Thiruvalluvar University

Part Time Full Time

Affix here a Passport size Photograph duly signed by you

Bank & Branch:

Amount:

Name (In Block Letters as in SSLC / HSC Certificate):	In English
Name (In Block Letters as in SSLC / HSC Certificate):	In Tamil

Date of Birth: (DD/MM/YYYY)

Age

Sex

Nationality

Religion

Community

Aadhaar Number:

Name and Occupation of Father / Guardian

(a) Permanent Address

(b) Address for Communication

Parent/Guardian Mobile No.

Alternate Mobile No.

Broad field of Research (Should be related to the main branch of PG Degree)

Fellowship/Scholarship awarded for the present Research Programme (If any give details)