Admission open for Allied Health Sciences

Prospectus

BANKING DETAILS

Registration Fee: ₹200

Bank A/c Details

Account Number: 149710011000023

Account Type: Savings

Account Name: CANCER INSTITUTE (WIA) COLLEGE

Bank Name: Union Bank of India

Bank Branch: Madhya Kailash, Chennai

IFSC Code: UBIN0814971

MICR Code: 600026110

Courses			Application Number
			Transaction ID *
Name			Date of Birth
Age			Sex
Marital Status			Nativity
Name of Father/Mother/Spouse			Occupation of Father/Mother/Spouse
Communication Address
Mobile Number			Alternate Mobile Number
Email –Id			Religion
Community

*Educational Details:
Secondary School Examination (10 th Standard)
Name of the School
School Located (Town/City & State)
Board
Register No
Month & Year of Passing
No.of attempts
*Higher Secondary School Examination (12 th Standard)
Name of the School
School Located (Town/City & State)
Board
Register No
Month & Year of Passing
No.of attempts
Diploma/Degree(if any)
Name of the Institution/College
Name of the Course
Duration of the Course
Date of completion
Month & Year of Passing
No.of attempts

Marks Obtained HSC

Subject	Maximum Marks	Marks Obtained
Tamil
Other Language
English
Physics
Chemistry
Biology
Botany
Zoology
Mathematics
Computer Science
Total
Total Percentage

Note: Please enter the Email id after upload Documents All

* SSLC (or equivalent) mark sheet
* SSLC (or equivalent) mark sheet
* HSC (or equivalent) mark sheet
* Transfer certificate after completion of HSC
Migration Certificate(Other than Tamil Nadu HSC Board)
Eligibility Certificate (from The Tamil Nadu Dr. MGR Medical University)
Nativity Certificate
Community Certificate
* Aadhar Card

BANKING DETAILS

Registration Fee: ₹200

Bank A/c Details

Account Number: 149710011000023

Account Type: Savings

Account Name: CANCER INSTITUTE (WIA) COLLEGE

Bank Name: Union Bank of India

Bank Branch: Madhya Kailash, Chennai

IFSC Code: UBIN0814971

MICR Code: 600026110

I do hereby solemnly and sincerely affirm that the statements made and information furnished in my application form, as also in all the enclosures hereto submitted by me, are true and complete. Should it however be found that the information furnished therein is untrue in material particulars, I realize that I am liable for criminal prosecution and I will also be liable to forfeit the seat and / or be removed from the rolls of the Institute at whatever stage of study I may be.
I Father / Mother / Guardian of hereby solemnly declare that I am fully aware of the above declaration and the particulars furnished are correct. I declare that if it is found otherwise my ward will be liable to forfeit the seat and also be liable for criminal prosecution.

I do hereby solemnly and sincerely affirm that the statements made and information furnished in my application form, as also in all the enclosures hereto submitted by me, are true and complete. Should it however be found that the information furnished therein is untrue in material particulars, I realize that I am liable for criminal prosecution and I will also be liable to forfeit the seat and / or be removed from the rolls of the Institute at whatever stage of study I may be.

I Father / Mother / Guardian of hereby solemnly declare that I am fully aware of the above declaration and the particulars furnished are correct. I declare that if it is found otherwise my ward will be liable to forfeit the seat and also be liable for criminal prosecution.