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Affiliated to Madurai Kamaraj University
SF No. 963, Rajapalayam Raod, Chatrapati - 626 102
Application Form - P.G Courses
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Mandatory Fields
Personal Information
Course Applied
Select Course
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M.A
M.Sc
M.Com
Student Name
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Date of Bith
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Religion
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Community
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Caste
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Nationality
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Blood Group
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A Positive
A Negative
A Unknown
B Positive
B Negative
B Unknown
AB Positive
AB Negative
AB Unknown
O Positive
O Negative
O Unknown
Unknown
Email Address
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Marital Status
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Married
Single
Widowed
Separated
Divorced
Mobile Number
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Native Place
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Aadhar Card No
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Hostel Accomodation Required
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Yes
No
Are you from other state
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Yes
No
Differently Abled
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Yes
No
Have you passed all the subjects in the first attempt in UG
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Yes
No
Contact Details
Temporary Address
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Permanent Address
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Parent Information
Parent/Guardian Name
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Relation
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Occupation
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Education
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Mobile Number
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Email ID
Annual Income
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Father is Ex Service Men
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Yes
No
Previous Educational Details
UG Degree of Student
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Name of the institute last studeied
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Major Subject
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Allied I
Allied II
Class/Degrees Studies
Institution Name
Board/University
Year
Percentage
X
XII
I Year UG
II Year UG
III Year UG (Upto last result announced)
IV Year UG(Upto Last Announced)
Other
Arrear Details
Total Arrear
Arrear Cleared
Arrear Pending
Work Experience
Employer
Designation
Responsibilites
Duration(in Year/Month)
Reason for leaving the job
