Application Form - Academic Year 2020-2021

Application Form - Academic Year 2020-2021

Muthu Mase Arts and Science College, Harur, Dharmapuri Dt.
Personal Details

Enter the applicant's personal details, including contact information.
Course (First Choice)
Name of Applicant
Date of Birth

DayMonthYear
Date
Gender

FemaleMale
Nationality
Religion
Community
Mother Tongue
Name of Father
Name of Mother
Address for Correspondence
Telephone Number for Communication
Name and Address of Guardian
Educational Qualifications

Enter the details of the applicant's educational qualifications below.

Details of Educational Qualifications

	Class Studied	Years	School/College	Register Number	Year of Passing

Marks Obtained in Higher Secondary or Equivalent Examination

Total Marks Obtained in Higher Secondary or Equivalent Examination
Alternate Course Choices

Select two alternate course choices below.
Course (Second Choice)
Course (Third Choice)
Joint Declaration

Joint Declaration by the Applicant and Parent or Guardian
The information furnished above is true and correct. The original certificates will be produced at the time of admission. In case any information is found to be incorrect, we agree to forego any claim for admission.

We also declare that we agree to abide by the rules and regulations of the college.

(Typing the applicant and parent/guardian names below constitutes their digital signatures and affirmation of their joint declaration stated above.)
Typed Names
Should be Empty: