NETWORK INSTITUTIONS

Applicant – SYAM KRISHNA S B
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:  2122071
Application No:    15449


MSW, MAHRM and MSWDM (3 courses)

Name SYAM KRISHNA S B
Gender Male
Age 21
Date of birth 03/09/2000
Religion and Caste Hindu, Nair
Category GEN
Email syamsbkrishna@gmail.com
Certificates (NSS, NCC, Sports) None
Address for communication and Pin.

CHATHIYODE PUTHEN VEEDU, CNRA 87,NALANCHIRA P.O,TVM 15


695015
Permanant address

CHATHIYODE PUTHEN VEEDU, CNRA 87,NALANCHIRA P.O,TVM 15

Name of Parent/Guardian and Occupation SURESH KUMAR K S, GOVT SERVENT
Annual Family Income
Mobile&Email (Parent/Guardian) 9496208220,
Mobile&Email (Candidate) 9446547426, syamsbkrishna@gmail.com
Nationality & Aadhaar number Indian,
State & District KERALA, THIRUVANANTHAPURAM
Name address and mobile of local Guardian
,
Phone:
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 86 6141570 2016 NA NA CISCE SARVODAYA VIDYALAYA
Plus Two 68 6141570 2018 ANNUAL ENGLISH, BIOLOGY, MATHS ,PHYSICS, CHEMISTRY CISCE SARVODAYA VIDYALAYA
BA English Language & Literature 66.5 13018166037 2021 Semester ENGLISH,MALAYALAM,HISTORY UNIVERSITY OF KERALA MGM COLLEGE OF ARTS AND SCIENCE

statement of Grades in the qualifying examination (Semester Scheme)
Semester 1 mark: 6.91 Semester 2 mark: 7.34 Semester 3 mark: 6.75
Semester 4 mark: 6.99 Semester 5 mark: 7.06 Semester 6 mark: 6.99
CGPA (S): 6.893 CGPA: 7.005 Percentage: 66.5

Do you require accommodation in the College hostel? Yes
Preferred Specialization Medical and Psychiatry

Payment details
Payment ID MOJO1930V05N75403178
Payment Amount 900
Payment Name SYAM KRISHNA S B
Payment Email syamsbkrishna@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