APPLICATION FOR ADMISSION

Courses

UG

PG

ADMISSION INFORMATION

Option 1*

Option 2

Option 3

Part 1 Language Tamil Hindi French

Personal Details

Name * (As per record in English)

Candidate Photo*

Birthdate*

Age

Blood Group

Aadhar No.

Gender
Male Female

Marital Status
Single Married

Community

Nationality

Religion

Caste

State

Mail Id

Mobile No.

Communication Address

Rural Urban

Check this box if Permanent Address and Communication Address are the same.

Permanent Address

Rural Urban

FAMILY INFORMATION

Select Guardian

S.No.	Details	Father	Mother	Guardian
1.	Name
2.	Qualification
3.	Occupation	Private Govt. Business	Private Govt. Business	Private Govt. Business
4.	Designation
5.	Name of the firm
6.	Annual Income
7.	Contact No.
8.	Mail ID

ADDITIONAL INFORMATION

PREVIOUS ACADEMIC RECORD

Marks Secured in the Qualifying Examination (+2) (For UG)

Mark Secured in the Qualifying Examination Degree (For PG)

University Reg. No.

Name of the Degree

Name of the College

Name of the University

Month & Year of Passing

Marks in Aggregate

UG degree certificate

S.No.	Subjects / Semester	Marks / Grade Secured	Month & Year of Passing
1.
2.
3.
4.
5.
6.
	Total		%

Aadhar Card*

TC*

10th mark Sheet*

11th / 12th mark sheet*

Note :- The seat will be confirmed after verification of the original certificate.

Declaration

We hereby solemly declarethat the particulars furnished in the application are true and correct to the best of our knowledge and belief. If however on further scrutiny the particulars furnished are found to be false or incorrect, I am aware that my son / daughter is liable for any punitive action deemed fit by the management.
My son / daughter will strictly comply with the rules and regulations of this college and the discipline enforce from time to time and will not involve himself / herself in any activities that are prejudicial to the proper conduct of study and is awre that any breach of discipline would entail dismissal from the college. Any disciplinary measures imposed by the Principal and management for the infringement of the rules will be final.
hereby solemly declare that my son / daughter has been not involved in any disciplinary action in the previous institution.
Rules and Regulations click here

I agree the above given informations are true and best of my knowledge.

1. Ex-Servicemen Yes No	2. First Generation Learner Yes No	3.Differently Abled Yes No
4. Any Health Problems Yes No	5. College Bus Required Yes No	Place & Stop Name
6. List of Academic Achievements , If Any? Level of Participation	7. List of Extra-Curricular Achievements in NSS/NCC/Scout, if any? Level of Participation	8. List of Achievements in Sports, If any? Level of Participation