APPLICATION FORM ISSUED TO :
APPLICATION No :
REGISTRATION No :
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APPLICATION FORM FOR ADMISSION TO
M.Sc., (CS) / M.Sc., (IT) / M.A., (Tamil) / M.Sc., (Physics) / M.Sc., (Chemistry) / M.Com., (CA)
(Self - Finance P.G. Courses) (2020 - 2021)
(INCOMPLETE APPLICATION WILL BE REJECTED)
1. NAME (In English Block Letters):
பெயர் (தமிழில்):
2. DATE OF BIRTH:
/
/
3. COMMUNITY: SC [ ] ST [ ] MBC [ ] DNC [ ] BC [ ] OC [ ]
4. PLACE OF BIRTH: 5. SEX: Male [ ] Female [ ] Transgender [ ]
6. CASTE: 7. NATIONALITY:
8. MOTHER TONGUE: 9. RELIGION:
10. AADHAAR No:
  10a. NAD ID:
11. NAME OF PARENT/GUARDIAN: 12. OCCUPATION:
13. INCOME (Per Annum): 14. BLOOD GROUP:
15. ADDRESS FOR COMMUNICATION:

PIN:

Cell: +91
16. PERMANENT ADDRESS:

PIN:

Cell: +91
Details of Marks obtained in Degree Examination
Name of the Degree Major Subject Ancillary 1 Ancillary 2
Subject Marks Obtained Max Marks Month & Year Reg. No Attempts
Part I: Language
Part II: English
Part III: Major
Part III: Ancillary 1
Part III: Ancillary 2
Grand Total
Declaration: I declare that the particulars furnished above are true and correct. I will abide by the rules and regulations of the college.


Place: .................... Signature of the Parent/Guardian Signature of the Applicant
FOR OFFICE USE ONLY
Certificates Verified:
[ ] T.C.
[ ] UG Mark Sheets
[ ] Community Cert.
[ ] Conduct Cert.

..........................................
Staff Signature

PRINCIPAL
Challan No: .................... Amount: .................... Date: ....................