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Application

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Marked with (*) are Mandatory Fileds

Name (in Capital) : *

Passport Size Photo : *

Sex : *

DOB : *

Community : *

Religion : *

Nationality : *

Cell No : *

E - Mail :

Aadhaar No :

Blood Group : *

Personal Mark of Identification - 1 : *

Personal Mark of Identification - 2 : *

Father Mother Guardian
Name*
Occupation*
Annual Income*
Cell No*
E - Mail

Whether the applicant is physically challenged ? (If yes, Certificate to be uploaded) : *

Are you a Son or a Daughter of Ex-serviceman of Tamilnadu origin ? (If yes, Certificate to be uploaded) : *

Distinction in Sports / NCC / NSS :

Present Address : *

Permanent Address : *

Board of Examination : *

Name of the School and full Address : *


Subject Marks : *

Part 1 Language :

Maximum Marks : 100

Part 2 Language :

Maximum Marks : 100

Part 3 :


Total :

Percentage :

Medium of Instruction :

+2 Reg No :

10th Reg No & Marks :

Course Applied (in order of preference) : *

Place : *

Date : *