Online Payment

Affilited to University of Madras

Co-Educational Institution

N.B. : APPLICATION WHICH IS INCOMPLETE IN ANY RESPECT WILL NOT BE CONSIDERED. ALL COMMUNICATIONS SHOULD BE ADDRESSED TO THE PRINCIPAL, QUOTING THE APPLICATION NUMBER. FILLED APPLICATION SHOULD BE SENT TO THE PRINCIPAL ON OR BEFORE............
THE APPLICATIONS SHOULD BE SENT BY REGISTERED POST WITH ACKNOWLEDGEMENT DUE OR HANDED OVER IN THE COLLEGE OFFICE. APPLICATION NUMBER MAY PLEASE BE QUOTED IN FOR ALL FUTURE REFERENCE..............
Recent Photograph Parents(Father)
Recent Photograph Parents(Student))

* Maximum image upload size 200kp
1. Name of the Applicant in BLOCK Letters (as in School leaving Certificate)
IN ENGLISH :
Email ID :
Mobile Number :
2. Date of Birth & Age (as in School leaving Certificate)
3. Aadhaar No. of the Applicant
4. Place of Birth Name of Village / Taluk / District & State
5. Nationality
Religion
Mother Tongue
(b) Caste and Community : State Whether OC / BC / MBC / DNC / SC / ST (with sub-caste) (Copy of the Community Certificate from Tahsildar should be attached)
6. Sex : (Tick the relevant box wherever Applicable)
7. Maritial Status
8. Parent's or Guardian"s Name (If both parents are not alive)
Father Name :
Mother Name :
Residential Address :
Phone No :
9. Parent's Guardian's Occupation
Father :
Mother :
Monthly Income of Parent / Guardian
Father :
Mother :
11. (a) Qualifying Examination Passed (State whether State Board (Tamilnadu) or C.B.S.E. or Other State / Country)
         (b) Examination Register No. :
         (c) Month & Year of Passing :
         (d) Name of the School & Place last studied :
12. Course applied for
13. Language Preferred In Part 1 (Second language Studied in +2) Tamil                  
14. CBSE / Higher Secondary Certificate No., Date & Marks Secured

S.No. Years Month Register No. Subjct Marks(Our of )
1.
2.
3.
4.
5.
TOTAL