Online Application MGRJANAKI College

APPLICATION FORM FOR ADMISSION 2024-2025

Programme Applying For

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Programme

Degree

Please Select Degree

Personal Information

Name in full(To be filled in block letters)

Please Select Name

Expansion of Initials

Please Enter Expansion of Initials

Mobile Number

Please Enter Mobile No

Residential Address 1

Please provide a valid Residential Address.

Residential Address 2

Please provide a valid Residential Address.

Pincode

Please provide a valid Residential Address.

Please Enter Email Id

Date Of Birth

Please select Date of Birth

Religion

Please select a religion.

Other Religion

Please Enter other information

Nationality

Please Select Nationality.

Community

Please Select Commuity

Mother Tongue

Please Enter Mother Tongue

Education Information

Name of the School last studied

Please provide a name of the school last studied.

Medium of instruction

Please enter medium of instruction

PART I LANGUAGE

Please select language

Board

Please select board of examination

Exam register number

Please enter register number

Year of course completed

Please provide a Year of passing the examination.

SUBJECT		MAX. MARKS	MARKS OBTAINED	MONTH & YEAR OF PASSING
PART I LANGUAGE
PART II LANGUAGE
MAIN SUBJECTS

Parents Information

Father's / Guardian's details

Father's Name

Please provide a Father's name.

Official address

Please provide a valid official address

Father's occupation

Please enter father's occupation

Father's annual income

Please father's annual income

Mobile number

Please enter mobile no

Mother's details

Mother's name

Please provide a mother's name.

Official address

Please provide a valid official address

Mother's occupation

Please enter mother's occupation

Mother's annual income

Please enter mother's annual income

Mobile number

Please enter mobile no

Sports and Games Information

Sports / Games Activities

Differently Abled ?

Yes

Please Choose Are You Physically Handicapped ?

Ex-Serviceman Quota ?

Yes

Please Choose Ex Serviceman Quota ?

Any Other Courses applied for in this college ?

Yes

Please ChooseOther Courses applied for in this college ?

Declaration

I declare that my admission is at my own risk and is provisional. It is subject to the approval of the University of Madras. If, for any reason, I am found ineligible, I will not hold the College responsible. I also declare that the particulars given above are correct.