ssn data sheet

7/23/2019 Ssn Data Sheet

http://slidepdf.com/reader/full/ssn-data-sheet 1/6

OthersTamil

A. Name of the Board : HSC / CBSE / Others:

B. Name of the School in 12th Standard :

Mathematics

Physics

Chemistry

Max ScoredQualifying Marks (Q)

Q=M+(P+C) where M, P & C are percentage marks scored in Mathematics, Physics & Chemistry respectively in Plus Two Examination.2

(In block letters with initials at the end) :

OthersIndia

NoYes

27.05.2015 1 of 5



Pin Code

Phone No

Mobile No

:

:

:

Pin Code

Phone No

Mobile No

:

:

:

Signature of parent Signature of candidate

Parent Details Ofce AddressAnnual Income

(Rs.)

Father ..............................................

Service /Occupation ......................................

Designation .....................................

Mother .............................................

Service /Occupation ......................................

Designation .....................................

.............................

.............................

We declare that the information furnished in the Data Sheet is true and correct to the best of our knowledge.

2 of 5



List of additional documents to be attached by the special categories of candidates

Non-Resident Indians (NRI) Category

1. NRI status certicate of the father or mother (nancial supporter)issued by the Indian Embassy of the respective country in ORIGINAL

2. Sponsorship letter from the nancial supporter stating that he / she willnancially support the education of the candidate

3. Employment certicate of the nancial supporter issued by the foreignemployer

4. Relationship certicate of the nancial supporter obtained from theTahsildar

5. Attested copy of NRE (Non-Resident External) Bank Accountstatement for last 3 months transaction of the nancial supporter

6. Attested copy of the valid Indian Passport of the NRI nancialsupporter

DocumentsSl. No.

Note:

1. S. No. 1 & 2 are mandatory along with the application.2. S. No. 3 to 6 are mandatory on the date of interview.

3 of 5



Persons of Indian Origin (PIO) Category

1. Attested copy of the valid passport of the candidate

2. Attested copy of the valid Visa / PIO card of the candidate

3. Equivalent certicate issued by the Directorate of TechnicalEducation, Chennai - 600025

4. Proof of having studied the required qualifying subjects in English

medium

DocumentsSl. No.

Note:

1. S. No. 1 & 2 are mandatory along with the application.2. S. No. 3 & 4 are mandatory on the date of interview.

4 of 5



DocumentsSl. No.

For representing the country (India) in the International Competitionsrecognized by Indian Olympic Association.

For representing the State in a national competition organized byrecognized national Association in India afliated to Sports Authorityof India / Indian Olympic Association.

For representing the state school team in the National School GamesCompetition organized by School Games Federation of India (SGFI).

OR

OR

Category

1 Form - I

2 Form - II

3 Form - IV

Sports Category

Documentary proof of the achievements in games in sports /games in the prescribed form as detailed below:

The sports persons procient in the under mentioned sports / games only are eligible to apply:

1 Athletics - All events2 Badminton

3 Basket ball

4 Chess

5 Cricket

6 Squash

7 Table Tennis

8 Tennis

Sports / GamesS.No.

5 of 5