1. Name of the Course *
M Optom

2. Year of Admission *

3. Name of the applicant *

4. Sex *
MaleFemaleOther

5. Date of Birth and Age *

8. Community *

9. Religion *

10. Present Address *

11. Permanent Address *

12. Email id *

15. Name of the Institution UG

18. Month & Year of passing the Examination with Register Number

19. Month & Year of Convocation in which the degree was obtained

20. College or Institution from where the applicant qualified for the above Degree

21. If the candidate had passed the above Degree from a University other than this University/ outside the State of Tamil Nadu furnish the following particulars

(a) The name of the University from where the candidate qualified for the above Degree or other equivalent

(b) The State in which the University is situated

22. Whether the Degree Qualification has been registered in the State Council

(a) Mention the name of State Council

(b) Permanent Regn. No. and Date

23. Eligibility Certificate Number and date

24. Provision Certificate

25. Degree certificate

(a) Whether recognition certificate has been obtained from this University

(b) If Eligibility certificate has been obtained quote the number and date of this office letter, communicating the certificate

(c) Migration certificate

26. Signature of the Professor / Head of the Department of the Speciality

27. The following documents should be produced in original along with the prescribed fees

(a) Transfer Certificate for U.G. Course

(b) Community Certificate

(c) Eligibility Certificate

(d) Proof for Date of Birth

28. Blood Group
A+A-B+B-O+O-AB+AB-
29. Blood Group Certificate from a competent person should be enclosed

30. Willingness to donate blood
YesNo

31. Photograph (Preferably white background) *

32. Upload Qualifying Exam Mark Sheet like +2 or CBSE or ICSE etc