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STUDENT ADMISSION FORM

PAGE 1





Select Required Courses


Name

Address




Pincode

Father's / Guardian's Name

Father's / Guardian's Occupation

Date Of Birth

Gender
Male Female

Martial Status
Unmarried Married Widowed

Blood Group

(a) Religion
Hindu Christian Muslim

(b) Caste
OC BC MBC SC ST DNC

Nationality


Mother Tongue

Tamil English Malayalam


Educational Qualification

10 12 degree


Medium of Instruction of School

Tamil English Malayalam


Do You Require Hostel Facilities


 Yes No

Name of the School Studied

Permanent Address



Click if same with Correspondence Address

Pincode

Mobile no.
(1) (2) (3)


Sl.No. Examination Month Year Register No. Subject Marks obtained Maximum Marks
1 SSLC
2 HSC
3 P.D.C Intermediate
4 Other Equivalent

1. Passport size photo


  1. Background color must be in Blue color
  2. Photo must be in standard Passport size dimension.
2. Student Signature


  1. Signature must be in blue color with white background
  2. Sample Signature:
3. Parent Signature


  1. Signature must be in blue color with white background
  2. Sample Signature:
4. SSLC Marksheet


  1. Document must only be in pdf / jpeg / jpg / png
5. HSC Marksheet


  1. Document must only be in pdf / jpeg / jpg / png
6. Tranfer Certificate (TC)


  1. Document must only be in pdf / jpeg / jpg / png