Application - Paavai IAS Academy

PAAVAI IAS ACADEMY
(From the house of Paavai Institutions, a world class, NBA and
'NAAC' Accredited with 'A' Grade Educational Group)
Application No.
APPLICATION FORM
1. Name in Full:
(In Block Letters)
2. Date of Birth:
D
D
M
M
Y
Y
Y
Staple THREE Passport
Y
3. Father’s Name:
Size photographs here
Occupation:
4. Do you belong to SC/ST/OBC? (Yes / No)
(If yes, please mention the category)
5. Permanent Address
6. Mailing Address
Tel. /Mobile No. +91
7. E-mail Address
8. Mention the exam for which
Personal Guidance is required:
9. Occupation:
UPSC
TNPSC
STUDENT
SSC
EMPLOYEE
BANKING
OTHER
10. Have you appeared in any Govt. Examination earlier?
If so, write the year and marks obtained:
(P.T.O)
11. Particulars of Educational Qualification
Examinations
Passed
Name of College/
University
Year of
Passing
Subjects
Offered
Percentage of Marks
obtained
10th
12th
Graduation
P.G
12. Current Job Details:
13. Is hostel required?
14. Batch Preference
Morning
Afternoon
Evening
Weekend
15. How do you know about this Institution?
Declaration: I hereby declare that above information is true and correct. I have fully
understood and shall follow the rules and regulation of the Paavai IAS Academy. I shall not
claim refund of fees paid.
Place:
Date:
Signature of Applicant
…………………………………………………………………………………………………
FOR OFFICE USE ONLY
Admitted on__________________________for___________________________________
Date:
COURSE DIRECTOR
`