St.Charles College of Arts and Science, Application Form (2021-2022)
Eraiyur, Ulundurpet Tk, Kallakurichi Dt - 607201.
Mobile:6382224903
1. COURSE APPLIED FOR *
2. NAME OF THE APPLICANT (In English) *
பெயர்(தமிழில்) *
3. NAME OF THE FATHER( In English) *
தந்தை பெயர்(தமிழில்) *
4. DATE OF BIRTH *
MM
/
DD
/
YYYY
5. GENDER *
Required
6. BLOOD GROUP *
7. COMMUNITY(AS IN TC) *
SUB CASTE *
8. RELIGION *
9. NATIONALITY *
Required
10. DIFFERENTLY ABLED *
11. NAME OF THE SCHOOL LAST STUDIED *
12. MEDIUM OF INSTRUCTION IN +2 *
13. BOARD OF EXAMINATION PASSED *
Required
14. YEAR OF PASSING (+2) *
NO.OF. ATTEMPTS
REGISTER. NO *
15. MARKS OBTAINED IN +2 ( Eg: English-80,Tamil-85,Phy-90,Che-95,Bio-99....Total=475) *
16. EXTRA CURRICULAR ACTIVITIES
Clear selection
17. MY TRAVEL TO THE COLLEGE
HOSTEL NEEDED *
Required
18. PARENT'S DETAILS
FATHER'S EDUCATION *
FATHER'S OCCUPATION *
FATHER'S ANNUAL INCOME(Rs.) *
MOTHER'S EDUCATION
MOTHER'S OCCUPATION
MOTHER'S ANNUAL INCOME(Rs.)
19. PERMANENT ADDRESS (Eg: DOOR NO,STREET,VILLAGE,PINCODE, TALUK, DISTRICT) *
MOBILE NUMBER *
MAIL ID
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