Application APPLICATION FORM FOR 2020-21 1 Applicant Details2 Academic Detals3 Upload Documents Seeking admission for*B.Sc PhysicsB.Sc. ChemistryB.Sc. MathsB.Sc. Computer ScienceB.C.AB.A.EnglishB.ComM.Sc. MathsM.Sc. Computer ScienceM.ComB.EdName* First Last Date of Birth* Gender*MaleFemaleCommunity*OCBCMBCSCSTFather's Name*Guardian's Name (if applicable)Father's / Guardian's Occupation*Annual IncomeAddress for communication* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Alternate Mobile NumberEmail Higher Secondary Details12th Standard Registration Number*School Name*School AddressBoard of Study*Tamil Nadu State BoardOther State BoardCBSEICSESubjects studied in 12th*Maths, Physics, Chemistry, BiologyMaths. Physics, Chemistry, Computer SciencePure ScienceCommerce and AccountancyVocational groupMarks obtained*Maximum Marks*Please enter a value between 500 and 1200.Year of passing*Please enter a value between 2000 and 2020.UG Qualification DetailsUG Degree (with specialization)*Registration Number*Name of the College*Name of the University*Year of passing*Percentage of Marks*Please enter a value between 30 and 100. Passport size photo of the candidate*Accepted file types: jpg, jpeg, gif, png.12th Marksheet copy*Accepted file types: jpg, jpeg, png, gif.12th Transfer CertificateUG Degree / Provisional certificate*Accepted file types: jpg, jpeg, png, gif, pdf.If provisional certificate is not available, but final semester exam result is published, you can attach the prinout of the result pageCommunity CertificateHow did you come to know about the Institution*By popularityNewspaper PamphletsBannersOther AdvertisementsESSM Students / AlumniESSM FacultyReferred by a well wisherEnter referral codePhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
