The Indian Polytechnic College

Name of candidate *

Gender : *

Admission For : *

First Year ( 10th pass )
Direct Second Year ( +2 Pass with Maths, Science, Vocational Group and 2 yrs of ITI With NCVT Certificate)

Choice Of Branch *

Community :

( TN Students Only )

Father's Name :

Father's Occupation :

Aadhaar No :

Tele. No : *

Address For Communication :

City Name / State :

Pincode :

Mobile No. Of The Parent: *

Email

DECLARATION BY THE APPLICANT

I am hereby solemnly declare that the information furnished and the statements given in the application and the enclosures are true,rrect and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the institution at whatever stage of study I may be, besides marking me liable for criminal prosecution.