APPLICATION FOR ADMISSION TO | |
B.A. | B.Sc |
Personal Informations : | ||
Name of the Applicant | Passport size Photo :
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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
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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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