Course to Apply *
B.A., Tamil B.A.,English B.Sc., Computer Science B.Sc., Mathematics B.C.A. B.Com- Computer Applications B.B.A. B.Sc., Physics B.Sc., Information Technology B.Com. B.Sc., Chemistry B.Sc., Hospital Administration

Degree and Subject applied for *

Name of the Applicant (as given in the HSC/ Transfer Certificate) *

Passport size Photo *

DOB *

Age *

Mother Tongue *

Nationality / Religion *

Community with Sub - Caste (SC/ST/BC/MBC/DNC/Other Caste)

Community Certificate Upload here

Native Place/ District/ State *

Aadhaar No

Name *

Occupation *

Mobile No *

Add Mobile No

Permanent Address with Pincode *

Address for Communication with Pincode *

Annual Income (in Rs) *

Email Id

Register No *

Name of the Qualifying Examination Passed *

School Name *

Marks obtained in the qualifying Examination ( Enclose a Xerox copy of the Mark sheet) *

Subjects	Maximum marks Prescribed	Marks Obtained	Month & Year of First Appearance	No. of Attempts
Tamil
English
Total Marks

Upload Mark Sheet here

Register No *

Name of the Qualifying Examination Passed *

School Name *

Marks obtained in the qualifying Examination ( Enclose a Xerox copy of the Mark sheet) *

Subjects	Maximum marks Prescribed	Marks Obtained
Tamil
English
Total Marks

Upload Mark Sheet here

Are you a daughter of Ex-serviceman *

Yes No

Hostel accommodation required *

Yes No

The above information are true to the best of my knowledge and I will abide by the rules and regulation of the college.

I am aware admission obtained on false information or by suppression of facts will be denied to me on detection at any time, and criminal action will be initiated.

Place *