APPLICATION FOR ADMISSION TO Thevara Isaikalaimani 2017 - 18
Details of Qualifying Examination Passed [Register Number, Month and Year]:
Register Number : Month : Year : (HSC /Diploma /Degree)
Name :    Initial :
Date of Birth : [eg. 20/06/1999]
Mobile Number :
Aadhaar :
Nativity : Tamil Nadu :      Other States :
Community :
Gender : Male :   Female :   Transgender :
Name of Parent / Guardian :
Address for Communication :
Street :
Village :
City :
District :
State :
PIN :
Email ID : [Your email ID is your User Name]
Password : [Minimum Length 6 Characters]
Confirm Password :
Payment Mode :
Payment Gateway : Demand Draft: Cash Counter(Annamalainagar):

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Note:

Karur Vysya Bank

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(Credit/ Debit/ All Netbanking)

DD No.:
DD Date :
DD Amount : *
Bank Name :
Bank Branch :
IFSC Code :
Challan No.:
Challan Date :
Amount : *
For queries : auaicadm@gmail.com
* DD drawn in favour of "The Registrar, Annamalai University"payable at Chennai for Rs. 200/- for SC/SCA/ST candidates belonging to Tamil Nadu and Rs. 400/- in the case of others.
Candidate should submit the application form with necessary enclosures to
THE REGISTRAR
ANNAMALAI UNIVERSITY
ANNAMALAI NAGAR
CHIDAMBARAM
CUDDALORE DISTRICT
TAMIL NADU
PIN - 608 002