Application Form

Admission 2023 process is carried by both online and offline process, Our college admission code is TNEA – 2717, if you need any support plz contact +91 94425 93809

PERSONAL INFORMATION

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College Name :

Admitted Course UG/PG :

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Student Name : *

Quota:

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Date of Birth :

Age :

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Gender :

Male
Female
Others

Blood Group :

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Aadhar No :

Nationality :

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Religion :

Community :

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Caste Name (As in Certificate) :

Mother Tongue :

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Self Mobile No :

Self Email ID : *

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Permanent Address :

Address for Communication :

PARENTAL INFORMATION

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Name of the Father / Guardian :

Qualification :

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Occupation (Recent) :

Father Mobile No :

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Name of the Mother / Guardian :

Qualification :

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Occupation (Recent) :

Mother Mobile No :

Hr.Sec / CBSE / Diploma / College

School / College Name :

School / College Address :

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Month & Year of passing :

Reg.No:

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Board of the Institution :

Certificate No :

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Medium of Study :

Marks Obtained :

SUBJECT MARKS IN 12th

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Total Marks

% Marks

(OR)

SUBJECT MARKS IN DIPLOMA

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Name of the Degree :

Part II% :

Part I% :

Part III% :

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Put Mark

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