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Course Perferred:

Applicant Image:

file name use your name first 4 letter and mobile number(e.g:rama1234567890.jpg)

Name of the candidate:

Gender:

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Date of Birth:

Age:

Community:

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SC ST OBC MBC DNC BC OC

Religion:
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Nationality:If Indian
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Name of the Parent / Guardian:

Parent / Guardian Occupation:

Address for Communication:

Contact Details:

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Contact Number

Your State Tamilnadu:
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If any local Gurdian Name:

Address for Communication:

Contact Details:

E-mail

Contact Number

Physically Challenged:
No Yes

Are you Son / Daughter of Exserviceman of Tamil Nadu Origin: No Yes

Status of Accommodation:
Day Scholar
Hostel

Status of Transportation:
Route Bus
College Bus

Name & Location of school / College previously studied:

Medium Previously studied:
Tamil
English
Malayalam
Hindi

Qualifying examination Passed:
SSLC
HSC
U.G
P.G

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DECLARATION:

I declare that all the particulars furnished above are true and correct.

Finally, I agree to abide the rules and regulations of the institution with regards to college, which may be framed from time to time and accept the decision of the management in all respect.

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