Balaji Polytechnic College

SRI BALAJI POLYTECHNIC COLLEGE

(ISO 9001 :2015 Certified Institution)
Balaji Nagar,Kolapakkam,Vandalur,(Via) Chennai - 600 127.
Phone:044 -2275 0332
Application form for Admission to First year/Second year
DIPLOMA COURSES 20 - 20

APPLICATION FORM

Application No:

Academic year*

Father's Detail

Residential Address

First Year Admisssion
Marks Obtained in SSLC/Equivalent Examination:    Marksheet No

S.No Subject Marks Month and Year of Passing

(I) Tamil or any other Language

(II) English

(III) Mathematics

(IV) Science

(V) Social Science

(VI) Elective

(VII) Total

Second Year Admisssion
Marks Obtained in HSC/Equivalent Examination:

HSC(Academic Marks) HSC(Vocational Marks) I.T.I(2 Years)NCVT

Part I Tamil:

Part I Tamil:

Trade Practical:

Part II English:

Part II English:

Trade Theory:

Part III Maths:

Part III Maths:

Physics:

Physics:

Workshop Calculation
& Science:

Chemistry:

Chemistry:

Workshop Calculation
& Science:

Elevative:

Total:

Name of the Vocational Courses:

Theory:

Practical I:

Practical II:

Total:

Engineering Drawing:

Employability Skills:

Total:

Details Of Previous Studies

S.No Class Month & Year
of passing SSLC Matriculation
H.S.C.Reg.No. Name of the School and Address

1. VI Std

2. VII Std

3. VIII Std

4. IX Std

5. X Std

6. HSC/Equivalent

7. ITI

DECLARATION :

I / We hereby certify that the above information provided by me / us is correct and I / We understand that if the information is found to be incorrect or false, the ward shall be automatically debarred from selection / admission process without any correspondence in this regards. I / We also understand that the application / registration / short listing does not guarantee admission to my ward. I / We accept the process of admission undertaken by the school and I / We will abide by the decision taken by the school authorities.
Fees once paid are not returnable/refundable or transferable under any circumstances.

S.No	Subject	Marks	Month and Year of Passing
(I)	Tamil or any other Language
(II)	English
(III)	Mathematics
(IV)	Science
(V)	Social Science
(VI)	Elective
(VII)	Total

HSC(Academic Marks)	HSC(Vocational Marks)	I.T.I(2 Years)NCVT
Part I Tamil:	Part I Tamil:	Trade Practical:
Part II English:	Part II English:	Trade Theory:
Part III Maths:	Part III Maths:
Physics:	Physics:	Workshop Calculation & Science:
Chemistry:	Chemistry:	Workshop Calculation & Science:
Elevative: Total:	Name of the Vocational Courses: Theory: Practical I: Practical II: Total:	Engineering Drawing: Employability Skills: Total:

S.No	Class	Month & Year of passing	SSLC Matriculation H.S.C.Reg.No.	Name of the School and Address
1.	VI Std
2.	VII Std
3.	VIII Std
4.	IX Std
5.	X Std
6.	HSC/Equivalent
7.	ITI