IMAYAM INSTITUTE - UG Application Form

Personal Information

Name of the Student *

Gender *

Date of Birth *

TNAU Application No *

Aadhar Number *

Nativity *

Father's Name *

Mother's Name *

Sibling's Name

Father's Occupation *

Mother's Occupation *

Annual Income (₹) *

Father's Mobile No *

Mother's Mobile No *

Student's Mobile No *

Email ID *

Address *

School Studied *

Medium of Instruction *

Physics

Chemistry

Biology

Maths

Botany

Zoology

Awards in Academics

Awards in Sports

Awards in Extra Curricular

Any other Skills / Activities

Reference (Instagram Page/Person)

Note: Copy of the proof should be enclosed with the application.