mobile&Email (Candidate) 9567110678, poojajr005@gmail.com
Nationality & Aadhaar number Indian, 578548702782
State & District KERALA, THIRUVANANTHAPURAM
Name address and mobile of local Guardian JAYAKUMARI A
MIDHUN BHAVAN ARUVIPPURAM,
Phone: 9495838308
Details of scholarship or Fee concession already received? if any NO
Are you differently abled, if yes specify and produce copy of certificates. No

Details of the qualifying examination
Name of the Examination Percentage Reg. Number Year of passing Annual /Semester Scheme Main and Subsidiary Subjects Name of the Board/University Name of Institution Studied
Tenth 76 561580 2012 NA NA KERALA BOARD BOARD OF PUBLIC EXAMINATION
Plus Two 71 1013251 2014 YEAR SCIENCE KERALA BOARD BOARD OF HIGHER SECONDARY EXAMINATION
BSc Physics 61.99 23014145034 2018 Semester PHYSICS KERALA BOARD KERALA UNIVERSITY

statement of Grades in the qualifying examination (Semester Scheme)
Semester 1 mark: 5.62 Semester 2 mark: 5.63 Semester 3 mark: 6.17
Semester 4 mark: 6.38 Semester 5 mark: 5.95 Semester 6 mark: 6.94
CGPA (S): 6.385 CGPA: 6.385 Percentage: 61.99

Do you require accommodation in the College hostel? No
Preferred Specialization Community Development

Payment details
Payment ID MOJO1925405N80254582
Payment Amount 900
Payment Name POOJA J R
Payment Email poojajr005@gmail.com
INSTRUCTIONS

Self-attested copies of the following certificates should be attached to the application

Eligibility certificate (from the University of Kerala for those who studied degree under other Universities), SSLC, NCC, NSS, Sports, Degree mark lists including score calculation page and Provisional/Degree Certificate. The fee concession students have to submit Caste/ Community, Income Certificate obtained from revenue authorities (Village Officer/Tahsildar).

 

DECLARATION
I do hereby declare that the facts mentioned in this application are true and correct. I do promise to obey all rules and orders of the college authorities and help in the maintenance of discipline in the college while I am a student.
Place: Thiruvananthapuram
Date:15/07/2026
Signature of applicant


I hereby undertake that my ward will abide by the rules and orders of the college authorities.
Signature of parent/guardian