Name:

Date of Birth:

Gender:
MaleFemale

Nationality:

Caste:

Community:
SelectOCBCOBCMBCDNCSCST

Father's Name:

Mother's Name:

Guardian Name & Relationship:

Annual Income:

Student's Aadhaar No:

Address for Communication:

Pincode:

Mobile Number:

Are you Physically Challenged?
YesNo

Are You Son/Daughter of an Ex-Service Man of Tamilnadu Origin?
YesNo

Distinction In Sports/NCC/ NSS:

Name & Location of School Last Studied:

E-mail Id: