Professional Documents
Culture Documents
PERSONAL INFORMATION
Active participation
Sports Name/Level : / :
in any club
Have you applied for any other course in our college : Yes
Are you from Tamil Nadu Origin Currently Living in Andaman and Nicobar
: No
Islands
CONTACT DETAILS
Temporary Address Permanent Address
NO.26/29, BAJANAI KOVIL STREET, MELMANAGAR, NO.26/29, BAJANAI KOVIL STREET, MELMANAGAR,
POONAMALLEE, TIRUVALLUR-600056 POONAMALLEE, TIRUVALLUR-600056
PARENT INFORMATION
No
Govt/Aided/Private/Matri
Class Institution Name Medium Board Stream
c
Month
Register Govt/Aided/Private/ and
Class Institution Name Medium Board Stream
Number Matric Passed
Year
Ebenezer Jaganath
X 2869126 English Private-Matric State Board Regular 2021
Marcus Mat Hr Sec School
Ebenezer Jaganath
XI 2795680 English Private-Matric State Board Regular 2022
Marcus Mat Hr Sec School
Ebenezer Jaganath
XII 7792023 English Private-Matric State Board Regular 2023
Marcus Mat Hr Sec School
X SUBJECT DETAILS
English 100
Language 100
Maths 100
Science 100
Social 100
X Subtotal(without language & English) : 0 X Subtotal Percentage(%) : 0.00 X Total(with language & English) : 0 X
Percentage(%): 0.00
XI Subtotal(without language & English) : 220 XI Subtotal Percentage(%) : 55.00 XI Total(with language & English)
: 356 XI Percentage(%): 59.33
XII Subtotal(without language & English) : 302 XII Subtotal Percentage(%) : 75.50 XII Total(with language & English)
: 429 XII Percentage(%): 71.50
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.