Application Form

Personal Information

Name
Date of Birth
Age
Place of Birth
Nationality
Religion
OC        BC        MBC        SC/ST
Caste
Blood Group
Mother Tongue
Aadhar No.
Qualifying Examination Passed - Degree with Major
   Are you a first generation Learner                Yes No

   Are you Differently Abled, If so specify          Yes No

Specify
   Are you a Daughter of an Ex-Service man    Yes No

Achievements in NCC/NSS Distinction in Sports (District/State/National)

Particulars of marks in UG


Subject Marks Obtained Max. Marks Percentage
Language
English
Major
Allied


Name and Location (District) of College studied

Course applied for:-

Shift 1 (9:00 am. to 2:15 pm.)

M.A.Tamil M.A English
M.Sc Mathematics M.Com

Shift 2 (12:00 pm. to 5:00 pm.)

M.Sc Computer Science M.A.HRM
MSW


Semester I Mark Sheet
Semester II Mark Sheet
Semester III Mark Sheet
Semester IV Mark Sheet
Semester V Mark Sheet
Semester VI Mark Sheet
Upload Recent Passport Size Photo

Details of Parents / Guardian

Father / Mother / Guardian Name
Occupation
Income(Yr)
Off. Address
Mobile No.
Email Id.
Father / Mother / Guardian Photo
Permanent Address
Address for Communication

BANK NAME AXIS BANK LTD, AMBATTUR, CHENNAI-600053
IFSC CODE UTIB0000865
ACCOUNT NO 916020073286619
Kindly pay the application fee Rs.200/- to the above account and enter the Transaction ID below.
Transaction ID