College Admission Application Form (UG / PG)
1. Personal Details
Full Name
*
Gender
*
Select
Male
Female
Other
Date of Birth
*
Mother Tongue
Blood Group
Community
*
Select Community
BC
MBC
OC
SC
ST
Religion
*
Select Religion
Christian
Hindu
Muslim
Nationality
*
Select Nationality
Indian
Other
Aadhaar No.
*
2. Family & Guardian Details
Father's Name
*
Father's Occupation
*
Father's Annual Income
*
Mother's Name
*
Mother's Occupation
Mother's Annual Income
Guardian's Name
Guardian's Relationship
Applicant's Occupation
3. Address Details
Communication Address (Current)
Street / Locality
*
District
*
Select District
Chennai
Coimbatore
Madurai
Trichy
State
*
Pincode
*
Permanent Address
Same as Communication Address
Street / Locality (Permanent)
*
District
*
Select District
Chennai
Coimbatore
Madurai
Trichy
State
*
Pincode
*
4. Contact & Course Details
Contact Details
Applicant Email
*
Applicant Mobile
*
Father / Guardian Mobile
Mother Mobile
Course Applied For
Department
*
Select Department
Commerce
Computer Science
English
Course
*
Select Course
Mode of Study
*
Select
Full Time
Part Time
Medium
Hostel Required?
*
Select
No
Yes
Highest Passed Qualification
*
5. Educational Qualification
A. (11
th
& 12
th
) Academic / Equivalent
Board of Examination
*
Name of the School
*
Class
English
Subject-1
Subject-2
Subject-3
Subject-4
Total Marks
*
Overall %
*
Year of Passing
*
11
th
12
th
B. Under Graduate – Arts, Science, Commerce & Management
Institution / College
University
Subject
Part I
Part II
Part III
Total Marks
Overall %
Year of Passing
C. Diploma
Institution
Branch
Total Marks
Overall %
Year of Passing
D. Under Graduate – Engg. & Tech.
Institution / College
University
Branch
Total Marks
Overall %
Year of Passing
E. Post Graduate
Institution / College
University
Subject / Branch
Total Marks
Overall %
Year of Passing
6. Upload Documents
Please upload the following documents in the specified formats and size limits.
Document
File Type
Size Limit
Upload
Transfer Certificate (TC)
*
PDF
100–200 KB
Applicant Photo
*
JPG / PNG
50–100 KB
Applicant Signature
*
JPG / PNG
50–100 KB
Father / Guardian Signature
*
JPG / PNG
50–100 KB
*
I hereby declare that the above information is true and correct to the best of my knowledge.
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