APPLICATION FOR PG ADMISSION 2022-23 Course Desired ---M.Sc (Information Technology)M.Sc (Mathematics)M.Com (Computer Applications)M.Sc (Computer Science)M.A(English Literature)M.Sc (Environmental Science)PG Diploma in Data Science Name in Block Letters as entered in H.S.C or any equivalent Examination Email Date of Birth as entered in H.S.C Nationality State: Tamil NaduOther State If other state, Eligibility Certificate has to be produced at the time of Admission* Religion Community Caste Aadhar no of applicant Blood Group Parents Details Parent Details Office Contact Details Parent: Father Name: Mother Name: Occupation: Annual Income: Address Phone Number Mobile Number Guardian: Name: Occupation: Annual Income: Address Phone Number Mobile Number Address for Communication Door no / street Village / City District Pincode Mobile No. to which SMS to be sent Student Mobile Number/ WhatsApp Number Physically Handicapped, if yes details: Tamil Origin from Andaman & Nicobar: yesno Daughter of Ex-Service Man: yesno Sports, if yes (level & details) yesno NCC YesNo NSS YesNo Hostel Accommodation required? yesno Transport facility required? yesno Location : Name of the College last studied Name of the Degree in UG Month & Year of Passing Semester GPA Part-I Part-II Part-III I Semester II Semester III Semester IV Semester V Semester VI Semester CGPA Declaration I declare that all the particulars furnished above are true and correct. I submit that I will abide by the rules and regulations of the college. If the particulars furnished above are not true, I agree that my admission stands cancelled automatically.