APPLICATION FOR ADMISSION 2016 - 2017

01. Name of the Candidate
(IN BLOCK LETTERS)
:
02. Name of the Parent/Guardian :
03. a) Address for communication :
Mobile Number :
Email :
04.Permanent Address :
05.Sex :  Male   Female
06.Date of Birth & Completed age on
1st July of the year of admission
:       Age :   
07.Social Status (Certificate to be
Produced from the Competent
Authority in case other than OC)
:
08.Religion :
09.Community :
10.Occupation of the Parent / Guardian :
11.Annual income of the Parent / Guardian :
12.Mother Tongue :
13.Nationality :
14.Details of Schooling SSLC, HSC
S.NoStandardName & Address Of The SchoolYear of Passing
1SSLC
2HSC
15.CERTIFICATE OF MARKS IN THE
QUALIFYING EXAMINATION
(a) Qualifying examination :
Name of the
School last studied with address
:
(b) Board :
(c) Details
HSC (Academic) / Equivalent MarksHSC (CBSE) MarksHSC (VOCATIONAL) Marks
Mathsout of200
Physicsout of200
Chemistryout of200
Mathsout of
Physicsout of
Chemistryout of
Subject 1: out of200
Subject 2:out of200
Subject 3:out of200
16. DEGREE :
18. CHOICE OF THE BRANCH :
I do herebyaffirm that I fully satisfy the conditions with regard to the eligibility and age as stipulated by the Government of Tamil Nadu. Also, I am fully aware that my admission is purely provisional and subject to the approval by the Directorate of Technicalo Education / Anna University. J.J Educational, Health and Charitable Trust will not be held responsible for the rejection of my candidature by the Directorate of Technicalo Education / Anna University at a later date for want of required eligibility.
17.   I Agree Terms & Conditions