PROFORMA FOR COLLECTING DETAILS OF GIRL STUDENTS STUDYING IN GOVT. /GOVT.

AIDED/SELF FINANCING

Community(
OC/BC/
GOVT / GOVT Name of the Student (Initials College Roll University Regn. Aadhaar Card
S.No AIDED Father's Name BCM/ Address (Line 1) Line 2 Line 3 Line 4 `Place
at Last) No. No. Number
MBC/DNT/
SC/SCA/ST)
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12]

COIMBATORE
1 GOVT DEEPALAKSHMI.R Rajasekaran. T MBC 15/29, Periyanegamam Koniyappar Veethi Pollachi TK DT-642120
20EC002 723620106002 9810 6797 1374

COIMBATORE
2 GOVT KALAIVANI.E K.Eswaran BC 7/302, M G R NAGAR MEENAKCHI PURAM, DIVANSAPUDHUR, POLLACHI TK
DT-642103
20EC004 723620106004 7161 3263 2499

ATHIMARATHU DINDUGAL
3 GOVT KARTHIYAYENI.A K.Ayyappan BC 3/162, NORTH STREET
VALASU,
RAJAMPATTI POST
DT-624617
20EC005 723620106005 9612 2083 8137
TUDENTS STUDYING IN GOVT. /GOVT. AIDED/SELF FINANCING ARTS, SCIENCE AND PHYSICAL EDN, POLYTECHNIC AND ENGINEERING COLLEGES WHO STUDIED CLASSES 6 TO 12 IN GOVT. SCHOOLS

Plus Two
Name of the
EMIS ID Number Regn. Name of the School Place Mobile Number Email id (optional) Branch Name IFSC code Account Number Account Holder's Name
Bank
Number

[13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23]
UNION
2255476 GHSS Seripalayam 8667390295 deepalakshmi826@gmail.com BANK OF NEGAMAM UBIN0533483 334802010714639 DEEPALAKSHMI.R
INDIA
STATE
2236724 GHSS Divansapudur 9790524415 kalaivanieswar07@gmail.com BANK OF AANAIMALAI SBIN0002194 33179487461 KALAIVANI.E
INDIA
STATE
2185036 GHSS Kokkarakal Valasu 6369409446 karthiyayeni63694@gmail.com BANK OF GOPALAPURAM SBIN0000962 35951763450 KARTHIYAYENI.A
INDIA
 Branch of Type of
Year of Study Major Subject the
Study (B.A/B.Sc./ (History,Maths, Name of the College and Place College
(I/II/III Yr) B.Com etc.) (Govt./Ai
etc.) ded/SF)
[24] [25] [26] [27] [28]

ELECTRONIC
II B.E-ECE POLLACHI INSTITUTE OF ENGINEERING SF
CIRCUITS
AND TECHNOLOGY, POOSARIPATTI

ELECTRONIC
II B.E-ECE POLLACHI INSTITUTE OF ENGINEERING SF
CIRCUITS
AND TECHNOLOGY, POOSARIPATTI

ELECTRONIC
II B.E-ECE POLLACHI INSTITUTE OF ENGINEERING SF
CIRCUITS
AND TECHNOLOGY, POOSARIPATTI