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MANDATORY DISCLOSURE
Admission OPEN NOW in Jeya Polytechnic and Jeya I T I ! Click here to APPLY! or CALL : 94421 83233 , 0461-2264454
Lateral Entry Application Form
Please fill the form below for lateral year admission.
Contact Details :
Student Name* : (As per SSLC/+2/ITI Mark Sheet)
Father/Guardian Name* : (As per Transfer Certificate)
Mobile No* :
Student Details :
Date of Birth:
AADHAR No: (12 digit)
Gender :
----
Male
Female
Communication address:
Address 1: (Apt/Door No)
Address 2: (Street Name)
Town/City :
State :
Pincode :
Email ID :(optional)
Other Details
Mother Tongue :
Nationality :
Education
Qualification
Marks
Maximum Marks
Reg No
Month and Year of Passing
SSLC
500
HSC
600
ITI (2 Years)
700
Marks obtained in Qualifying Examination
HSC (Academic)
Marks For Max 100
HSC (Vocational)
Marks For Max 100
SSLC/2 Year ITI
Marks For Max 100
Part I Tamil or any Other Language
Part I Tamil or any Other Language
Name of the Trade
Part II English
Part II English
Trade Theory
Part III Maths/Botany
Part III (any one) Maths/Phy/Chem
Trade Practical
Physics
Theory
Workshop Calculation & Science
Chemistry
Practical I
Engineering Drawing
Computer Science / Biology / Zoology
Practical II
Social Science
Total
Total
Total
Course Preference:
CHOICE 1:
CHOICE 2:
--Select One--
CIVIL ENGINEERING
MECHANICAL ENGINEERING
ELECTRICAL AND ELECTRONICS ENGINEERING
ELECTRONICS AND COMMUNICATION ENGINEERING
COMPUTER SCIENCE ENGINEERING
--Select One--
CIVIL ENGINEERING
MECHANICAL ENGINEERING
ELECTRICAL AND ELECTRONICS ENGINEERING
ELECTRONICS AND COMMUNICATION ENGINEERING
COMPUTER SCIENCE ENGINEERING