• 9747717666
  • principal@lmcst.ac.in
Lourdes Matha
  • College Code: LMC
  • 9747717666
  • principal@lmcst.ac.in
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APPLICATION FORM FOR ADMISSION TO B.TECH LATERAL ENTRY SCHEME 2020-21

Click here to read the instructions on how to fill the application form.

*1. Name of the applicant :

As Entered in 10th certificate
*2. Date of Birth *3. Gender Male Female
*4. Aadhaar Number
*5. Religion *6. Caste
*7a. Permanent Address Address
 District
 State
Pin code
*7b. Communication Address
Same as Permanent address		 Address
 District
 State
Pin code
*8. Phone Number

Land phone number.

*Mobile number
*9. E-mail id
*10. Blood Group
*11. Parents Details FATHER MOTHER
Name of Parent
Occupation
Email ID
Mobile No
12. Nationality 13. Annual Family Income
*14. DETAILS OF EDUCATIONAL QUALIFICATIONS (SSLC/HSE/CBSE/ISC/OTHERS)
COURSE YEAR OF PASSING EXAM [Kerala HSE/CBSE/ISC/VHSC/Others(specify)] BOARD NAME OF INSTITUTION PERCENTAGE OF MARKS
X
XII
15. DETAILS OF QUALIFYING EXAMINATION (DIPLOMA / OTHERS) :
Course Undergone
Name of Institution
Board / University
16. KERALA LATERAL ENTRY ENTRANCE EXAMINATION DETAILS
Register Number LET Rank
*17. MARKS/ PERCENTAGE PER SEMESTER OF DIPLOMA EXAMINATIONS
Semester Percentage GPA Semester Percentage GPA
S1 S2
S3 S4
S5 S6
18. Branch Opted(CE, CSE, EEE, ECE, ME)

I hereby solemnly declare that the details furnished are true. I also undertake that any wrong information furnished by me will forfeit my claim for admission. i will obey the rules and regulations of the institution, if admitted. I shall submit all certificates and documents in original at at the time of admission, failing which my admission will be liable for canellation.

I shall not resort to ragging in any form at any place and shal abide by the rules /laws prescribed by Courts,Governments, affiliating University and College authorities for the purpose from time to time.

Lourdes Matha

Lourdes Matha College of Science & Technology
Lourdes Hills, Kuttichal P.O ,
Thiruvananthapuram, Kerala - 695 574
Phone: 0472-2853550 | 0472-2851166
Phone(Admission): 9400197778 | 9747717666 | 9400187778
Fax: 0472-2851544
E mail: lourdesmathaoffice@gmail.com

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