M.Sc.(IT) APPLICATION FORM 2022-2023

Shift  * Course  *

PERSONAL INFORMATION

Student Name :  *
(As in UG Hall ticket)
Date of Birth :  *
Gender :  *
Religion :  *
Community :  *
Caste :
Nationality :  *
Blood Group :  *
Other Nationality :  *
Mode of Transport :  *
Marital Status :  *
Mother Tongue :  *
Mobile Number :  *
Other Mother Tongue :
Sports :  *
Sports Name :
if Other Sports :
Specify
Sports Level :
Activities/
Member of any club :
Native Place
(District) :  *
Other Activities :
Email ID :  *
Aadhar Card No :
Speak in Tamil
Read in Tamil :
Write in Tamil :
Do you have Passport :  *
If Yes, Specify the Passport number :
Hostel Accommodation Required (Only boys) :  *
Have you applied for any other course :
Have you Passed all the subjects in the first attempt in Under Graduation :
Proficiency in other fields(Arts,Music,Dance,etc.,) :
If Yes, Specify the fields :
UG Pursuing/Completed under madras university ? :  *
Are you from North East region :  *
Are you from other State :  *
Whether father / mother is a Non Resident India :  *
Whether Father or Mother working/worked in Defence Sector :  *
Do you belong to linguistic minority
(Gujarathi-Vaishnav,Maheshwari,Agarwal) :  *
Differently Abled (PWD) :
Only Passport Size Photo(png,jpg,jpeg) (10kb - 50kb , 3.5cm - 4.5cm)*
(Selfie photos are not eligible for the application
and Photo background must be white color)
:

(Enter your address in the correct fromat, Further changes will not be accepted in future)


TEMPORARY ADDRESS :*
  Same as Temporary Address

PERMANENT ADDRESS :

PARENT INFORMATION

Parent Name / Guardian  * Relation   * Occupation   * Education Mobile Number   * Email-ID Annual Income Father is Ex-Service Men(Y/N)

PREVIOUS EDUCATIONAL DETAILS

UG Degree of Student   *
Name of the institution last studied  *
Major Subject  *
Allied I  *
Allied II
Class/Degrees Studies  * Institution Name  * Govt/Aided/Private  * Board/University  * Year  * Percentage  *
(Major & Allied Subjects Only)
no need % symbol
 X Std   *
 XII Std   *
 I Year UG   *
 II Year UG   *
 III Year UG (up to Last
  Result announced)
 IV Year UG (up to Last
  Result announced)
 Other

ARREAR DETAILS

Total Arrear  *
Arrear Cleared  *
Arrear Pending  *

Achievements / Co-Curricular Activities : Inter-Collegiate Only

Co-Curricular Activities No.Of Competitions Participated No Of Prizes Won

Work Experience

Employer Designation Responsibilities Duration(in Year/Month)

I declare that all the particulars furnished above are true and correct (In case the furnished information is found to be incorrect later, the application/admission will be rejected).

  I hereby agree that I will abide by the rules and regulations of the college that are in force from time to time.I will follow the COVID-19 Protocal.

Disclaimer Policy:
1. Dwaraka Doss Govardhan Doss Vaishnav College will not store any of your Bank credentials / Card details, the system will redirect you to concerned Bank pages only to complete your transaction.
2. There is No refund(s) / No Cancellations / No charge backs are allowed for the transactions done through this channel.
3. In case of any dispute regarding the payments, you are requested to contact College administrator.
4. Transaction fees charged would be borne by cardholder for any payment .
5. Transaction fees charged would not be refunded/ reversed for any refund or reversal and chargeback of any transaction.


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