ONLINE APPLICATION FORM - 2021 -22
RANE POLYTECHNIC TECHNICAL CAMPUS
NO 82, SETHURAPPATI VILLAGE, FATHIMA NAGAR,
TRICHY-12
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SELECT COURSE *
ADMISSION FOR *
NAME : *
DATE OF BIRTH *
MM
/
DD
/
YYYY
PARENT MOBILE NUMBER *
STUDENT MOBILE NUMBER
ADDRESS FOR COMMUICATION (RESIDENTIAL ) *
ADDRESS FOR COMMUICATION (PERMANENT) *
NAME OF THE PARENT / GUARDIAN *
MOTHER NAME *
PARENT OCCUPATION *
IF OTHERS PLEASE MENTION
PARENT'S ANNUAL INCOME *
RELIGION *
COMMUNITY *
CASTE *
NATIONALITY *
EDUCATION DETAIL *
NAME OF THE SCHOOL *
YEAR OF PASSING *
TOTAL MARK OBTAINED
EMAIL ID
AADHAR NO
COLLEGE TRANSPORT REQUIRED *
IF YES BOARDING POINT
REFERRED BY *
NOTE
Shortlisted candidates will be intimated by registered mobile number.

for further detail contact :
E mail : principal@ranepolytechnic.edu.in
Ph.no : +91 9489788197 , 8220052623, 8220017176
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