APPLICATION FORM
Application to Arts and Science Courses
( * ) Fields are Mandatory
*
Admission to
*
Name of the Applicant
*
Gender
Male
Female
Date of birth
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
*
Place of Birth
Name of the Parents / Guardian
*
Nationality and Religion
*
Languages Known
i.
ii.
iii.
Mother Tongue
*
Community
FC
BC
MBC
OC
*
Caste
*
Permanent Address
Present Address
*
Details of the previous School Information
Name of School
Place
Class last studied
Year
% of marks
*
Details of the previous Academic Information
Name of Subjects
Attempts
Month & year
of passing
Reg.No.
Marks
Secured
Max. Marks
Part I
Part II
English
Part i.
ii.
iii
iv.
*
Do you require Hostel Accomodation
Yes
No
*
Are you the ward of Ex-service men
Yes
No
*
Are you a Tamil Origin from Andaman
Yes
No
*
If physically handicapped, specify
*
Proficiency in Extra-curricular Activities
*
Any other relevant information
Contact Details
*
Name of the Person
*
Email
*
Phone / Mobile
Security code
*
Type security code...
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