Application Form

Name of the Candidate - English

Name of the Candidate - Tamil

Name of the Father

Occupation of the Father

Mobile No.

Name of the Mother

Occupation of the Mother

Mobile No.

Family Annual Income

Address for Communication

Phone No.

E-mail (required)

Blood Group

Sex

Male Female Transgender

Date of Birth

Nationality / Religion

Community

Caste

Aadhar No.

School of Study

SI.No	Class	Reg No	Total Marks Obtained	% of Marks	Year of Passing	Name of the Institution & Place	Name of the Board
1.	X
2.	XII
3.	Diploma

Medium of Instruction

Part 1 Language

Whether belong to following Category - Please Tick (If yes, Enclose the certificate)

Physically handicapped	YES	NO
Son/ Daughter of Ex-Service man of TN Origin	YES	NO
Distinction in sports/ NCC/NSS	YES	NO

16. Whether Hostel accomodation is required: Yes No