Institute Management System

ALAGAPPA UNIVERSITY, KARAIKUDI - 630003

Application Form Entry

Programme applied*

Applicant's Name
(IN CAPITAL LETTERS)

Father's / Guardian's Name

Address for Communication
(Line 1)

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Line 2

Line 3

District

Mobile No

E-mail Id

Date of Birth
(dd/mm/yyyy)

Gender

Male

Female

Transgender

Religion

Community

Caste

Special Quota (If any)

Ex-Sercicemen	Person with Disabilities (PWD)			Repatriate/NRI/ Foreign	Others
Ex-Sercicemen	Blindness Low Vision	Hearing Impairment	Locomotor Disability	Repatriate/NRI/ Foreign	Others

Special Quota Certificate

Qualifying Degree

Branch

Subjects	Maximum Marks*	Marks Obtained*	% Mark (or) GPA*
All Major Subjects in Total	This field is required.	This field is required.	This field is required.

Experience in teaching/research/office:

Day

Month

Year

Total Year of Experience

Experience Certificate

Mark Statement

Mark Sheet Attachment

Semester	Mark Sheet Attachment
First Semester	This field is required. Max size 250kb!
Second Semester	This field is required. Max size 250kb!
Third Semester	This field is required. Max size 250kb!
Fourth Semester	This field is required. Max size 250kb!
Fifth Semester	This field is required. Max size 250kb!
Sixth Semester	This field is required. Max size 250kb!

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