VIDHYA SAGAR WOMEN'S COLLEGE CHENGALPATTU
APPLICATION FORM - UG & PG
STUDENT NAME *
COURSE *
PART I - LANGUAGE *
PART II - LANGUAGE *
DATE OF BIRTH (MM/DD/YYYY) *
MM
/
DD
/
YYYY
NATIONALITY *
RELIGION *
COMMUNITY & CASTE *
NATIVE PLACE
AADHAR NUMBER *
FATHER'S NAME *
MOTHER'S NAME *
GUARDIAN'S NAME & RELATIONSHIP *
ADDRESS FOR COMMUNICATION *
STUDENT MAIL ID *
MOBILE NUMBER - FATHER *
MOBILE NUMBER - MOTHER
MOBILE NUMBER - STUDENT *
OCCUPATION OF PARENT / GUARDIAN *
ANNUAL INCOME OF PARENT *
OFFICE ADDRESS *
OFFICE PHONE NUMBER *
NAME OF SCHOOL/COLLEGE LAST STUDIED *
ADDRESS OF SCHOOL/COLLEGE *
DISTRICT OF SCHOOL /COLLEGE *
BOARD OF EXAMINATION *
ARE YOU A FIRST GRADUATE. *
IF PHYSICALLY HANDICAPPED SPECIFY *
IS YOUR FATHER AN EX-SERVICEMEN OF TAMILNADU ORIGIN *
ARE YOU OF TAMIL ORIGIN FROM ANDAMAN OR NICOBAR ISLANDS *
DISTINCTION IN SPORTS OR NCC OR NSS *
FACILITY REQUIRED
Clear selection
IF COLLEGE BUS, SPECIFY THE PLACE OF BOARDING APPROXIMATELY
MEDIUM +2
Clear selection
XII REGISTER NUMBER *
MARKS OBTAINED IN XII - MARK SHEET CAN BE SUBMITTED AT THE TIME OF ADMISSION
HOW DO YOU KNOW ABOUT VIDHYA SAGAR WOMEN'S COLLEGE *
DECLARATION *
Required
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