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College Admission
Date :
   
Name of the pupil : (in block letters)
Attach Passport size photograph :
Age :(on July 1st)
Date of birth :  
Nationality :
Religion & Community :
Particulars of Community Certificate  
Name of the Caste :
Serial No. of the Certificate :
Date of the certificate :
office of issue of the Certificate :
Designation of the officer issuing the Certificate :
Gender :
Marital Status :
Mother Tongue :
Particuculars Father Mother Guardian
Name
Educational qualification
Occupation / post held
Income/Month (Rs)
Department / Company
Place of Birth:
Residential Address :
   
Address for Communication:
Phone No. :
Resi
Office
Group Studied in HSC
Total Marks Secured in SSLC :
Details of Language Studied
Subject SSLC HSC
PART I
PART II
Details of Course Studied
CLASS Year of Passing Name and address of the School
SSLC
HSC
 
Details of Marks Obtained in HSC.
S.No Subject Marks Obtained
1 Tamil
2 English
3
4
5
6

HSC Register No :
Details of Registration Fee :
DD Date :  
Bank Name : DD / Challan No :
 
 
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