Application Form

Name*
(as per SSLC certificate)

Aadhaar Card No.*

Date of Birth*
(as per SSLC Certificate)

Gender

Mother Tongue*

Qualification*

Passed Out year*

Marks Obtained / Grade*

Medium of Study*

Languages known

Tamil Malayalam Kannada Telugu Hindi English Others

Religion*

Community*

Father’s Name*

Occupation*

Mother’s Name*

Occupation

Father’s Contact No*

Mother’s Contact No

Primary Student Contact Mobile No*

Email ID*

Communication Address*
House No, Street

State*

Pin code

How do you Know about chennais Amirta

How to apply?

Provide all the personal details requested on the application form
Enter your primary student contact number. It can either be your or your parent’s mobile number. Follow-up SMS and other important information and communication shall be done with this number.
Upon OTP verification on the primary student contact number, you will be directed to the payment page where you are required to pay Rs. 1500 towards the application registration fee.
The application fee is non-refundable
Upon successful payment of the registration fee, you will be eligible for counseling with our guidance counselor for the admission process.