Christian Polytechnic College

Approved by AICTE - New Delhi & Affiliated to DOTE - Chennai

Christian Polytechnic College

Approved by AICTE - New Delhi & Affiliated to DOTE - Chennai

Christian Polytechnic College

Approved by AICTE - New Delhi & Affiliated to DOTE - Chennai

Institute Code: 342

Lateral Entry Admissio

Application Form For Admission To Lateral Entry Diploma Course 2025 - 2026

Name of the Candidate (in Block Letters)

Gender

Date of Birth

Father’s / Guardian’s Name

Mother’s Name

Address for Communication

Pin Code

State

Contact No of Parent / Guardian

Contact No of Student

Aadhaar Number of Student

Name of the course applied fo

Religion

Community & Certificate Number

Name of the caste

Mother Tongue

Blood Group

Name and address of the school last studied

SSLC register No

EMIS No

No of attempts

Month and Year of Passing

Occupation of the Parent / Guardian

Annual Income of the Parent / Guardian

Name as in Bank account

Account number (Aadhaar Linked)

Name of the Bank

Branch

IFSC Code

MICR Code

Aadhaar Linked Mobile Number