Thangam-Muthu Polytechnic College, Periyakulam - 625604. Cell: 9843835761, 8838148835
Admission Application Form - 2020-21
Name of Applicant *
Date of Birth *
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/
DD
/
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Mobile No. *
Aadhar Number *
Gender *
Name of the Parent / Guardian *
Door No. & Street
Name of City / village *
Taluk *
District *
PIN *
Mother Tongue *
Religion *
Community *
Caste *
Parent Annual Income
Passed in *
Name of the School / Private *
Register / Roll No. *
Marks Obtained
Maximum Marks
EMIS Number
Year of Passing *
Application for
Clear selection
Application for the Course *
Declaration *
The above information furnished by me is true and correct to best of my knowledge and I agreed to abide by the all rules and regulation as and now in force and also those that may be introduced from time to time
Required
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