Vikas Bhavan P.O., Thiruvananthapuram - 695033. Application form 1 Name (in Block Letters) 2 Age and Date of Birth 3 Address for Communication 4 Email Address 5 Land phone & Mobile phone number 6 Are you eligible for any mandatory reservation(if yes, state the category and attach proof) 7 Course of study and Branch 8 Institution 9 University 10 Class and % of marks 11 B.Tech semester wise break up Sem I II III IV V VI VII VIII Marks & % History of supplementary 12 Other Examinations Name of Examination Subjects Year of passing Marks % of Marks Class/ Grade SSLC or Equivalent Plus Two or Equivalent Any other 13 Other Achievements ( including extra curricular activities ) , if any 14 Employment offer if any, then Company with Details 15 SELF ASSESSMENT ( Rate yourself on the following aspects) i. Communication Skills : English -Spoken . Excellent . Good . Average . Somewhat poor . Poor ii. Communication Skills : English -Written . Excellent . Good . Average . Somewhat poor . Poor iii. Communication Skills : Mother tongue -Spoken and Written . Excellent . Good . Average . Somewhat poor . Poor iv. Basic PC Skills -Operating a PC, Browsing Net, Sending Email etc . Excellent . Good . Average . Somewhat poor . Poor v. Team Work . Excellent . Good . Average . Somewhat poor . Poor vi. Logical Thinking . Excellent . Good . Average . Somewhat poor . Poor vii. Analytical Skills . Excellent . Good . Average . Somewhat poor . Poor viii. Preparedness for Hardwork, Punctuality . Excellent . Good . Average . Somewhat poor . Poor ix. Differentiating between fact and opinion . Excellent . Good . Average . Somewhat poor . Poor x. Creativity . Excellent . Good . Average . Somewhat poor . Poor Affix Recent Passport size Photograph Certificate I affirm that all relevant information has been disclosed and are true to the best of my knowledge and belief. I hereby declare that I am not yet employed. I also understand that if any of the information furnished is found to be false, MFS has the right to cancel my admission. Date Signature of the Applicant
