GOVERNMENT OF TAMIL NADU

DIRECTORATE OF COLLEGIATE EDUCATION

TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 797435

Personal Information
Name: VINOTHINI Name of the Parent/Guardian: Rajarajan
Communication Address: 6/45 AATHITHIRAVIDAR STREET, Permanent Address: 6/45 AATHITHIRAVIDAR STREET,
LADAPURAM POST, PERAMBALUR DT LADAPURAM POST, PERAMBALUR DT
Alternate mobile number: 9787105285 State: Tamil nadu
District: Perambalur Taluk: Perambalur
Communication address pincode: 621101 Native District: Perambalur
Civic status of Native Place: Village Panchayat Date of Birth (DD-MM-YYYY): 21-04-2007
Gender: Female Mother Tongue: Tamil
Nationality: Indian Religion: Hindu
Name of the Community: SC Name of the Caste: Paraiyan, Parayan,Sambavar
Aadhar Number (optional): 445835264241

Special Reservation Information

Whether you are a candidate under quota for Eminent Sports person?: No Level of Participation: --
Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No Differently Abled Person: No
Differently Abled Type: -- NCC (A) Certificate Holder: No
Tamil Origin from Andaman & Nicobar Island: No Select Children/Widows of eligible Personnel of Security Forces Category:
None of the Above
AFC Center for certificate verification:
Government Arts and Science College, Perambalur - 621107

Scholarship Information
Parent Occupation: Agriculture Annual Income: 60000
Are you a First Graduate?: No Post Matric Scholarship (SC/SCA/ST/Converted Christians): Yes

School of Study Information

Category of School: State Govt Civic status of school location (+2): Village Panchayat
Have you studied VI to XII in Government school?: No

Class Year of Passing Name of the school District State Block Category of
Govt.School

VI Std. 2018 Adwhs-ladapuram Perambalur Tamil nadu Perambalur --

VII Std. 2019 Adwhs-ladapuram Perambalur Tamil nadu Perambalur --

VIII Std. 2020 Adwhs-ladapuram Perambalur Tamil nadu Perambalur --

IX Std. 2021 Adwhs-ladapuram Perambalur Tamil nadu Perambalur --

X Std. 2022 Adwhs-ladapuram Perambalur Tamil nadu Perambalur --

XI Std. 2023 Ghss Ammapalayam Perambalur Tamil nadu Perambalur --

XII Std. 2024 Ghss Ammapalayam Perambalur Tamil nadu Perambalur --

Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2313415398 HSC Roll number: 6415745
Qualified Year: 2024 HSC Group: HSC Academic
Group Code: PHYSICS/CHEMISTRY/BIOLOGY/MATHEMATICS Medium of Instruction: Tamil
Educational Management Information System(EMIS) Number: 1008386000 Community certificate number: TN-5202012122728
 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 797435

Subjects Permanent Register Number/Roll Month Year Maximum Mark Obtained Mark No. of Attempts
Number

TAMIL 2313415398/6415745 March 2024 100 57 1

ENGLISH 2313415398/6415745 March 2024 100 46 1

PHYSICS 2313415398/6415745 March 2024 100 47 1

CHEMISTRY 2313415398/6415745 March 2024 100 57 1

BIOLOGY 2313415398/6415745 March 2024 100 69 1

MATHEMATICS 2313415398/6415745 March 2024 100 51 1

 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 797435

Affix recent Passport

size Photo

DECLARATION BY THE APPLICANT

I, VINOTHINI (Son / Daughter) of RAJARAJAN hereby solemnly declare that the information furnished and the statements given in the
application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my
seat and / or removal from the rolls of the Institution at whatever stage of study I may be, besides making me liable for criminal prosecution.
I am fully aware that as per the directions of the Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997, Ragging
is an offence, as is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institutions
and / or rigorous imprisonment up to 3 years, and / or fine up to Rs.25,000/-

Place:

Date: ( Signature of the Applicant )

DECLARATION BY THE PARENT/ GUARDIAN

I, RAJARAJAN (Parent / Guardian) of VINOTHINI hereby solemnly declare that I am fully aware of the declaration made by the applicant,
and I declare and bind myself on the same terms contained in the above declaration. The statements and the information given are true, correct
and complete. If it is found otherwise, the applicant is liable to forfeit the seat and / or removal from the rolls of the Institution at whatever
may be the stage of study, besides making me liable for criminal prosecution I am fully aware that as per the directions of the Hon'ble Supreme
Court of India and Tamil Nadu Prohibition of Ragging Act 1997,Ragging is an offence, as is banned in the Institutions and anyone indulging
in ragging is liable to be punished such as expulsion from the Institution and / or rigorous imprisonment up to 3 years, and / or fine up to RS.
25,000/-

Place:

Date: ( Signature of Parent / Guardian )

Note: Guardian can execute the above declaration, only if both the parents are not alive.
 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 797435

The following original certificates have to be produced at the time of certificate verification.

1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Permanent Community Certificate Card for SC (Permanent card / Electronic form / Digitally Signed E-Certificate)
5. Income Certificate of the Parent
6. Special Reservation Form for Sports and relevant certificates
7. Special Reservation Form for Ex-Serviceman and relevant certificates
8. Special Reservation Form for Blindness & Low Vision and relevant certificates
9. Special Reservation Form for NCC-'A' Certificate holders and relevant Certificates

Printout of the application, Signed declaration and photocopies of all the above mentioned certificates need to be submitted
at the time of Admission
 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 797435

Choices Selected
District Course Id Course Name College Name College Code Preference Or-
der

Tiruchirappalli SZOE1 B.Sc. Zoology (E/M) ( 1ST Thanthai Periyar Government Arts and Science College (Autonomous), 1061002 1
SHIFT ) Tiruchirapalli- 620023

Tiruchirappalli SBOE1 B.Sc. Botany (E/M) ( 1ST Thanthai Periyar Government Arts and Science College (Autonomous), 1061002 2
SHIFT ) Tiruchirapalli- 620023

Perambalur SPHE1 B.Sc. Physics (E/M) ( 1ST Government Arts and Science College, Perambalur - 621107 1061012 3
SHIFT )

Perambalur SCHE1 B.Sc. Chemistry (E/M) ( 1ST Government Arts and Science College, Perambalur - 621107 1061012 4
SHIFT )