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Application Form

PERSONAL DETAILS

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.

Privacy Policy / Disclaimer

Your personal information (Name,Email,Phone) submitted will not be sold, shared or rented to others. We use this information to send updates about our institution & courses and contact you if requested or find it necessary.

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