Architecture 2014

Government of Kerala

OFFICE OF THE COMMISSIONER FOR ENTRANCE EXAMINATIONS Fifth Floor, Housing Board Buildings, Santhi Nagar, Thiruvananthapuram – 695 001

KEAM 2014 (B.Arch)

Proforma for Releasing of Architecture Rank 1 Name 2 Postal Address 3 Application Number of KEAM 2014 4 Roll Number of KEAM 2014 5 Year Of Passing Of Qualifying Examination 6 Register Number of Qualifying Examination 7 Board of Qualifying Examination (Plus Two /

Diploma)

8 NATA ID 9 NATA Score 10 Details of Marks in the Qualifying Examination (Plus Two / Diploma or Equivalent)

Subject Marks secured Maximum Marks

Mathematics Total Marks *

DECLARATION I, ……………………………………………………………………………. Hereby declare that, all

the information furnished above are correct to the best of my knowledge and belief and that, I have fully read the conditions of admission to KEAM-2014 as contained in the Prospectus. I also declare that the rules and regulations stipulated in the Prospectus will be observed if selected, I agree to join the course to which selected and the college to which allotted. Should it however be found that, any information furnished is untrue, I realize that I am liable to criminal prosecution and also agree to forego my seat. Place: Date: Signature of the candidate Note: This data sheet duly filled and signed by the candidate along with the copies of the mark sheets of the qualifying examination and NATA score card attested by a Gazetted Officer should be sent to the office of the Commissioner for Entrance Examinations. * Total marks means SUM of marks of all subjects including Mathematics