ACASTAHs Sogmi - FSeCALSD Cos a VIVEKANANDA COLLEGE oe College with Potential for Excellence Residential & Autonomous — A Gurukula Institue of Life - Training Re-accredited with ‘A’ Grade (CGPA 3.59 out of 4.00) by NAAC Afflated to Madurai Kamaraj University Managed by Sri Ramakrishna Tapovanam, Tirupparaiturai, Trichy TIRUVEDAKAM WEST, SHOLAVANDAN R.S. - 625 234. MADURAI DISTRICT. website : www.vivekanandacollege.ac.in Email :principal@vivekanandacollege.org [Application No Eomtiame / Rend oPebud / ob acmlaciuc umagidd agtapep wsake Aub opp Shpe, Hensrascr SigiuenLudooncr uss LSSer Sp Conese fisted 20 - 20 APPLICATION FOR ADMISSION TO B.A. / B.Sc. / B.Com. Degree Programmes (Aided) Under Choice Based Credit System (CBCS) & Outcome Based Education (OBE) 20-20 Aesramiusens SoPGeon Sidog SyadasSGoon \pigS owiussomd Application can be filled either in Tamil or in English T. [aunt (pibipe ) Name (in English neapilisers Pfu ocigie Vom Win the relevant b sia wumd pie seit erin / Vin the relevant bor) mg80 aunt . Ses] Suet Sopiuews bea rion und |_Male_| Female | Transgender eos sciayb. Sex - Affix Passport size apis O58 |v |v | wf uf vi y[y Ty fsb Photograph here Date of Birth Religion (2tur 5c g8e Gamay / in the relevant box ) 4. ow. | Se. ip | Se. Apsgeut | erapsivethd | ise. | iv. |e648,8| ores gust| upmsegudernt gend | 0€ | BCOters| BC Christian | BC Mustim | mBc | pNc| sc | sca ST [Community 5. [ong [Skeni oir Caste |Aadhar No. 6, [F 2 ugs usta opp ex Name of the school & place where the candidate studied +2 7, [Gpdus seed eercoar eros National Academic Depository (NAD) No. 8. peG0 UBIpsmEn OUNBE Cpieflenonds GIGS Bwodfeooris ustofiuigiy SdOg Side Fencomusnergs - Sung ssdsfl epsop/ Smpled ssdefl epsop Mention the qualifying examination passed ‘ Higher Secondary Course or Equivalent - General Stream / Vocational Stream unLib cuh0 Bie) onks finde] eptaA cubo wrsiia@.] usa ane. | Cubaestor adiprend Subject Mark Secured | Maximuts Maa Month & Year of Passing Register No|erat hens] Nene ves 1 eompiunab Part-1- Language ues I Serko Part - Il - English ues TI - eacbeooiunca| Part - IIL Subjects = swnseib / Total 9. Cwafemrsiuciats sda wsemonsings (H) Siemerspl un misetgib Gaited Oubpicrafon? Sib / Bedronw Have you cleared all subjects of Higher Secondary Education Course First year (+1)? Yes/No 10, ssineoniuieid Umib ( 2fus acLsée> Veeiwayb / vin the relevant box ) Barkan | Bond Speius | Band accinatiwc es Mle 400 66 Supposoauae Arts Science Commerce Marks secured in Part IIT out of 40011. Beineriéei UMLSiMeysstr GAOL euflenetiing Programmes applied (in the order of preference) eer (@pcromDoLMLb S.No. Core Subject LuDyALoMp Medium of Instruction English 12. | piso / mir / ungisneueoit LUT Name of the Father / Mother / Guardian 13. Registered Agricultural Tenant / Government Employes erect pies | smi TugEaet - Saemud /Aeemus a6 Suge) OmiWUCL SHasmus es505gnni | Speier / seofumit ues | suCsmped / Osmfler Whether your Father / Mother / Guardian is a Farmer / Agriculture Labourer / / Private Employee / Businessman 14. | peen® egsonemd : @ Annual Income Rs. 1s, Gruss Geooondsiur Gauci) (Contificate to be enclosed) AsineoRLUBKT 21s CeoMEHOAIN? Spb cerfed aS peosu Seed pid epeAdisib aciron Whether the applicant is physically challenged? If yes, indicate type. What is the percentage ? 16. ‘Are you a son of Ex-S erviceman of Tamil Nadu Origin’? Pras sprees oni eperooner BongnesSoaich wesearr? 17. | oxiguner PAGonuMt Fasoter sAPesosF enigssaun? Are you of Tamil Origin from Andaman Nicobar Islands? 18. [efienorunc® / GeAu wremeit veo. / MG poole Bog Distinction in Sports / NCC / NSS sBm Oubp Aplus 19] aigsa000% apse Postal Address for Communication BeitGanG / Pi code! ‘@oeGudl/ M No. oybp [om‘soLs Geiiiseui / Nationality twmoow / State : transac wpeaufl/ E-mail ID I declare that all the particulars furnished above are true and c: and regulations of the college ifadmitted. LLG Beosmgsned Cunguorengy 20, Sopeetu caged Sooesgi> Rainoounenos wig sfunonsoss apd scdggnthide Gridscucr med scgiia ASSE5SECLLG BLIGLE cog & gus sapySEpss. SPY: Aeinemigsgien usu LeQusd, anf snetfled wp wapys enoipppsatiesr paces Note: Copy of Mark Sheet, Community Cerificate and Transfer Certificate only to be enclosed with the application. Bub Place : spain = ibe / smi / ungisneoi sosswmid Bciwsomiugesi eoscwnbs Date Signature of the Father / Mother / Guardian Signature of the Applicant correct. I assure that I shall abide by the rules SQIAes LuGuTRss Hem For Office Use Onk Certificate Verified Orders of the Principal : sree) sflumisecucigs & weGib Application received on| Intimation card sent on Date of Admission Programme: HSC Marks Community Core: Certificate ‘Transfer Allied : Certificate Conduct ipal’s Certificate Signature + Special Category Admission No. Roll No.