OMR, Padur, Chennai, Tamil Nadu (IN)- 603103

principal@jeppiaararts.in
https://www.jeppiaararts.in

Admission - 73 7008 7008
044-47486055,044-47486331
9445422983,9445422941

Online Application form

Dear Applicant,

Welcome to JEPPIAAR COLLEGE OF ARTS AND SCIENCE for the academic year 2023-2024. Email ID, Mobile Number and Scanned copy of RECENT PASSPORT SIZE PHOTOGRAPH ( in .jpg format with Maximum size 80 KB ) are mandatory for online application

The cost of application (Rs. 100/-) can be paid through Credit/Debit Card or Net Banking. After the registration and payment, printout of the application can be taken.

Applicant Details

Name of the candidate (as per record in caps)*

HIDE

Please Enter a Valid Name

DOB*

Mobile*

Please Enter a Valid Phone Number

Email Id*

Age

Father/Mother Mobile*

Please Enter a Valid Phone Number

Guardian Mobile

Please Enter a Valid Phone Number

Proceed Next

Gender*

Religion*

Community*

Physically challenged person

Yes No

Reference Code

Parent Details

Father's name*

Father's Phone Number

Please Enter a Valid Phone Number

Father's Mail ID

Mother's name*

Mother's Phone Number

Please Enter a Valid Phone Number

Mother's Mail ID

Guardian's name

Guardian's Phone Number

Please Enter a Valid Phone Number

Guardian's Mail ID

Contact Details

Address for communication

Please Enter a Valid Pincode

Make this as my permanent address

Permanent address*

Qualifying Exam Details (12th)

Name of school*

Month & year of passing*

Medium of instruction*

Board of examination*

Awaiting For 12th Exam Results

Marks secured per subject (12th)

/100

Total Marks

Percentage

Courses preferred

Course applied*

Your Age is not eligible for Selected Course

Sports proficiency

Yes No

Name of sports/events

Level of participation

Passport size photo

Declaration*

I hereby declare that the particulars given in the form are true to the best of my knowledge and belief. I also agree to abide by the rules and regulations of the institution.