Medium of Class* Tamil English

Class* 6 7 8 11

Name of the applicant * *

Gender * Male Female Transgender

Date of Birth *

Community * OC OBC SC ST

Mother Tounge *

State * ANDAMANENICOBAR ISLAND ANDHRA PRADESH ARUNCHAL PRADESH ASSAM BIHAR CHANDIGRAH CHATTISGARH DELHI GOA DAMAN & DIU GUJARAT HARYANA HIMAGAL PRADESH JAMMU & KASHMIR JHARKHAND KARNATKA KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ORISSA PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMILNADU TELANGANA TRIPURA UTTAR PRADESH UTTARANCHAL UTTRAKHAND WEST BENGAL

Nationality *

Religion * HINDU MUSLIM SIKHISM CHRISTIAN JAINISM NEO-BUDDHISM OTHERS

Aadhar No *

Student's Bank A/c No

EMIS No.

Blood Group * A+ A- B+ B- AB+ AB- O+ O-

Whether differently abled? * Yes No

Whether living with Parent? * Yes No

 

Name of the School Last Studied*

Medium of Class *

Parents Ration Card number

Parents Account Number

Present Residential Address*

Permanent Address(Native) *

Affiliated to* CBSE TAMILNADU STATE BOARD OTHER STATE BOARD

Second Language* TAMIL HINDI

MATHS/PHYSICS/CHEMISTRY/BIOLOGY (A2) MATHS/PHYSICS/CHEMISTRY/COMPUTER SCIENCE (A3) PHYSICS/CHEMISTRY/BOTANY/ZOOLOGY (B) ECONOMICS/COMMERCE/ACCOUNTANCY/COMPUTER APPLICATION (C2) ECONOMICS/COMMERCE/ACCOUNTANCY/HISTORY (C3)

MATHS/PHYSICS/CHEMISTRY/BIOLOGY (A1) MATHS/PHYSICS/CHEMISTRY/COMPUTER SCIENCE (A4) ECONOMICS/COMMERCE/ACCOUNTANCY/COMPUTER APPLICATION (C1)

I declare that the particulars given above are correct to the best of my knowledge and that I will abide by the rules of the school. I am aware that admission obtained on false information or by supression of facts will be cancelled on detection at any time. The date of birth and the Name of the Community as entered above are correct and no alteration will be demanded in future.