1/3

THE ENGLISH AND FOREIGN LANGUAGES UNIVERSITY

HYDERABAD - 500 007
Application for Admissions 2013-14

Application No.

: 1306488

1. Name of the candidate

: Thara Mohan

2. Date of Birth

: 09-12-1990

3. Name of the father

: N Mohanan

4. Name of the mother

: K P Kallianikutty

5. Present Address

: Address - Thara Mohan, Puthenveettil House, Kuttumukku,, Ramavarmapuram

P.O.
City - Thrissur
Pincode - 680631
State - KERALA

6. Permanent Address

: Address - Thara Mohan, Puthenveettil House, Kuttumukku,,

Ramavarmapuram P.O.
City - Thrissur
Pincode - 680631
State - KERALA

7. Tele No with STD code :

04872337783

8. Mobile No. :

9949077594

9. E-mail :

tharamhn@gmail.com

10. State of Domicile

: Kerala

11. Category

: General

12. Ward of Defence Personnel (Y/N) :

: NO

13. Displaced Kashmiri Migrant :

14. PWD (Visually/Physically Challenged persons)

: NO

PWD Type : --

15. Programme Name

: Ph D

16. Subject : Translation Studies

17. Subject preference 1

Subject preference 2 :

18. Test Centre 1st Preference

: Kochi

Test Centre 2nd Preference : Bengaluru

19. Name of the Campus

: HYDERABAD

20. Position regarding qualifying exam

: RA

21. Do you belong to any minority community (for

statistical purpose only)

NO

: NO

22. Payment Detail

Mode of Payment

: State Bank of India Challan

DD/Challan Journal No.

: 035872533

Bank

: State Bank of India

Date : 2013-05-02
Branch : Lallaguda

Amount : 350.00

23. Academic record from SSC (X standard) onwards (Enclose copies of certificates)
Examination Passed /

Name of the Board

Course

/Univ

CBSE

Total Marks
Subjects Taken
English Science

Year of Passing

Max. Marks

Marks
Obtained

% of Marks

Mar-2006

Social Studies Maths

500

456

91.2

500

415

83

Sanskrit
XII

CBSE

Maths English

Mar-2008

Physics Chemistry
Computer
English Hons.

EFL University

24. Is there any gap in your studies? :

Apr-2011

5/6

2/3
25. If applying for Ph.D. programmes
a) mention topic of research. (Submit TEN copies of the research proposal in the stipulated format at the time of the interview) :
b) Have you passed the UGC JRF NET? : -26. Do you require Hostel Accommodation? :YES
27. Have you ever been subjected to disciplinary action by any authority? :NO
If yes, give details :
28. Any other information such as publications/excellence in sports/music, etc.( attach separate sheet if needed) Please specify :
29.a) Have you done an M.Phil./M.Litt. degree from CIEFL/EFL University? :N
30. DECLARATION BY THE APPLICANT: I hereby declare that all the information furnished by me in this application and in the
documents I have submitted in support of my application is true, complete and correct. In case any information in this application is
found to be false or incorrect at any time (during or after completion of the course), it shall entail automatic cancellation of my
admission if granted, cancellation of the degree if awarded, besides rendering me liable to such action as the University may deem fit.
In the event of any medical or other emergency, my parent/s or guardian may be contacted at the address given below.
Place:
Date:
Affix your recent passport size colour
photograph duly attested by a
Gezetted officer.

31. DECLARATION BY FATHER/MOTHER/GUARDIAN: My daughter/son/ward Mr./Ms. Thara Mohan is applying for admission to the
EFL University. In case of her/his admission to the University, I shall be responsible for payment of all her/his fees and other charges
including medical insurance. Should there be any medical emergency, I shall be responsible for the payment of all such medical
expenses that may not be covered by medical insurance. In case any information in this application is found to be false or incorrect at
any time (during or after completion of the course), it shall entail automatic cancellation of my daughters/sons/wards admission if
granted, cancellation of the degree if awarded, besides rendering her/him liable to such action as the University may deem fit.
I will also be responsible for her/his good conduct and behaviour during the period of her/his stay in the University. Further, I may be
contacted in the event of any emergency as determined by the University and I hereby promise that I will make myself present before
the University authority at my own cost whenever the University requires my presence.
Fathers Occupation

: Doctor

Annual income Rs : 200000

Mothers Occupation

: Doctor

Annual income Rs :200000

Signature of the Parent/Guardian

Place:

Full Name:

Date:

Relationship with the applicant:

Note: Signature of the parent/guardian in this application form will be considered the basis for all verification purposes in the
University.
Checklist of Enclosures:
1. Date of Birth Certificate (SSC / X Class Standard certificate)
2. Intermediate Certificate and Marks memo (for B.A.(Hons.) programmes)
3. Degree Certificate (provisional Certificate in case the Degree Certificate has not been issued)
4. Degree Examination Marks Memo(s)

3/3
5. Masters degree/Provisional Certificate
6. Masters degree Marks Memos
7. Community and Income Certificate (in the case of SC/ST candidates - issued by Competent Authority)
8. Non-Creamy Layer Certificate for OBC candidates in GOI proforma
9. Medical Certificate from a Civil Surgeon (in case of PHC/VHC candidates)