UG - Online Application Form

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Your application fees amount is: 50 (உங்கள் விண்ணப்பக் கட்டணம் தொகை)

You have to paid through this account number for your application form
(உங்கள் விண்ணப்ப படிவத்திற்கு இந்த கணக்கு எண் மூலம் பணம் செலுத்த வேண்டும்)

Bank (வங்கி)	TAMILNAD MERCANTILE BANK
Branch (கிளை)	MADURAI MAIN BRANCH
Account Number (கணக்கு எண்)	002100050244191
IFSC Code (IFSC குறியீடு)	TMBL0000002

Please upload a copy of the Bank challan / Paytm / Googlepay / PhonePe receipt (pdf or scanned image)
[வங்கி சலான் / Paytm / Googlepay / PhonePe ரசீது நகலை பதிவேற்றவும் (பி.டி.எஃப் அல்லது ஸ்கேன் செய்யப்பட்ட படம்)]

Receipt Copy 

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12th Major
Arts   Science

Course

B.A. English (Passed the Higher Secondary Examination) B.A. History (Passed the Higher Secondary Examination) B.A.Tamil (Passed the Higher Secondary Examination) B.B.A. (Passed the Higher Secondary Examination) B.Com (Passed the Higher Secondary Examination) B.Com Banking (Passed the Higher Secondary Examination) B.Com Computer Application (Passed the Higher Secondary Examination) DFT

 

UG Course:

Name *

Expansion of Initials

Photo

Date of Birth

Birth / Aadhar Certificate

Blood Group

Caste

Community FC BC MBC/DNC SC/ST

Nationality

Religion

Marital Status Married Un Married

	Name	Occupation	Annual Income
Father
Mother
Guardian

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ADDRESS FOR COMMUNICATION

Pincode

Phone *

WhatsApp Number *

---

Mother Tongue

Whether the applicant requires accommodation in the hostel, college bus or PRC bus Hostel College Bus PRC Bus Others

Bus Stop

Exam Syllabus
State Board   CBSC

Subject	Marks	Maximum	Month & Year of Passing	Register No.	No. of Attempts
Part I: TAMIL		100
Part II: English		100
Part III:
		100
		100
		100
		100

+2 Mark Sheet

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Are you a first graduate student? *
Yes
No

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Are you a single parent child? *
Yes
No

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Are you an orphan? *
Yes
No

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Whether Your Father / Mother / Guardian is Farmer / Agriculture Labourer / Registered Tenant?

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ARE YOU DIFFERENTLY ABLED, If so, specify the Nature and Furnish xerox copy of the certificate obtained from authorized Medical Officer together with a photograph Yes No

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ARE YOU THE DAUGHTER OF EX-SERVICEMAN OF TAMILNADU ORIGIN, If so, produce a xerox copy of the Dependency Certificate of your father Yes No

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ARE YOU OF TAMIL ORIGIN FROM ANDAMAN NICOBAR ISLANDS? If so, produce a xerox copy of the Certificate Yes No

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DISTINCTION IN SPORTS / NCC / NSS, Specify if any along with xerox copies of the certificates Yes No

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NAME & LOCATION (DISTRICT) OF THE SCHOOL LAST STUDIED

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QUALIFICATION EXAMINATION PASSED: HSC or EQUIVALENT Academic Stream / Vocational Stream

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IN CASE OF BREAK IN STUDIES SPECIFY THE REASON

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Introduced by

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Date

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Course :

Subject :

Name of the Applicant
(as entered in Mark Sheet) :

Expansion of Initials :

Date of Birth
(as entered in H.S.C.) :

Nationality :

Religion :

Community :

Caste :

Name of Parent / Guardian
If Married name of the Husband :

Occupation and annual income of Parent / Guardian Whether Ex Serviceman / Farmer

Address

STD Code :

Phone :

WhatsApp Number :

Address of relative if any in Madurai

If Hostel accommodation required :

Proficiency in Games :

Extra - Curricular Activities
Mention participation in debates, entertainment programmes, musical talents, vocal, instrumental, social services, N.S.S., N.C.C., etc.,

(a) Qualifying Examination Passed

(b) Examination register no.

(c) Year and Month of passing

(d) University

(e) College / University through which appeared

Details of marks obtained in the degree examination
SEMESTER / NON SEMESTER

Subject	Maximum Marks	Marks Obtained	Percentage
Part 1 Language Alternative Subject
Part II English
Part III Major
Ancillary I
Ancillary II
Total marks in Major & Ancillaries

Introduced by

Any other relation studying (or) studied in this College with course and year

12th Major :

Course :

Name :

Date of Birth :

Blood Group :

Marital Status :

Nationality :

Religion :

Community :

Caste :

	Name	Occupation	Annual Income
Father
Mother
Guardian

ADDRESS FOR COMMUNICATION

Pincode :

Phone :

WhatsApp Number :

Mother Tongue :

If Hostel accommodation required :

Subject	Marks	Maximum	Month & Year of Passing	Register No.	No. of Attempts
Part I: TAMIL		100
Part II: English		100
Part III:
		100
		100
		100
		100

Are you a first graduate student?

Are you a single parent child?

Are you an orphan?

Whether Your Father / Mother / Guardian is Farmer / Agriculture Labourer / Registered Tenant?

ARE YOU DIFFERENTLY ABLED, If so, specify the Nature and Furnish xerox copy of the certificate obtained from authorized Medical Officer together with a photograph

ARE YOU THE DAUGHTER OF EX-SERVICEMAN OF TAMILNADU ORIGIN, If so, produce a xerox copy of the Dependency Certificate of your father

ARE YOU OF TAMIL ORIGIN FROM ANDAMAN NICOBAR ISLANDS? If so, produce a xerox copy of the Certificate

DISTINCTION IN SPORTS / NCC / NSS, Specify if any along with xerox copies of the certificates

NAME & LOCATION (DISTRICT) OF THE SCHOOL LAST STUDIED

QUALIFICATION EXAMINATION PASSED: HSC or EQUIVALENT Academic Stream / Vocational Stream

IN CASE OF BREAK IN STUDIES SPECIFY THE REASON

Introduced by

Place :

Date :

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