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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)
Select relationship
Father
Mother
Guardian
3. Communication Address
Select State
Tamil Nadu
Kerala
Telungana
Karnataka
Andhra pradesh
Pudhucerry
4. Reg. No. of HSc Examination
?
5. Gender
Male
Female
6. Date of Birth
7. Community
OC
BC
BCM
BCC
MBC
DNC
SCA
SC
ST
Other
8. First Graduate (Only for Tamil Nadu Students)?
YES
NO
9. Proficiency in Sports/ Games
Select One
National Level
State Level
District Level
Not applicable
ACADEMIC INFORMATIONS
10. School of Study
S.No.
Class
Year of Passing
Name of the School
Place 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)
Subjects
Year of Passing
Maximum Marks
Marks Obtained
Physics (P)
Chemistry (C)
Mathematics (M)
B) HSC (Vocational)
Subjects
Year of Passing
Maximum Marks
Marks 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.
Select your first choice
Bio Technology
Chemical Engineering
Computer Science and Engineering
Electronics and Communication Engineering
Electrical and Electronics Engineering
Mechanical Engineering
II.
Select your Second choice
Bio Technology
Chemical Engineering
Computer Science and Engineering
Electronics and Communication Engineering
Electrical and Electronics Engineering
Mechanical Engineering
III.
Select your Third choice
Bio Technology
Chemical Engineering
Computer Science and Engineering
Electronics and Communication Engineering
Electrical and Electronics Engineering
Mechanical Engineering
18. Hostel facilities required
Yes
No
19. Transport facilities required
Yes
No
PAYMENT INFORMATIONS
Account Name:
St. Michael College of Engg & Tech
Bank Name:
Indian Overseas Bank
Branch Name:
Kalayarkoil
Account No:
187201000000502
IFSC Code:
IOBA0001872
20. Fee Paid Details
Transaction Type
Transfered Amount
Date of Transaction
UTR / CHEQUE / RECEIPT (Transaction Refernec Number)
Select One
NEFT / RTGS
CARD PAYMENT
CHEQUE
CASH
