MURUGA POLYTECHNIC COLLEGE

APPLICATION FORM FOR ADMISSION TO FIRST YEAR DIPLOMA COURSE 2024 - 2025

Name of the Candidate

Gender

Date of Birth

Father’s / Guardian’s Name

Mother’s Name

Door No / Street Name

Taluk

District

Pin Code

State

Parent Contact Number

Upload Photo

Select Course

Contact No of Student

Income Certificate Number

Name of the Caste

Mother Tongue

Blood Group

Name and Address of the School Last Studied

SSLC Register No

EMIS No

Number of Attempts

Month and Year of Passing

Occupation of the Parent / Guardian

Annual Income of the Parent / Guardian

Name as in Bank Account

Account Number (Aadhaar Linked)

Name of the Bank

Branch

IFSC Code

MICR Code

Aadhaar Linked Mobile Number

APPLICATION FORM FOR ADMISSION TO LATERAL ENTRY DIPLOMA COURSE 2024 - 2025