ST. THERESA'S ARTS AND SCIENCE
COLLEGE FOR WOMEN
Santhankudi, Tharangambadi, Mayiladuthurai Dist - 609 313
அரசாணை (நிலை) எண் : 253
APPLICATION FOR ADMISSION TO POST GRADUATE PROGRAMMES
Application No:
COURSE APPLIED :
Attested
Photograph
Photo size: 10 KB - 300 KB
1. Name (in Block letters) English
Name (in Block letters) Tamil
2. Name of the Father
Occupation of the Father
Mobile No.
Name of the Mother
Occupation of the Mother
Mobile No.
Family Annual Income
3. Address for Communication
Phone No :
E-Mail :
4. Blood Group :
5. Sex :
Male
Female
6. Date of Birth :
(DD/MM/YYYY)
7. Nationality / Religion
8. Community
GENERAL / OC / BC / MBC / DNC / SC / ST
9. Name of the Caste
10. Aadhaar No. (Enclose the Copy)
Upload Aadhaar Card
11. Exams Passed
Sl.No. Class/Course Reg No % of Marks Year of Passing College/Studied Board / University
1. UG
2.
12. Whether Hostel Required : YES
NO
13. Details of Part I / Part II
Part Subject Total Percentage of Marks
I Part I - Tamil
II Part II - English
DETAILS PART - III SUBJECTS ONLY (PART IV & PART V SUBJECTS NOT REQUIRED)
S.No. Name of the part III Subjects Year and Month of Passing the exam Marks Sec Out of
Total
Percentage (%)
14. Upload Documents (if available)
Please upload as Images (JPG/PNG). Mark sheets: 50 KB - 2 MB. Certificates/proofs: 20 KB - 1 MB. Select checkbox to enable.
DECLARATION BY THE APPLICANT

I declare that all the particulars furnished in this application are true and correct. I assure you that I will abide by the rules and regulation of the college.

Signature of the Parent / Guardian
வழிகாட்டி / பாதுகாவலர் ஒப்பம்
Signature of the Applicant
விண்ணப்பதாரர் ஒப்பம்
Place : Santhangudi
Date :
OFFICE USE ONLY

Originals Verified (Tick ✓)

10th Mark
12th Mark
UG Mark
UG Prov.
T.C. Cert.
Community
Conduct
Passbook
Admission Incharge
Convener Admission Committee
Principal

Check all details carefully before submitting.

Use this version for official records.