Admission form

Name of the Candidate *

Father's Name *

Mother's Name *

Date of Birth *

Address *

Student Email ID *

Parent Phone No

Mobile No *

Gender Male Female

Community *

Whether Physically Handicapped No Yes

Hall Ticket Number

Tamil

English

Subject-1

Subject-2

Subject-3

Subject-4

Medium of Study *

Admission for *

Branch Preferred *

Reference

I Acknowledge the given informations are true.