|
| Personal
Details |
| Title * |
Select the relevant option from the dropdown. |
| Candidate Name (To be written with initials at the end as printed in HSC/SSC Mark sheet) * |
Please
Enter Name as in HSC/SSC Mark sheet with initials at the end. |
| Date of birth * |
The format is
dd-mmm-yyyy
(e.g..19-Feb-1981) |
| Gender * |
Select the relevant option. |
| Religion * |
Select the relevant option from the dropdown. |
| Community * |
Select the relevant option from the dropdown. |
| Nationality* |
Select the relevant option from the dropdown. |
| Mother Tongue* |
Select the relevant option from the dropdown. |
| Present
Address |
| Address Line 1 * |
Enter your Door number,
apartment number |
| Address Line 2* |
Enter your Street Name. |
| Address Line 3* |
Fill the locality Name. |
| City * |
Enter your city / town name. |
| State * |
Select the relevant option from the dropdown.
|
| Pin code* |
Please fill only numeric
characters (0-9). Do not leave spaces in between. |
| Phone Number (with STD code)For Eg.04465420117 |
Give your contact number with STD code. Do not leave any space in between the numbers |
| Mobile Number |
If you have any mobile
number fill in this column. |
| Email ID * |
Fill your full email
address; for e.g [email protected]
.Don�t use email id of other persons. |
| Retype Email ID* |
Please retype the
Primary Email ID |
| Native District (If Tamilnadu)* |
Select the relevant option from the dropdown. |
| Native State or Union Territory* |
Select the relevant option from the dropdown. |
| Is Permanent address same as
Present Address? * |
If its same select
YES, If its NO, you have to fill your permanent address in the
fields that appear. |
| Educational Details |
| Civic Status of School Last Studied* |
Select the relevant option from the dropdown. |
| Board of Qualifying Examinations* |
Select the relevant option from the dropdown.- |
| Medium of Instruction* |
Select the relevant option from the dropdown. |
| Proficiency level in Sports* |
Select the relevant option from the dropdown. |
Test City Details |
| Choice of Entrance Examination Centre* |
Select your prefered choice of exam centre |
Marks in 12th Standard/Equivalent Exam
(enter if marks are available otherwise enter the marks after the publication of results and save) |
| Enter your mathematics marks obtained in the 12th Std* |
Enter your mathematics marks obtained in the 12th Std. |
| Total Marks* |
Enter the maximum marks for Mathematics. |
| Enter your physics marks obtained in the 12th Std* |
Enter your physics marks obtained in the 12th Std. |
| Total Marks* |
Enter the maximum marks for Physics. |
| Enter your chemistry marks obtained in the 12th Std* |
Enter your chemistry marks obtained in the 12th Std. |
| Total Marks* |
Enter the maximum marks for Chemistry. |
Details of the Qualifying Examination |
| Qualifying Exam* |
Enter the Qualifying Exam you have undertaken (for ex:HSC). |
| Register Number* |
Mention your Register Number of the Qualifying Exam. |
| Name of the School* |
Mention the name of your School. |
| Address of the School* |
Mention the address of your School. |
| Month and Year of Passing (For ex:Apr 2010)* |
Enter the month and year of passing (For Ex Apr 2010). |
Family Details |
| Name of the Father/Guardian* |
Enter the name of your Father/Guardian. |
| Parent/Guardian Occupation* |
Choose the appropriate option from the dropdown. |
| Parent/Guardian Total Annual Income* |
Select the Annual Income of your Parent/Guardian from the drop down provided. |