Application Form:
DIPLOMA IN
Admission Type :
1. (a) Name of the Student(in Block Letters) :
(b) Name of the Father/Guardian :
(c) Name of the Mother :
(d) Address for Communication(D.no and street) :
(e) Area :
(f) City :
(g) District :
(h) Pincode :
(i) Phone res :
(j) Mobile :
(k) Email :
If you have Same Address. Please Checked
2.(a) permanent Address(D.no and street) :
(b) Area :
(c) City :
(d) District :
(e) Pincode :
(f) Phone No :
(g) Aadhaar No :
3. Gender :
4. Date of Birth(Christian Era)
(as found in SSLC or its equivalent certificate)
:
5. (a) Name of the Community) :
(b) Other State :
(c) Caste :
(d) Nationality :
(e) Native District :
(f) Place of Birth :
(d) Mother Tongue :
6.(a) Sl.No.of the Certificate :
(b) Designation of the Officer Issued the
Certificate with Date
:
(c) Examined Passed :
(d) Month and Year of Passing :
If you have Same Year of passing All subject. Please click Checked
7. (a) First Year Admission
(b) Marks Obtained in SSLC/Equivalent Examination
(False information will lead to cancellation of Admission and Criminal Action)
Sl.NoSubjectMarksMonth and Year of Passing
ScoredMaximum
(I)Tamil or any other Language
(II)English
(III)Mathematics
(IV)Science
(V)Social Science
(VI)Elective (if any)
(VII)Total
8.(a) Second Year Admission
(b) Marks Obtained in HSC/Equivalent Examination
HSC(Academic Marks)HSC(Vocational Marks)I.T.I(2 Years)NCVT
Part I Tamil or Language :out ofPart I Tamil or Language :out ofTrade Practical :out of
Part II English :out ofPart II English :out ofTrade Theory :out of
Part III Maths :out ofPart III Maths :out ofWorkshop Calculation and Science :out of
Physics :out ofPhysics :out ofEngineering Drawing :out of
Chemistry :out ofChemistry :out ofEmployability Skills :out of
Elective :out ofName of the Vocational Course :Total :out of
Total :out ofTheory :out of
Practical I :out of
Practical II :out of
total :out of
9.Details of Previous Studies
Sl.NoClassMonth and Year of PassingSSLC Matriculation H.S.C.Reg.NoName of the school and Address
1.IX Std
2.X Std
3.HSC/Equivalent
4.ITI
:
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DECLARATION BY THE APPLICANT

I am hereby solemnly declare that the information furnished in the statements given in the application,and the enclosures are true, correct and complete,I further declare that should it be found otherwise, I will be liable to forfelt my seat and or removal from the rolls of the Institution at whatever stage of study I may be,besides making me liable for Criminal Prosecution.