STUDENTS INFORMATION
1. Namne of theStudent:
2. Name inTamil :
3. Register number :
4. Date of Birth
S. State: T.N,or Other State:
6. Nationality
7. Blood Group :
8. Religion :
9. Community : OC BCH| BCM BCC MBC SC ST DNC
Caste (Sub Set) :
10, Residential Address :
11. Are you Physically Challenged : YES /NO
12. Are you Staying in Hostel
13. Mobile number
14. Email (Personal)
15. Aadhar number
16. Bank Details : Alcno: IFSC Code :
Name of the bank:
17. Marital Status : Married Unmarried
18. Date of Admission
19. Whether studied in: Govt Govt Aided Private
20. Name of the School Last Studied:
with Address
21. Higher Secondary Marks : Percentage:
22. Language Taken in +2:
23. Extra-Curricular Activities: Sports NCC NSSOthers
24. Sports (Free Seat) :
25. University free Seat
26. First Generation Leamer : YES/NO
27. UMIS number :
28. EMIS number :
PARENTS' INFORMATION
30. Father's Name
31. Father's Name in Tamil :
32. Father's Occupation : Income :
33. Father's Office Address
34. Father's Mobile number Father's EmailID:
35. Mother's Name :
36.Mother's Occupation Income:
37.Mother's Mobile number : Mother's Email ID:
38. No. of Siblings :
39.Guardian Name Guardian Relationship:
40.Guardian Occupation : Guardian Mobile number:
41.Guardian Email ID : Annual Family Income:
Signature: Family Photograph