THIRUMALAI POLYTECHNIC COLLEGE, KILAMBI, KANCHIPURAM.

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ADMISSION ENQUIRY FORM

FIRST NAME *

LAST NAME *

GENDER *

MALE

FEMALE

FATHER NAME *

MOTHER NAME *

ADDRESS FOR COMMUNICATION *

MOBILE NUMBER:1 *

MOBILE NUMBER:2

EMAIL ID

DATE OF BIRTH *

YYYY

RELIGION *

HINDU

CHRISTIAN

MUSLIM

OTHERS

COMMUNITY *

MBC

SC/ST

SELECT THE COURSE TO JOIN *

DIPLOMA IN CIVIL ENGINEERING

DIPLOMA IN MECHANICAL ENGINEERING

DIPLOMA IN ELECTRICAL AND ELECTRONICS ENGINEERING

DIPLOMA IN ELECTRONICS AND COMMUNICATION ENGINEERING

DIPLOMA IN COMPUTER SCIENCE ENGINEERING

ADMISSION IN *

FIRST YEAR

LATERAL ENTRY

FOR FIRST YEAR

MARKS SECURED IN 10th

FOR LATERAL ENTRY

MARKS SECURED IN +1

FOR LATERAL ENTRY

MARKS SECURED IN +2

MECHANICAL WORKSHOP

JOB FAIR

PLACEMENT

SPORTS DAY

REGIONAL KABBADI TOURNAMENT

CULTURALS

Declaration *

Hereby I declare that all the above statements are correct to my knowledge.

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