Arts & Science college

THIRUVALLUVAR ARTS & SCIENCE COLLEGE - WOMEN

APPLICATION FORM FOR REGISTRATION

Application Number:

Admission Number:

Indicate The Preference

NAME

DATE OF BIRTH

Religion

Nationality

Caste

MBC

DNC

SC/ST

Certificate Number

Community:

Marital Status:

Single

Married

Name of the Father

Name of the Mother

Name of the Guardian

Occupation and Annual income of the Parent / Guardian

Name of the School Last Studied

Year of Completion of Higer Secondary

Place & District to which the applicant belong

Mother Tongue

Whether the applicant requires Hostel Accommodation?

Yes

Whether the applicant was the recipent of any fee Concession (or) Scholarship or other aid from the institution last studied ?

Yes

Whether the applicant has represented her school in sports / NCC / NSS(Attach details)

Yes

Differently abled (enclose details)

Yes

Beneficiary of Ex - Service man Quota ( Enclose details )

Yes

ADDRESS:

Pin Code :

Mobile No :

Phone No:

E.mail :