Name of the Student: *

Presently Studying School Name and Address: *

Presently Studying Class *

Class Applied For : *

EMIS No :

Email ID:

Medium of Instruction*
Tamil English

Date of Birth*

Gender*
Male Female

Student Aadhaar Card No

Select Father or Mother Aadhaar Card*
Father Mother

Father or Mother Aadhaar Card No*

Mother Tongue*

Nationality*

Religion*

Caste*

Community*
SC ST MBC BC BC(M) OC OTHERS

Father’s Name *

Father’s Qualification

Father’s Occupation & Designation

Father’s Annual Income

Father’s Contact No :

Mother’s Name *

Mother’s Qualification

Mother’s Occupation & Designation

Mother’s Annual Income

Mother’s Contact No :

Address for Communication :*

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