Periyar Centenary Polytechnic College Admission Registration form (2022-23)                (First year and lateral Entry)
PERIYAR NAGAR, VALLAM-613 403-THANJAVUR
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Name of the candidate *
Father's/Mother's/guardian's name(any one) *
Date of birth *
MM
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DD
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YYYY
Address for communication *
Contact mobile number of the candidate *
Email Id *
Contact mobile number of the Father/Mother/guardian(any one) *
EXAMINATION PASSED *
Year of passing(month and year) *
HSC/SSLC/ITI Marks
Which course do you want to get admission? *
Looking for admission *
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