APPLICATION FOR UNDERGRADUATE PROGRAMME
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?
Yes No
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.