Mu. Va Arcade, II Floor, C-1 First Main Road,
Anna Nagar East, ( At Chinthamani Signal ) Chennai - 600 102.
Lan : 044-26191661 Mobile : 98402 41118
Website : www.ganeshias.com

APPLICATION FORM

Name ( First )
:
  
Date Of Birth
:
Sex
:
Male Female
Father's Name
:
Father's Occupation
:
 
Mother's Name
:
 
Mother's Occupation
:
 
Address For Communication
:
 
Telephone No
:
    
Mobile No
:
 
E-Mail ID
:
 
Permanent Address
:
Same As Above
Upload Your Photograph
:
 
EDUCATIONAL DETAILS :  
Faculty
Years Of Completion
Name of the Institution / Univ
Percentage Marks
Graduation :
Post Graduation :
Other Qualifications :
Religion Category
No Of Previous Attempts    
Optional Subjects : Preliminary    
Mains :
1.
2.
Hobbies / Interests / Extra Curricular Activities
Your Strengths And Weakness    
Strengths
Weaknesses

IMPORTANT RULES FOR CANDIDATES:

1. Admission will be only with prior registration.

2. Limited seats, allotment on first come, first served basis.

3. * Fees once paid will not be refunded.

    * Fees is not transferable.

4. The rights of admission reserved.

5. Attending tests is compulsory.

6. Two passport size photograph is must.

7. Question papers will not be given to the absentees on any ground.

8. Out station candidates will have to arrange for their boarding and lodging themselves.

9. Use of mobile phones during the class hours is STRICTLY PROHIBITED.

UNDERTAKING

I declare that the information furnished in this form is true to my knowledge and belief. I shall endeavour to come up to the standards set by the institutation and that I have reas all the rules and regulations and I promice to abide by them. I also understand that in the event of any inappropriate behaviour or violation of the rules, the institute has complete discretion to disqualify me and cancel my admission without assigning any reason thereof.

Any Claim or dispute shall be settled only within the jurisdiction of the Judicature of Hon'able High Court of Madras.

Place :      
Date :

 

Agree
Disagree