Details of Qualifying Examination Passed [Register Number, Month and Year]: |
Register Number :
Month :
Year :
(HSC / Equivalent Hall Ticket)
|
Name :
Initial :
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Date of Birth : |
[eg. 20/06/2006]
|
Mobile Number : |
[All communications will be sent through mobile only] |
Quota Nativity : |
Tamil Nadu :
Other States :
|
Community : |
|
Email ID : |
[Your email ID is your User Name] |
Password : |
|
Confirm Password : |
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