SRIMATH SIVAGNANA BALAYA SWAMIGAL TAMIL, ARTS, SCIENCE COLLEGE
	MAILAM - 604 304.
	TINDIVANAM TALUK, VILLUPURAM DISTRICT
(Permanent Affiliated by Thiruvalluvar University, Accredited by NAAC)
2F & 12B GRADED BY UNIVERSITY GRANT COMMISSION
APPLICATION FORM 2021 - 2022
ADMISSION TO UG AND PG PROGRAMMES
Courses: UG - B.Lit Tamil / B.Sc CS / B.C.A / B.Com / B.A English / B.Sc Chemistry / B.Com Computer Applications                  PG - M.A Tamil / M.Com / M.Sc CS				--Select-- B.LIT TAMIL B.SC COMPUTER SCIENCE B.C.A COMPUTER APPLICATIONS B.COM COMMERCE B.A ENGLISH B.SC CHEMISTRY B.COM COMPUTER APPLICATIONS M.A TAMIL M.COM COMMERCE M.SC COMPUTER SCIENCE

Name in English (Capital Letters) (As Per +2 Mark Sheet)
Date of Birth		Age		Religion	--Select-- Hindu Christian Muslim Jain Other
Community	--Select-- OC BC MBC DNC SC ST			Caste
Nationality	--Select-- Indian Other			Gender	Male Female
Native Place				URBAN / RURAL	RURAL URBAN
Father's / Guardian's Name				Mother's Name
Annual Income				Cell Phone No.
Permanent Address with Pincode
Physically Handicapped	--Select-- YES NO			Ex. Serviceman	--Select-- YES NO
Distriction in Sports / NCC/NSS	--Select-- YES NO
X SSLC Mark			Qualifying Examination Passed		--Select-- 12th UG
Name & Address of the School or College Last Studied
Month & Year Passing				Total Marks
Percentage				Tamil Subject Mark (Only B.Lit Tamil)