0462-2520442, +91 9486974202
physio@devendrareducation.com, dcp.tirunelveli@gmail.com
Thoothukudi Main Road, Ariyakulam, Tirunelveli - 627351
0462 - 2520442, +91 9486974202
physio@devendrareducation.com, dep_tirunelveli@yahoo.com
Thoothukudi Main Road, Ariyakulam, Tirunelveli - 627351
0462 - 2520442, +91 9486974202
dep_tirunelveli@yahoo.com
Thoothukudi Main Road, Ariyakulam, Tirunelveli District - 627351
Devendrar Education
Just another Steel Themes Sites site
Home
About Us
Academics & Infrastructure
Gallery
Online Admission
Contact Us
Online Admission
Home
Online Admission
Application for admission to Bachelor of Physiotherapy
Name
*
:
Photo :
Gender
*
:
Male
Female
Birth Date
*
:
Age
*
:
Email Address
*
:
Mobile Number
*
:
Alternate Mobile Number :
Permanent Address
*
:
Name of Father & Mother / Guardian
*
:
Official Address if any :
Occupation of Father
*
:
Annual Income
*
:
Community
*
:
FC
BC
MBC
DNC
SC
SCA
ST
Caste
*
:
Religion
*
:
Mother Tongue
*
:
Nationality
*
:
State
*
:
District
*
:
Do you require hostel accomodation
*
:
Yes
No
If no, Place of residence
*
:
Qualification
*
:
Month and year of passing X Std
*
:
Register No X Std
*
:
School last attended with place
*
:
Month and year of passing XII Std
*
:
Register No XII Std
*
:
No of attempts
*
:
Medium of instruction
*
:
Total marks obtained in XII Std
Tamil :
English :
Maths :
Physics :
Chemistry :
Biology :
Botany :
Zoology :
Declaration by Applicant
*
:
In the event of being admitted to the college, I will attend all classes regularly and refrain from doing anything which may disturb other classes or the normal functioning of the college. I will use the Furniture, Electrical fittings and all other college properties with great care.
I assure you Sir / Madam, That I shall abide by the rules and regulations of the college. In the event of any of the violation of it, I submit myself before you for any action against me.
Declaration by Parent / Guardian
*
:
I do hereby declare that the particulars given in the Application are correct to the best of my knowledge. I also undertake to call on the Principal at lest once a semester to keep myself informed of the academic progress and attendance of my son / daughter / ward in case he / she is admitted. I also agree to hold myself responsible for the conduct of my son / daughter / ward and see to it that he / she does not indulge in any activity which might disrupt the academic life and discipline in the college and in the event of discontinuing my son's / daughter's course, I agree to pay the Tuition fees for the rest of the course before getting my T.C. & Original Certificates.
Submit
×
Home
About Us
Academics & Infrastructure
Gallery
Online Admission
Contact Us
Customize Devendrar Education
Color Scheme