Application Form For Admission To B.A.,/B.Sc.,/ B.Com

MAJOR

  

ALLIED

  

PART I LANGUAGE

  

MEDIUM
 

 

NAME  
NAME (IN TAMIL)  
DATE OF BIRTH  
COMMUNITY

SC/ST

MBC/DNC

BC

OC
CASTE     
NATIONALITY   SEX

M

F
NAME OF PARENT/GUARDIAN
(STATE RELATIONSHIP)		  
ADDRESS FOR COMMUNICATION



  
PIN CODE          
IF PHYSICALLY HANDICAPPED SPECIFY  
ARE YOU  SON/DAUGHTER OF EX-SERVICEMAN OF TAMIL NADU  
ARE YOU OF TAMIL ORIGIN OF ANDAMAN NICOBAR ISLANDS  
DISTINCTION IN SPORTS, NCC, NSS  
NAME & LOCATION (DISTRICT OF SCHOOL LAST STUDIED)  
QUALIFYING EXAMINATION PASSED HSC: EQUIVALENT:
SUBJECT MARKS MAXIMUM MONTH/YEAR OF PASSING REGISTER NO. NO OF ATTEMPTS
PART I : TAMIL          
PART I : ENGLISH          
PART III          
1.          
2.          
3.          
4.          

TOTAL

          

 

NATIVE PLACE AND DISTRICT  
ANNUAL INCOME OF PARENT  
INSTITUTION LAST ATTENDED  

 

 I declare that all the particulars furnished above are true and correct
 I submit that I will abide by the rules and regulations of the college

Note : No enclosure need by sent along with application


Place :
Date :
                   
                  SIGNATURE  OF THE PARENT/GUARDIAN SIGNATURE OF THE
                                                     APPLICANT          
                                                                                                                                  

FOR OFFICE USE ONLY

 
Certificates Verified:                                                          ADMITTED
                             
                                                                                       ___________________

 
HSC MARKS COMMUNITY TRANSFER
CONDUCT SPECIAL CATEGORY  


SIGNATURE OF STAFF WHO
PROCESSED THE APPLICATION -----------------------                               PRINCIPAL

SIGNATURE OF HEAD OF THE DEPARTMENT --------------------------------    

 

 

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