Roll Number

Enter your RollNo

Name(Block Letter)

Enter your Name

Gender

Male

Female

Other

Select your gender

DOB

Select your DOB

Photo

Upload your Photo

Aadhaar Number

Enter your Aadhaar Number

Department

Select Department

Medium

Enter the Medium

Class

Enter the Class

Shift

Enter the Shift

ID Card & Fees Bill Xerox enclosed

Yes

No

Select any one option

Father Name

Enter your Father Name

Mother Name

Enter your Mother Name

Community

SC

ST

SC(A)

BC

MBC

DNC

Select any one option

Caste

Enter your Caste

First Graduation

Yes

No

Select any one option

SSLC Register Number

Enter your SSLC Register No

HSC Register Number

Enter your HSC Register No

Bank Details

Bank Details (Bank Pass Book Xerox Copy Should be Enclosed and MICR, IFSC Codes are Must.)(CENTRAL BANK OF INDIA and KARUR VYSYA BANK (TRIPLICANE BANCH)ACCOUNT ONLY ELIGIBLE)

Bank Name*	Enter your Bank Name
Account Number	Enter your Account Number
Branch	Enter your Branch Name
MICR	Enter your MICR
IFSC	Enter your IFSC

Father Occupation

Enter your Fathers Occupation

Annual Income

Enter your Father Annual Income

Income Certificate original should be enclosed

Yes

No

Select any one option

Last Year Attendance Certificate (original enclosed)

Yes

No

Select any one option

Permanent Address

Enter your permanent Address

Taluk

Enter your Taluk

District

Enter your District

Pin code

Enter your Pin code

Mobile Number

Enter your Mobile Number

Email Id

Enter your Email Address
Enter your Email Address

Staying at Hostel

Yes

No

Select any one option

Last / Previous Year

Yes

No

Select any one option

Current Year

Yes

No

Select any one option

Date of Joined in Hostel* Date of Joined in Hostel

Enter your Hostel address

Hostel Address

Enter your Hostel address

Scholarship Registration