| APPLICATION FOR ADMISSION TO | |
| B.A. | B.Sc |
| Personal Informations : | ||
| Name of the Applicant | Passport size Photo :
|
|
| Aadhaar No | ||
| Gender | ||
| Date of Birth | ||
| Personal Mark Identification | 1.
2. |
|
| Parents / Guardian Details : | |||
| Father | Mother | Guardian | |
| Name | |||
| Occupation | |||
| Annual Income | |||
| Mobile Number | |||
| Religion | Caste | ||||
| Nationality | Mother Toungue | Community |
S.T |
||
| Native Place | Taluk | District | |||
| Marks obtained in S.S.L.C. (10th) : | Medium | English Tamil | |
| School Studied : | |||
| Place : | District : | ||
| Subject | Marks / Grade (Max. 100) | Register No. | Month & Year of Passing | No. of Attempt |
| Part I (Tamil) | ||||
| Part II (English) | ||||
| 1 | ||||
| 2 | ||||
| 3 | ||||
| Total |
| Marks obtained in H.Sc (+2) : | Medium | English Tamil | |
| School Studied : | |||
| Place : | District : | ||
| Date of Leaving the School | |||
| Subject | Marks / Grade (Max. 200 ) | Register No. | Month & Year of Passing | No. of Attempt |
| Part I (Tamil) | ||||
| Part II (English) | ||||
| Part III | ||||
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| Total |
| Break in studies (if any) : | Year : | |||
| Reason : | ||||
| Are you Physically Challenged? | If yes, Nature of challenge | |||
| Are you a Son / Daughter of an Ex-Serviceman of Tamilnadu origin? : | Yes No | |||
| Are you an origin of Tamilnadu from Andaman & Nichobar Islands? : | Yes No | |||
| Were you holding any scholarship? | Yes No | If so, give details : | ||
| Were you a member of any service organisation in school ? : | Yes No | |||
| Co-curricular activities : | Athletics Games Music Art Literary | |||
| Do you require hostel accommodation? : | Yes No | |||
| If Dayscholar, Route : | Bus Stop : | |||
| Communication Informations : | |
| Permanent Address : | |
| Address for Communication : | Door No. Street Name : Village Name : Taluk : Post : District : State : |
| DECLARATION BY THE APPLICANT | ||||
I declare that the particulars given above are true and correct to the best of my knowledge and belief. If admitted, I will abide by the rules and regulations and code of conduct framed by the college authorities from time to time. I solemnly assure that I will not challenge the authorities of the college or indulge in any activitie detrimental to the interests of the Institution. I have understood that in matters of discipline, the decision of the college authorities is final. |
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