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College Admission
Date :
Name of the pupil :
(in block letters)
Attach Passport size photograph :
Age :(on July 1st)
Date of birth :
Date
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
March
April
May
June
July
Aug
Sep
Oct
Nov
Dec
Year
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Nationality :
Religion & Community :
Gender :
SELECT
Male
Female
Mother Tongue :
Particuculars
Father
Mother
Guardian
Name
Educational qualification
Occupation / post held
Place of Birth:
Residential Address :
Phone No. :
Resi
Office
Qualification
Year of Passing:
Name of the Institution:
Place:
Extra Curricular Activities
(hold 'ctrl' for multiple select)
Sports
N.C.C.
N.S.S.
Others
Marks Obtained in SSLC
Subject
Marks
Out of
Tamil
English
Social Science
Maths
Science
Mention the Trade
Details of Registration Fee :
DD Date :
Bank Name :
DD / Challan No :
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