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ADMISSION FORM

Student's Name Contact No
Gender Female Email
Date of Birth Age
Caste
Community SC SC(A) ST MBC DNC BC BC(M) BC(C) OC
Nationality Religion
Name of the Parent/Guardian
Occupation Annual Income
Permanent Address
Name & Location (District of School Studied)
If physically handicapped Yes No Specify: Are you son /Daughter of Ex.Serviceman of Tamilnadu origin/Are you a Tamil Origin from Andaman Nicobar islands? Distinction/Sports/NCC/NSS
Qualifying Examination Passed Yes Equivalent
Department
Note: If you don't have MARKSHEET,type '000
Academic Qualification
Subjects Maximum
Marks		 Marks
Awarded		 Month/Year of
Passing		 Register.No
 No. Of
Attempts
Part I: Tamil/Malayalam/Hindi
Part II: English
Part III
1.
2.
3.
4.
Total