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St. Michael College of Engg. & Tech.
Application No. 2020241

1. Name of the Student (in block letters with initial at the end)

2. Name of the Parent/ Guardian (if Guardian, state relationship)

3. Communication Address

4. Reg. No. of HSc Examination

?

5. Gender

6. Date of Birth

7. Community

OC BC BCM BCC MBC DNC SCA SC ST

8. First Graduate (Only for Tamil Nadu Students)?

YES NO

9. Proficiency in Sports/ Games


ACADEMIC INFORMATIONS

10. School of Study

S.No.ClassYear of PassingName of the SchoolPlace of study% of Marks
1 X Std
2 HSc/Equivalent

11. Qualification of examination

(A) HSC Academic HSC Vocational CBSE
(B)

12. Medium of instruction

Tamil English Other

13. Marks in the qualifying Examination

(a) HSC(Academic/ Equivalent)
SubjectsYear of PassingMaximum MarksMarks Obtained
Physics (P)
Chemistry (C)
Mathematics (M)
B) HSC (Vocational)
SubjectsYear of PassingMaximum MarksMarks Obtained
Related subject I
Related subject II
Theory
Practical I
Practical II

14. Citizenship

Indian Other

15. Religion

Hindu Christian Muslim Other

16. Mother Tongue

Tamil Hindi Kannada Malayalam Telugu Other

17. Choice of Branch of Study

I.   
II. 
III.

18. Hostel facilities required

Yes No

19. Transport facilities required

Yes No

PAYMENT INFORMATIONS

20. Fee Paid Details

Account Name:St. Michael College of Engg & Tech
Bank Name: Indian Overseas Bank
Branch Name:Kalayarkoil
Account No:187201000000502
IFSC Code:IOBA0001872
Transaction TypeTransfered AmountDate of TransactionUTR / CHEQUE / RECEIPT
(Transaction Refernec Number)