Online Application Form for first year diploma Admission -
2020 - 2021
(Common Application form for all Diploma Courses)
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Application No.:
Date of Issue
1.SSLC / Equivalent Total Marks
*
SSLC
MATRIC
OTHERS
Marks
*
Out Of
*
(Specify)
2.(a) Name of the Candidate
*
(As per the Mark Sheet)
(b) Name of the Parent/Guardian
*
(As per Transfer Certificate)
(c) Address for Communication
*
Email ID
*
Aadhaar No.
*
Mobile No. 1.
*
Pincode
*
Mobile No. 2.
3.Nationality
*
Indian
Others(Specify)
4.Native District
*
5.Place of Birth
*
6.Mother Tongue
*
Tamil
Others(Specify)
7.Gender
*
Male
Female
Transgender
8.Date of Birth
*
(As found in SSLC or Equivalent Certificate)
9.(a) Religion
*
Hindu
Christian
Muslim
Others(Specify)
(b) Name of the community
*
ST
SC
SC(A)
MBC & DNC
BC(M)
BC(O)
OC
(c) Caste
*
(As per the Community Certificate)
(d) SI.No. of the Community Certificate
*
(e) Designation of the officer issued the Community Certificate
*
Sub Collector
RDO / PA(G)
Tahsildar
Dy. Tahsildar
(f) Name of the Revenue Division / Taulk
*
Division
Taulk
10.(a) Examination Passed
Register No.
*
Choose Board
Year of Passing
*
SSLC
MATRIC
OTHERS
(Specify)
(b) Details of Studies
SI. No.
Class
Month and Year of Passing
*
Medium of Instructions
*
Name of the school and Address
*
1
IX Std.
2
X Std.
(c) Marks obtained in SSLC / Equivalent Examination
(False Information will lead to Cancellation of Admission and Criminal Action)
SI. No.
Subject
Marks Scored Out of 100
*
Month & Year of Passing
*
(i)
Tamil or any other Language
(ii)
English
(iii)
Mathematics
(iv)
Science
(v)
Social Science
(vi)
Elective (If any)
Total
11.Upload Documents
(a) Upload MarkSheet
*
Select Marksheet
(b) Upload Community Certificate
*
Select Community Certificate
(c) Upload Aadhaar Card
*
Select Aadhaar Card
Note: please upload the Mark Sheet (or) Internet Printout mark sheet duly attested by the Principal / head master of the School.
I here by solemnly declare that the information furnished in the statements given in the application and the application enclosure are true correct and complete
Confirm
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Today: 27-02-2021