Date : 6 January,2009
Online Application Form [ Evening College ]
Please Enter the details [Student Name, Date of Birth, Father Name,Address,phone no] without errors. The information is used in hall ticket,id card,marksheet etc.
 1. Name :(as in H.Sc. Mark Sheet)
 2. Major :
 4. Part I Language :
 3. Part II Language :
 5. Date of Birth (dd/mm/yyyy) :
 6. Community & Caste :
 8. Nationality : If others :
 9. Native Place :
10. Religion :
11. (a) Father's Name   :
      (b) Mother's Name  :
      (c) Guardian Name (if any):  :
      (d) Relationship :  :
12. (a) Address1   : use space after comma
      (b) Address2  : use space after comma
      (c) Location :
if others,specify
      (d) City  :
      (e) Pin Code :    Phone :
      (f) E-Mail ID :
13. (a) Occupation of Parent/Guardian :
      (b) Full Official Address :
      (c) Official Pin Code :  Phone :
      (d) Annual Income of Parent Rs. :
14. (a) Name of the school last studied :
      (b) Address of School :
      (c) District of School : If Others, Specify
      (d) Board of Examination:
 15. If Physically handicapped specify :
 16. Are you daugther of exserviceman of TamilNadu Origin :
 17. Are you of Tamil Origin from Andaman/Nicobar Islands:
 18. Distinction in Sports/NCC/NSS:
 
Medium :                    MARKS                              Register No :   
Subject
 Marks
 Max.
Marks		 Month/Year
of Passing(mm/yyyy)		 No. of
Attempts
PART I:   
PART II: 
PART III: Subject
1.
2.
3.
4.
TOTAL    
 
Instructions: If you have more than 4 subjects for part 3 enter the most important subjects among them.
DECLARATION
                       1.  I declare that all the particulars above are true and correct
                       2.  I have read the prospectus completely
                       3.  I admit that I will abide by the rules and regulations of the college