Content on this page requires a newer version of Adobe Flash Player.
Admin Login
ARIGNAR ANNA GROUP OF COLLEGES
CHENNAI CAMPUS, TAMIL NADU
APPLICATION FORM
INCOMPLETE APPLICATION FORM WILL BE NOT ACCEPTED
1.
Programme code
2.
Enrolment No.
3.
Examination Centre City Code
CE - Civil Engineering
ME - Mechanical Engineering
EE - Electrical Engineering
ECE - Electronics & Communication Engineering
CSE - Computer science & Engineering
DCE - Diploma in Civil Engineering
DME - Diploma in Mechanical Engineering
DEE - Diploma in Electrical Engineering
DECE - Diploma in Electronics & Communication Engineering
DCSE - Diploma in Computer science & Engineering
(To be allotted by IGNOU)
036
4.
Name (as appearing in your secondary (10th class) Examination certificate)
5.
Fathers Name
Husbands Name
Mothers Name
6.
Telephone No.
(with STD code)
7.
Mobile No.
8.
E-Mail Address.
9.
Address for Correspondance
10.
Date of Birth (as given in 10th exam certificate)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2003
2004
2005
2006
2007
2008
2009
11.
Age.
12.
Sex.
Male
Female
13.
Nationality
Indian
Others
14.
Territory.
Urban
Rural
15.
Category.
Gen
SC
ST
OBC
16.
Employment Status
Employed
Unemployed
17.
Language of Paper.
English - 001
Hindi - 002
Tamil - 003
Telegu - 004
Kannada - 005
Assamese - 006
Marathi - 007
18.
Aptitude Test Category
I - B.Tech (1st Year for 12 pass Students)
II - B.Tech (Lateral Entry to 2nd Year for B.Sc BCA BCS pass)
III - B.Tech (Lateral Entry to 2nd year for Diploma Holder)
IV - Diploma (1st Year 10 Pass Students)
V - Diploma (Lateral Entry to 2nd Year for 10+ ITI, 10+2 Vocational)
19.
Qualification code:
001 - 12th Pass
002 - Diploma in Engineering
003 - B.Sc (PCM)
004 - B.Sc (IT)
005 - BCS
006 - BCA
006 - 10th
006 - 10+ITI, 10+2 Vocational
20.
Main Subjects Stream.
21.
Year of Passing
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2003
2004
2005
2006
2007
2008
2009
22.
% of Marks Graduation
%
(
Eg.
84.96 %)
23.
Name of the university board.
24.
Counselled by his/her mobile no.:
======= Please select His/Her name =======
+91 90947 99901 - Gunabalan
+91 90947 99902 - Shamala
+91 90947 99903 - Barath
+91 90947 99904 - Rekha
+91 90947 99905 - Sumaiya
+91 90947 99906 - Sampath
+91 90947 99907 - Zubair
+91 90947 99908 - Visuvanathan
+91 90947 99909 - Rejeya
+91 90947 99910 - Suguna
25.
Photo Upload:
(Please re-name your photo as Enrollment no. that we mentioned above)
26.
Signature Upload:
(Please re-name your Signature as Enrollment no. that we mentioned above)
DECLARATION BY APPLICANT
I here by declare that i have read and understood the conditons of eligibility for the programme for which i seek admission. I fulfill the minimum eligibility creteria and have provided necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be liable to cancellation by the university at any time and i shall not be entitled to claim the refund of any fee paid by me to the University. Further, I have carefully studied the rules of the University pretaining to the programme as prescribed in the Student Handbook and Prospectus and i accept them and shall not raise any dispute in future over the same rules.
Copyright © 2009
Arignar Anna Group of Colleges
Ravendesigner
