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January 22, 2021
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ADMISSION
Registration Form
Admission
APPLICATION Form
Name AS PER 10
th
Mark Sheet
*
:
(in Block Letter)
Gender
*
:
Male
Female
Date of Birth
*
:
Religion
*
:
Hindu
Musilim
Christian
Others
Community
*
:
OC
BC
MBC
DNC
SC
ST
Caste
*
:
Nationality
*
:
Mother Tongue
*
:
Father / Guardian's Name
*
:
Father Occupation
:
Mothers' Name
:
Mother Occupation
:
Annual Income
:
Place of Birth
:
Village / Town / City
:
Dist.
:
State
:
Communication Address
*
:
State
*
:
Pincode
*
:
Phone Number. (with STD Code)
:
Parent's Mobile Number 1
*
:
Parent's Mobile Number 2
:
Blood Group
:
Mark obtained in SSLC Examination
:
Out of
Name of the School
:
Month and Year of Passing
:
(ex:Mar 2016)
SSLC Register Number
:
Last Qualifying Examination
*
:
HSC Examination
Programme / Course
*
:
B.E
B.Tech
Preferred Course
*
:
CSE
ECE
EEE
MECH
CIVIL
Bio - Tech
Bio - Medical
FIRST YEAR ADMISSION
Medium of Instruction in +2 Level (Tamil/English)
:
Name of the School
:
Month and Year of Passing
:
(ex:Mar 2018)
HSC Register Number
*
:
Aadhaar Number
:
Email ID
:
Select qualifying Examination:
:
Maths with Physics and Chemistry
Maths with Practical
Mark obtained in the qualifying Examination:
Subject
Mark Obtained
Maximum Mark
Percentage
1.Tamil / language
2.English
3.Physics
4.Maths
5.Chemistry
6.Biology / Computer Science
Total
Subject
Mark Obtained
Maximum Mark
Percentage
1.Tamil / language
2.English
3.Maths
4.Theory
5.Practical 1
6.Practical 2
Total
Cut off Marks
Maths (out of 100)
:
Physics+Chemistry / 2 (out of 100)
:
Theory+Practical 1+Practical 2 / 3 (out of 100)
:
Total (out of 200)
: