GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
                                           TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2025
                                                             Application for Admission to Arts and Science Degree Course
Application Number: 669541
Personal Information
 Name: SHARMILA A                                                                                Name of the Father: ANBALAGAN P
 Name of the Mother: RAJAMANI A                                                                  Parent / spouse / Guardian Mobile Number: --
 Communication Address:                                                                          Permanent Address:
 NO 8/27 SEDIMALAI MURUGAN KOVIL STREET THUVAKUDIMALAI SOUTH THIRU-                              NO 8/27 SEDIMALAI MURUGAN KOVIL STREET THUVAKUDIMALAI SOUTH THIRU-
 VERUMBUR TALUK                                                                                  VERUMBUR TALUK
 Alternate mobile number: 7845891055                                                             State: Tamil nadu
 District: Tiruchirappalli                                                                       Taluk: Tiruverumbur
 Communication address pincode: 620022                                                           Native District: Tiruchirappalli
 Civic status of Native Place: Municipality                                                      Date of Birth (DD-MM-YYYY): 10-10-2007
 Gender: Female                                                                                  Mother Tongue: Tamil
 Nationality: Indian                                                                             Religion: Hindu
 Name of the Community: SC                                                                       Name of the Caste: Godda
 Aadhar Number (optional): 600664576712
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: --                                                                      UDID (Unique Disability ID Number): --
 Differently Abled State Id: --                                                                  The Extent of (%) of Disability: --
 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
Scholarship Information
 Father's Occupation/Sector: Daily Wage                                                          Mother's Occupation/Sector: Un Employed
 Annual Income: 72000                                                                            Income Certificate Number: --
 Are you a First Graduate?: No                                                                   First graduate certificate number: --
 Post Matric Scholarship (SC/SCA/ST/Converted Christians): No
School of Study Information
 +2 Category of School: Partially Govt. Aided                                                    Civic status of school location (+2): Municipality
 Have you studied VI to XII in Government school or Govt-Aided School?: No
         Class               Year of Passing          Name of the school                   District           State             Block      Medium of Instruc-     Category of
                                                                                                                                                 tion             Govt.School
        VI Std.                   2019         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
        VII Std.                  2020         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
        VIII Std.                 2021         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
        IX Std.                   2022         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
         X Std.                   2023         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
        XI Std.                   2024         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
        XII Std.                  2025         Infant Jesus Girls Hr Sec School, Thu-   Tiruchirappalli    Tamil nadu      Thiruverumbur          Tamil                --
                                                            vakudi Malai
Academic Information
 Qualifying Examination: TN-HSC                                                                  Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
 Permanent register number: --                                                                   HSC Roll number: 1457038
 Qualified Year: 2025                                                                            HSC Group: HSC Academic
 Group Code:                                                                                     Medium of Instruction: Tamil
 ECONOMICS/COMMERCE/ACCOUNTANCY/COMPUTER APPLICATIONS
 Educational Management Information System(EMIS) Number: 1013819312                              If there is no EMIS ID, Specify reason: --
                                                GOVERNMENT OF TAMIL NADU
                                           DIRECTORATE OF COLLEGIATE EDUCATION
                                 TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2025
                                                  Application for Admission to Arts and Science Degree Course
Application Number: 669541
                                      Community certificate number: TN-5202303111763
          Subjects           Permanent Register Number/Roll    Month         Year         Maximum Mark          Obtained Mark   No. of Attempts
                                        Number
          TAMIL                         1457038                March         2025              100                   95               1
         ENGLISH                        1457038                March         2025              100                   74               1
        ECONOMICS                       1457038                March         2025              100                   81               1
        COMMERCE                        1457038                March         2025              100                   79               1
      ACCOUNTANCY                       1457038                March         2025              100                   82               1
  COMPUTER APPLICATIONS                 1457038                March         2025              100                   92               1
                                                 GOVERNMENT OF TAMIL NADU
                                            DIRECTORATE OF COLLEGIATE EDUCATION
                                  TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2025
                                                Application for Admission to Arts and Science Degree Course
Application Number: 669541
                                                                                                                                Affix recent Passport
                                                                                                                                     size Photo
                                                 DECLARATION BY THE APPLICANT
I, SHARMILA A (Son / Daughter) of ANBALAGAN P 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, ANBALAGAN P (Parent / Guardian) of SHARMILA A 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 - 2025
                                                   Application for Admission to Arts and Science Degree Course
Application Number: 669541
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 - 2025
                                                  Application for Admission to Arts and Science Degree Course
Application Number: 669541
Choices Selected
       District       Course Id           Course Name                                   College Name                          College Code   Preference Or-
                                                                                                                                                   der
    Tiruchirappalli   AJME1         B.A. Journalism and Mass        Government Arts College, Tiruverumbur, Trichy - 620022      1061006            1
                                   Communication (E/M)(Shift I)
    Tiruchirappalli    CCPE1          B.Com. (Co-operation)         Government Arts College, Tiruverumbur, Trichy - 620022      1061006            2
                                         (E/M)(Shift I)
    Tiruchirappalli   CBAE1       B.B.A. Business Administration    Government Arts College, Tiruverumbur, Trichy - 620022      1061006            3
                                          (E/M)(Shift I)
    Tiruchirappalli   CBAE1       B.B.A. Business Administration    Government Arts and Science College, Srirangam - 620027     1061014            4
                                          (E/M)(Shift I)