Thangam-Muthu Polytechnic College, Periyakulam - 625604. Cell: 9843835761, 8838148835

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Admission Application Form - 2020-21

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Name of Applicant *

Date of Birth *

YYYY

Mobile No. *

Aadhar Number *

Gender *

Male

Female

Name of the Parent / Guardian *

Door No. & Street

Name of City / village *

Taluk *

District *

PIN *

Mother Tongue *

Tamil

Telugu

Malayalam

Kannada

其他：

Religion *

Hindu

Muslim

Christian

其他：

Community *

Caste *

Parent Annual Income

Passed in *

SSLC (10th)

HSC (A)

HSC (V)

ITI (2 Years)

Name of the School / Private *

Marks Obtained

Maximum Marks

EMIS Number

Year of Passing *

Application for

First Year

Lateral Entry (Direct Second Year)

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Application for the Course *

Mechanical engineering - DME

Automobile Engineering - DAE

Electrical and Electronics Engineering - EEE

Computer Engineering - CT

Mechanical Engineering(Tool&Die) - DME(Tool&Die)

Declaration *

The above information furnished by me is true and correct to best of my knowledge and I agreed to abide by the all rules and regulation as and now in force and also those that may be introduced from time to time

I agree the above Terms and conditions of College and DOTE

必填

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