ANNA UNIVERSITY

CHENNAI - 600 025

Admission to B. E. (Part-Time) Self Supporting

Degree Programmes 2021 - 2022 for Working Professionals

INFORMATION AND INSTRUCTIONS TO CANDIDATES

 Part-Time B.E. (Self Supporting) Degree Programmes 2021-2022
GUIDELINES TO FILL-UP THE APPLICATION FORM

Admission to Part-Time B.E.(Self Supporting) Degree Programmes offered in the University

Departments of Anna University, Chennai (College of Engineering, Guindy and Madras
Institute of Technology Campuses).
1. Enter the details required in the Application form
a. Upload a recently taken good quality passport size photograph in the space
provided (in jpg format( ( Maximum 50 kb)
b. Upload copies of (in pdf format).
(i) X Standard Mark Sheet or its equivalent certificate
(ii) XII Standard Mark Sheet ( for Lateral Entry candidate)
(iii) Diploma Mark Sheets of all Semesters or Consolidated Mark Sheet
(copy of both sides of Mark sheets / Certificate should be
uploaded)
(iv) Diploma Certificate
(v) Transfer Certificate
(vi) Previous Work Experience Certificate(s)
(vii) Present Employment Certificate
(viii) Permanent Community Certificate in card format or electronic form
/digitally signed e-certificate in the case of BC, BC Muslim, MBC /
DNC & SC / SC (Arunthathiyars) / ST Candidates belonging to Tamil
Nadu.
(ix) Nativity Certificate only in electronic form / Digitally signed
e-Certificate.
(x) Certificate obtained from the District Medical Board (for Differently
Abled candidate)

Candidates have to download the Counseling Call Letter from Anna University Web
Portal after Publication of Merit list / Counseling Schedule.

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 ADMISSION TO B.E. (PART-TIME) SELF SUPPORTING
DEGREE PROGRAMMES 2021-22

INFORMATION AND INSTRUCTIONS TO CANDIDATES

1. CAMPUSES AND COURSES OF STUDY

The following B.E. Degree Courses are offered in Part-Time (Evening Programme) mode in the
University Departments of Anna University, Chennai - 600 025.

College of Engineering, Guindy Campus Madras Institute of Technology Campus

1. Mechanical Engineering. 1. Mechanical Engineering.

2. Electrical and Electronics Engineering.
3. Electronics and Communication
Engineering.

2. DURATION OF THE PROGRAMME

The Duration of the Programme is 3½ Academic years comprising 7 semesters.

3. CLASS HOURS

Classes will be held from 6.15 p.m. to 9.15 p.m. on all working days. Candidates seeking
admission should satisfy the admission authorities that they will be in a position to attend
the classes in the evenings and also on holidays and fulfill the requirements regarding
attendance as laid down by the University from time to time.

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4. ELIGIBILITY FOR ADMISSION

Candidates satisfying the eligibility conditions given below as on the last date of submission of
application are eligible to apply. No change in claims made in application will be permitted after
the last date prescribed for submission of application .
a) Qualification:
Candidates should have passed any one of the 3 years Diploma Course in appropriate
branch of Engineering / Technology of the State Board of Technical Education and
Training, Tamil Nadu from an AICTE approved institution or its equivalent.
b) Year of passing Diploma:
Candidates should have passed the diploma examination in the relevant branch of
specialization atleast two years before the last date prescribed for the Registration of
Application.
c) Place of Work:
Candidates should be working in a place within a distance of 120 km from the college to
which he/she seeks admission so as to enable him/her to attend the classes regularly by
6.15 p.m. and the place of working should be in Tamil Nadu.
d) Age Limit:
No Age limit is prescribed for admission to B.E.(Part –Time) Degree Programme.
e) Employment:
(i)Candidates who are working professionals at the time of admission alone are eligible.
(ii)Candidates should have a minimum of two years full time work experience after
successfully completing the Diploma in a Registered firm / Company / Industry /
Educational / Government and Autonomous organizations in the relevant field in which
admission is sought at the time of admission.
f) Mode of Study:
The mode of Diploma study shall be Full Time or Lateral Entry or Part-Time. Candidates
studied in distance mode are not eligible.

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5. COURSES OFFERED AND ELIGIBILITY

Sl.No. Diploma
Group Code Degree and
Branch Qualifying Diploma
and Name Branch
Code

201 Mechanical Engineering

202 Metallurgy

203 Mechanical & Rural Engineering

204 Machine Tool Maintenance

205 Machine Design & Drafting

B.E.
1. Mechanical (Mechanical 206 Refrigeration and Air-Conditioning
Engineering)
207 Production Engineering

208 Tool & Die Design

209 Mechatronics Engineering

210 Foundry Technology (Sandwich)

211 Automobile Engineering

Electrical Engineering / Electrical

301
Engineering (Sandwich)

Electrical and Electronics

B.E. (Electrical
302 Engineering / Electrical and
2. Electrical and Electronics
Electronics Engineering (Sandwich)
Engineering)
303 Electronics Engineering
Electronics and Communication
304
Engineering

4
 Group Diploma
Sl.No. Code and Degree and Branch Branch Qualifying Diploma
Name Code
Electrical Engineering / Electrical
301
Engineering (Sandwich)
Electrical and Electronics
302 Engineering / Electrical and
B.E. (Electronics Electronics Engineering (Sandwich)
Electrical and Communication
3 Engineering) 303 Electronics Engineering

Electronics and Communication

304
Engineering
Electronics Engineering
308
(Instrumentation)

310 Instrumentation Technology

IMPORTANT:

o The Candidates who have passed their qualifying examinations other than the
Diploma courses mentioned above have to obtain the eligibility Certificate
from the Directorate of Technical Education and should produce the same
without fail.

o If Registration of Applications is less than 15, the candidate`s application will

not be processed.

o If the number of candidates who appear for Counseling is less than 15 (per
branch). Counseling will not be conducted.

o Any course shall be offered only if the admission strength in that branch is
more than 15.

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6. PREPARATION OF MERIT LIST

Maximum marks for Qualifying Diploma Examination : 75

Maximum marks for Work Experience : 25

Total 100
(i) Marks for Qualifying Diploma Examination

Marks obtained by the candidate in the qualifying Diploma Examination shall be reduced to
75 marks will be considered for selection as given below.

Marks to be considered for the preparation of merit

Sl. No. Diploma
list

1. Full Time 1st to 6th semester (Semester Pattern)

1st to 3rd year (Annual Pattern)

2. Lateral Entry 3rd to 6th semester

3. Part Time 1st to 8th semester

4. Sandwich 1st to 7th semester (excluding Industrial Training marks)

(ii) Marks for Work Experience

Marks for work experience shall be calculated from the succeeding month of passing the
qualifying diploma examination to the last date prescribed for the registration of application.
Maximum 25 marks for work experience shall be calculated as follows

Sl. No. Experience Marks

1. Every completed year 2

2. Less than 3 months 0

3. 3 to 9 months 1

4. 9 to 12 months 2

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(iii) Preparation of Merit List

Merit list will be prepared as per rank based on the marks obtained by the candidate in the
Qualifying Diploma examination and the marks awarded for the period of service adopting
the weightage in proportion 75:25 and evaluated for a total of 100 marks.

In cases where more than one candidate have got the same marks in the common rank list,
inter-se rank among such candidates shall be determined in the order of priority as given
below.

1. Total years of experience

2. Total marks obtained in the Qualifying Diploma Examination (Refer item No. 6.(i) )

3. Date of Birth (Senior will be placed above)

7. COMMUNAL RESERVATION

7.1. Selection shall be made under seven categories namely OC, BC, BCM, MBC & DNC,
SC, SCA and ST reservation following the rules of communal reservation of the
Government of TamilNadu.

7.2. Tamil Nadu native Candidates alone will be considered for communal reservation. The
list of communities is given in Annexure –I.

a) Candidates seeking admission under ST/ SC/ SCA/ MBC & DNC / BC & BCM
reservation should obtain the certificate of social status issued by the competent
authority in the Permanent Community card format or Electronic form / digitally
signed e-Certificate prescribed by the Government of Tamil Nadu and upload a
self-attested photocopy of the same along with the online application. Community
Certificate in paper format will not be accepted.

b) The applicants from Tamil Nadu State should have obtained permanent
community certificate in card format or Electronic Form or Digitally signed
e-certificate (for SC / SCA / ST / MBC& DNC, BC and BC Muslim candidates),
only from the authorities given in the table on or before the last date prescribed for
submission of filled-in online application.

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 Community Issuing Authority
Revenue Divisional Officer of their native place
or Sub-Collector of their districts (except
Scheduled Tribe Chennai) or P.A. (General) to Collector of
Chennai. The Community Certificate card
issued by Tahsildars upto 11.11.1989 is valid.
Scheduled Caste / Scheduled Caste
Tahsildar of Native Taluk of the candidate
(Arunthathiyars)

Backward Class / Backward Class

Headquarters Deputy Tahsildar / Zonal Deputy
(Muslim) / Most Backward Class /
Tahsildar / Deputy Tahsildar (Certificates)
Denotified Communities

Married women should possess Community Certificate issued in Father’s name only.

Community Certificate issued after the last date prescribed for submission of filled-in
online applications will not be considered.

c) For communities linked with districts (Refer Annexure-I) the candidates should obtain their
Community Certificate in their respective district. Community Certificates obtained from
other than their respective district will not be considered and they will be treated under Open
Competition category. However, candidates who belong to BC, MBC and DNC
communities in a particular district and migrated to other places in Tamil Nadu and
obtained Community Certificates from competent authorities in the migrated district on or
after 28.10.2009, will be considered (as per G.O. (St) No. 95 BC, MBC & Minorities Welfare
Department, dated 28.10.2009).

d) Community Certificate obtained from Other States will not be considered for communal
reservation.Other state candidates working in Tamil Nadu will be considered under Open
Competition (OC) Category only.

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e) Candidates who have not uploaded the self attested photocopy of the Permanent
Community Certificate in card format or electronic form / digitally signed e-Certificate at the
time of submission of the application will be treated under OC Category. In the event of
such a decision, the eligibility conditions and rules prescribed for OC category will be
applicable for such candidates and if such candidates do not satisfy the rules of “OC
Category” their applications are liable to be rejected. No correspondence in this regard will
be entertained.

f) Candidates who have passed IX std. / X std. /qualifying Diploma examination outside Tamil
Nadu will be considered under Open Competition category only. However, Tamil Nadu
Native candidates who have studied either IX std. or X std. or Diploma outside Tamil Nadu
and claim communal reservation should upload a copy of Nativity Certificate only in
electronic form / digitally signed e-Certificate along with the filled in online application,
otherwise they will be considered under OC category.

8. DIFFE RENT LY AB LED PERS ON S C ATE GORY

 Fi ve percent of seats are reserved for Differently Abled Persons @ 1% for each of the
following category :

a) Blindness and low vision.

b) Deaf and hard hearing.

c) Locomotor disability including cerebral paisy, leprosy cured dwarfism acid attack
victims and muscular dystrophy.

d) Autism, intellectual disability, specific learning disability and mental illness.

e) Multiple disabilities from amongst persons under clauses (a) to (d) including deaf-
blindness in the programme identified for each disabilities

 The Competent Authority to issue Disability Certificate is District Medical Board duly
constituted by the State Government. The District Medical Board shall consists of a
minimum of three members (Chairman and two Members) out of which atleast one
shall be a specialist depending on the disability prescribed.

Certificate obtained from an individual doctor will NOT be considered.

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 The medical certificate should be in the prescribed format given in Certificate No. I, II & III.

 The certificates should have been obtained prior to the last date prescribed for registration
and submission of online application indicated in the notification.

8.1 Eligibility Criteria for various Disabilities

a. Norms for Locomotor disability including cerebral paisy, lepros y

cured dw arfism acid attack victims and muscular dystrophy

Candidates with permanent physical impairment of 40 % and above are

considered as disabled. The candidates with Orthopaedic Disability of the
following types are eligible for claiming admission against Differently Abled
Persons Category (Certificate No. I)
(i) Independent in ambulance with or without calipers but without
walking aids.
(ii) Good standing balance without calipers but without any support.
(iii) Hand Function with normal limit without any aid
(iv) Good control over bladder & bowl
(v) Disease must be non-progressive

b. Norms for Deaf and Hard Hearing

Candidates with hearing ability of 40 db and above only in the better ear with
speech discrimination score of 50 % and above are considered as
disabled.
(Certificate No. II)

c. Norms for Blindness & Low vision

Candidates with low vision of 40 % a nd above are considered as disabled.
(Certificate No. III)

Low Vision: Persons with low vision means a person with impairment of vision of
less than 6/18 to 6/60 with best correction in the better eye or impairment of
field in any one of the following categories:

a) Reduction of fields less than 50o.

b) Heminaopia with macular involvement.
c) Attitudinal defect involving lower fields categories of Visual Disability all with
correction.

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 Categories of Visual Disability

% of
Category Better eye Worse eye
impairment

Category 0 6 / 9 - 6 / 18 6 / 24 to 6 / 36 20

Category I 6 / 16 - 6 / 36 6 / 20 to Nil 40

6 / 40 – 4 / 60 or field of
Category II 3 / 60 to Nil 75
Vision 10º—20º

3 / 60 – 1 / 60 or field of
Category III F.C. at 1 ft. to Nil 100
Vision 10º

F.C. at 1 ft. to Nil or field of

Category IV F.C. at 1 ft. to Nil 100
vision 10º

One eyed F.C. at 1 ft. to Nil or field

6/6 30
Persons * of Vision 10º
Note: F.C means Finger Count *ONE EYED Persons with normal vision is not
considered as disabled.

9. COUNSELING

The Counseling for Admission for the year 2021-2022 will be conducted only through Online. Once
the Rank list has been published, the Web Portal for exercising the choice of the branch of study
will be available.

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10. PRESENT EMPLOYMENT CERTIFICATE (REFER CERTIFICATE NO. IV)

Candidates can download the format for Present Employment certificate (No. IV) from Anna
University Web Portal. Present employer must fill up this certificate. The candidates should
upload the scanned copy of this certificate. Registration of Application without uploading
this certificate will be rejected. Certificate without the Authority seal or signature will not
be considered.
The applications of such candidates will be rejected.

Candidates with experience certificate issued by organizations / Institutions other than

Government / Quasi Government Department should also upload any one of the following:

1. TNGST Certificate / CST Certificate / TIN Certificate.

2. Certificate of Registration under Companies Act. / SSI Registration Certificate /

Certificate of any statutory body.

3. Government approved contractors registration certificate (current year) License

No. with latest I.T. clearance certificate for private individuals other than companies.
4. GPF statement, Pay slip, etc.

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Note:

 The Period of Training / Apprenticeship will not be counted for experience.

 The period of work experience will be taken from the succeeding month of
passing the qualifying Diploma Examination till the last date prescribed for
Registration of applications.

 Work experience will be taken into account only if the Registration / Certificate
number of the company is clearly mentioned in the work experience certificate,
otherwise the period of experience will not be considered.

 Offer of appointment letter / relieving order will not be considered in lieu of work
experience certificate.

 Date of joining and date of relieving should be clearly mentioned in the

experience certificate.

 Work experience certificate(s) should be in the employer’s letter head with

TNGST / CST / TIN / TAN / RC / License No. etc.

 If the candidate had worked in foreign countries, he/she should produce

certificate in the employer’s letter head clearly mentioning the date of joining and
date of relieving and the nature of work etc. Further, copies of passport and work
visa have to be uploaded. In the visa / passport, if the entries are in languages
other than English, translated copy obtained from the authorised institution of the
same in English should be produced.

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11. GUIDELINES TO FILLUP THE APPLICATION

Registration of only one application is sufficient for College of Engineering Guindy

Campus and Madras Institute of Technology Campus, Chennai.

a) Enter all the details required in the application form.

b) The name should be entered as in SSLC or its equivalent certificate. Change in name/
initial, if any, should be supported with Gazette notification. In the case of women
candidates, other valid evidences such as marriage registration certificate will be
accepted.

c) Registration fee Rs.600/- (+18% GST) for General category and Rs.300/-(+18% GST)
for SC/SCA/ST candidates belonging to Tamil Nadu) should be paid only through online
mode by using Credit Card / Debit Card / Net Banking.
d) The self-attested copies of the following documents should be uploaded:

(i) X standard mark sheet or its equivalent certificate

(ii) XII standard mark sheet (for lateral entry candidate)
(iii) Diploma mark sheets of all semesters or Consolidated mark sheet
(copy of both sides of the mark sheets / certificates)

(iv) Diploma Certificate

(v) Transfer Certificate
(vi) Previous work experience certificate(s)
(vii) Present Employment Certificate (Certificate No –IV)
(viii) Permanent Community Certificate in card format or electronic form /
digitally signed e-Certificate in the case of BC, BC Muslim, MBC / DNC &
SC /SC (Arunthathiyars) / ST candidates belonging to Tamil Nadu

(ix) Nativity certificate only in electronic form / digitally signed e-Certificate

- (if applicable)
(X) Certificate from the District Medical Board (for Differently Abled
candidate)

Failure to upload even any one of the above along with the application form will result
in rejection of the application.

The candidates will not be permitted to attend the counseling, even if any one of the
above in original is not produced at the time of certificate verification.

Change of date / time of counseling under any circumstances is not permitted

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 ANNEXURE – I
LIST OF COMMUNITIES

Code I. SCHEDULED TRIBES IN TAMIL NADU Code II. SCHEDULED CASTES IN TAMIL NADU
No. No.
1 Adiyan 37.Adi Dravida
2 Aranadan 38 Adi Karnataka
3 Eravallan 39 Ajila
4 Irular 40 Ayyanavar (in Kanyakumari District
5 Kadar a nd Shenkottah Taluk of Tirunelveli District)
6 Kammara (excluding Kanyakumari District and 41 Baira
Shenkottah Taluk of Tirunelveli District) 42 Bakuda
7 Kanikaran, Kanikkar (in Kanyakumari District 43 Bandi
and Shenkottah Taluk of Tirunelveli District) 44 Bellara
8 Kaniyan, Kanyan 45 Bharatar (in Kanyakumari District and Shenkottah
9 Kattunayakan Taluk of Tirunelveli District)
10 Kochu Velan 46 Chalavadi
11 Konda Kapus 47 Chamar, Muchi
12 Kondareddis 48 Chandala
13 Koraga 49 Cheruman
14 Kota (excluding Kanyakumari District and 50 Devendrakulathan
Shenkottah Taluk of Tirunelveli District) 51 Dom, Dombara, Paidi, Pano
15 Kudiya, Melakudi 52 Domban
16 Kurichchan 53 Godagali
17 Kurumbas (in the Nilgiris District)
54 Godda
18 Kurumans 55 Gosangi
19 Maha Malasar 56 Holeya
20 Malai Arayan
57 Jaggali
21 Malai Pandaram 58 Jambuvulu
22 Malai Vedan 59 Kadaiyan
23 Malakkuravan 60 Kakkalan (in Kanyakumari District and Shenkottah
24 Malasar Taluk of Tirunelveli District)
25 Malayali (in Dharmapuri, North Arcot, 61 Kalladi
Pudukkottai, Salem, South Arcot and
62 Kanakkan, Padanna (in the Nilgiris District)
Tiruchirapalli Districts)
63 Karimpalan
26 Malayakandi
64 Kavara (in Kanyakumari District and Shenkottah
27 Mannan Taluk of Tirunelveli District)
28 Mudugar, Muduvan
65 Koliyan
29 Muthuvan 66 Koosa
30 Pallayan
67 Kootan, Koodan (in Kan yakumari District and
31 Palliyan Shenkottah Taluk of Tirunelveli District)
32 Palliyar 68 Kudumban
33 Paniyan 69 Kuravan, Sidhanar
34 Sholaga 70 Maila
35 Toda (excluding Kanyakumari District and 71 Mala
Shenkottah Taluk of Tirunelveli District) 72 Mannan (in Kanyakumari District and Shenkottah
36 Uraly Taluk of Tirunelveli District)
73 Mavilan
74 Moger
75 Mundala
76 Nalakeyava
Code 1. G.O. Ms. No. 85 Backward Classes, Most Backward
No. Classes and Minorities Welfare Department
77 Nayadi dt: 29.07.2008
2. G.O. Ms. No. 96 Backward Classes, Most
78 Padannan (in Kan yakumari District and
Backward Classes and Minorities Welfare
Shenkottah Taluk of Tirunelveli District)
Department dt: 08.09.2008
79 Pallan 3. G.O. Ms. No. 97 Backward Classes, Most
80 Pulluvan Backward Classes and Minorities Welfare
81 Pambada Department dt: 11.09.2008
82 Panan (in Kanyakumari District and Shenkottah 4. G.O. Ms. No. 37 Backward Classes, Most
Taluk of Tirunelveli District) Backward Classes and Minorities Welfare
83 Panchama Department dt: 21.05.2009
84 Pannadi 5. G.O. Ms. No. 98 Backward Classes, Most
85 Panniandi Backward Classes and Minorities Welfare
Department dt: 05.11.2009
86 Paraiyan, Parayan, Sambavar
6. G.O. Ms. No. 6 Backward Classes, Most Backward
87 Paravan (in Kanyakumari District and Classes and Minorities Welfare Department dt:
Shenkottah Taluk of Tirunelveli District) 11.01.2011
88 Pathiyan (in Kanyakumari District and 7. G.O. Ms. No. 28 Backward Classes, Most
Shenkottah Taluk of Tirunelveli District) Backward Classes and Minorities Welfare
89 Pulayan, Cheramar Department dt: 06.04.2015
90 Puthirai Vannan
91 Raneyar Code III (A). LIST OF MOST BACKWARD CLASSES
92 Samagara No.
93 Samban 115 Ambalakarar
94 Sapari 116 Andipandaram
95 Semman 117A Arayar (in Kanyakumari District)
96 Thandan (in Kanyakumari District and 118 Bestha, Siviar
Shenkottah Taluk of Tirunelveli District) 119 Bhatraju (Other than Kshatriya Raju)
97 Tiruvalluvar 120 Bo yar, Oddar
98 Vallon 121 Dasari
99 Valluvan 122 Dommara
100 Vannan (in Kanyakumari District and 123 Eravallar (except in Kanyakumari District and
Shenkottah Taluk of Tirunelveli District) Shenkottah Taluk of Tirunelveli District where
101 Vathiriyan the Community is a Scheduled Tribe)
102 Velan 124 Isaivellalar
103 Vetan (in Kanyakumari District and Shenkottah 125 Jambuvanodai
Taluk of Tirunelveli District) 126 Jangam
104 Vettiyan 127 Jogi
105 Vettuvan (in Kanyakumari District and 128 Kongu Chettiar (in Coimbatore and Erode
Shenkottah Taluk of Tirunelveli District) Districts only)
129 Koracha
II (A) SCHEDULED CASTES ARUNTHATHIYARS
IN TAMIL NADU 130 Kulala (including Ku yavar and Kumbarar)
Code 131 Kunnuvar Mannadi
No: 132 Kurumba, Kurumba Gounder
108 Adi Andhra 133 Kuruhini Chetty
109 Arunthathiyar 134A Latin Catholic Christian Vannar (in Kanyakumari
110 Chakkiliyan District)
111 Madari 135 Maruthuvar, Navithar, Mangala, Velakattalavar,
112 Madiga Velakatalanair and Pronopakari
113 Pagadai 136 Mond Golla
114 Thoti 137 Moundadan Chetty
138 Mahendra, Medara
Code Code
No. No.
139 Mutlakampatti 165 Ambalakarar (Thanjavur, Nagapattinam, Tiruvarur,
140 Narikoravar (Kurivikars) Tiruchirappalli, Karur, Perambalur and
Pudukkottai Districts)
141 Nokkar
166 Ambalakkarar (Suriyanur, Tiruchirapalli District)
142A Panisaivan / Panisivan
167 Boyas (Tiruchirapalli, Karur, Perambalur,
143 Vanniakula Kshatriya (including Vanniyar,
Vanniya, Vannia Gounder, Gounder or Kander, Pudukkottai, The Nilgiris, Salem, Namakkal,
Padayachi, Palli & Agnikula Kshatriya) Dharmapuri and Krishnagiri Districts)
144 Paravar (except in Kanyakumari District and 168 Battu Turkas
Shenkottah Taluk of Tirunelveli District where 169 C.K. Koravars (Cuddalore and Villupuram
the Community is Scheduled Caste) Districts)
145A Paravar converts to Christianity including the 170 Chakkala (Sivaganga, Virudhunagar,
Paravar converts to Christianity of Ramanathapuram, Thanjavur, Nagapattinam,
Kanyakumari District and Shenkottah Taluk in Thiruvarur, Pudukkottai, Tiruchirapalli, Karur,
Tirunelveli District) Perambalur, Madurai, Theni, Dindigul and the
146 Meenavar (Parvatharajakulam, Pattanavar, Nilgiris Districts)
Sembadavar) (including converts to Christianity) 171 Changyampudi Koravars (Vellore and
147 Mukkuvar or Mukayar (including converts to Thiruvannamalai Districts)
Christianity)
172 Chettinad Valayars (Sivaganga, Virudhunagar and
148 Punnan Vettuva Gounder
Ramanathapuram Districts)
149 Pannayar (other than Kathikarar in
Kanyakumari District) 173 Dombs (Pudukkottai, Tiruchirapalli, Karur and
150 Sathatha Srivaishnava (including Sathani, Perambalur Districts)
Chattadi and Chattada Srivaishnava) 174 Dobba Koravars (Salem and Namakkal Districts)
151 Sozhia Chetty 175 Dommars (Thanjavur, Nagapattinam, Thiruvarur,
152 Telugupatty Chetty Pudukkottai, Vellore and Thiruvannamalai
153 Thottia Naicker (including Rajakambalam, Districts)
Gollavar, Sillavar, Thockalavar, Thozhuva 176 Donga Boya
Naicker and Erragollar) 177 Donga Ur. Korachas
154 Thondaman 178 Devagudi Talayaris
155A Thoraiyar (Nilgiris) 179 Dobbai Korachas (Tiruchirapalli, Karur
156B Thoraiyar (Plains) Perambalur and Pudukkottai Districts)
156C Transgender or Eunuch (Thirunangai or
180 Dabi Koravars (Thanjavur, Nagapattinam,
Aravani)
Thiruvarur, Tiruchirapalli, Karur, Perambalur,
157 Valaiyar (including Chettinad Valayars) Pudukkottai, Vellore and Thiruvannamalai
158 Vannar (Salaivai Thozhilalar) (including Districts)
Agasa, Madivala, Ekali, Rajakula, Veluthadar 181 Donga Dasaris (Kancheepuram, Tiruvallur,
& Rajaka) (except in Kan yakumari District Tiruchirapalli, Karur, Perambalur, Pudukkottai,
and Shenkottah Taluk of Tirunelveli District Chennai, Salem and Namakkal Districts)
where the Community is a Scheduled Caste) 182 Gorrela Dodda Boya
159 Vettaikarar 183 Gudu Dasaris
160 Vettuva Gounder 184 Gandarvakottai Koravars (Thanjavur,
161 Yogeeswarar Nagapattinam, Thiruvarur, Tiruchirapalli, Karur,
Perambalur, Pudukkottai, Cuddalore and
III (B) LIST OF DENOTIFIED COMMUNITIES
Villupuram Districts)
162 Attur Kilnad Koravars (Salem, Namakkal,
Cuddalore, Villupuram, Ramanathapuram, 185 Gandarvakottai Kallars (Thanjavur, Nagapattinam,
Sivaganga and Virudhunagar Districts) Thiruvarur and Pudukkottai Districts)
163 Attur Melnad Koravars (Salem and Namakkal 186 Inji Koravars (Thanjavur, Nagapattinam,
District) Thiruvarur, Tiruchirapalli, Karur, Perambalur and
164 Appanad Kondayam Kottai Maravar Pudukkottai Districts)
(Sivaganga, Virudhunagar, Ramanathapuram,
Madurai, Theni and Dindigul Districts)
Code Code
No. No.
187 Jogis (Kancheepuram, Tiruvallur, Chennai, 206 Piramalai Kallars (Sivagangai, Virudhunagar,
Ramanathapuram, Madurai, Theni, Dindigul,
Cuddalore, Villupuram, Vellore and Pudukkottai, Thanjavur, Nagapattinam and
Thiruvannamalai Districts) Thiruvarur Districts)
188 Jambavanodai 2 Peria Suriyur Kallars (Tiruchirapalli, Karur,
189 Kaladis (Sivaganga, Virudhunagar, Perambalur, and Pudukkottai Districts)
Ramanathapuram, Madurai, Theni, Dindigul, 2 Padayachi (Vellayan Kuppam in Cuddalore District
Thanjavur, Nagapattinam, Thiruvarur, and Tennore in Tiruchirapalli District)
Pudukkottai, Tiruchirapalli, Karur and 209 Punnan Vettuva Gounder (Tiruchirapalli, Karur,
Perambalur Districts) Perambalur and Pudukkottai Districts)
190 Kal Oddars (Kancheepuram, Thiruvallur, 2 Servai (Tiruchirapalli, Karur, Perambalur and
Ramanathapuram, Sivaganga, Virudhunagar, Pudukkottai Districts)
Madurai, Theni, Dindigul, Pudukkottai, 211 Salem Melnad Koravars (Madurai, Theni,
Thanjavur, Nagapattinam, Tiruvarur, Dindigul, Coimbatore, Erode, Pudukkottai,
Tiruchirapalli, Karur, Perambalur, Tirunelveli, Tiruchirapalli, Karur, Perambalur, Salem,
Thoothukudi, Salem and Namakkal Districts) Namakkal, Vellore and Thiruvannamalai Districts)
212 Salem Uppu Koravars (Salem & Namakkal Dists.)
191 Koravars (Kancheepuram, Tiruvallur,
Ramanathapuram, Sivaganga, Virudhunagar, 213 Sakkaraithamadai Koravars (Vellore and
Thiruvannamalai districts)
Pudukkottai, Thanjavur, Nagapattinam,
Thiruvarur, Tiruchirapalli, Karur, Perambalur, 2 Saranga Palli Koravars
Tirunelveli, Thoothukudi, Chennai, Madurai, 2 Sooramari Oddars (Salem and Namakkal Districts)
Theni, Dindigul and The Nilgiris Districts) 2 Sembanad Maravars (Sivaganga, Virudhunagar and
Ramanathapuram Districts)
192 Kalinji Dabikoravars (Thanjavur, Nagapattinam,
217 Thalli Koravars (Salem and Namakkal Districts)
Tiruvarur and Pudukkottai Districts)
218 Telungapatti Chetis (Tiruchirapalli, Karur,
193 Kootappal Kallars (Tiruchirapalli, Karur, Perambalur and Pudukkottai Districts)
Perambalur and Pudukkottai Districts)
219 Thottia Naickers (Sivaganga, Virudhunagar,
194 Kala Koravars (Thanjavur, Nagapattinam, Ramanathapuram, Kancheepuram, Tiruvallur,
Thiruvarur, Tiruchirapalli, Karur, Perambalur Thanjavur, Nagapattinam, Thiruvarur ,
and Pudukkottai Districts) Tiruchirapalli, Karur, Perambalur. Pudukkottai,
195 Kalavathila Boyas Tirunelveli, Thoothukudi, Salem, Namakkal,
196 Kepmaris (Kancheepuram, Tiruvallur, Vellore, Thiruvannamalai, Coimbatore & Erode
Pudukkottai, Tiruchirapalli, Karur and Districts)
Perambalur Districts) 220 Thogamalai Koravars or Kepmaris (Tiruchirapalli,
197 Maravars (Thanjavur, Nagapattinam, Karur, Perambalur and Pudukkottai Districts)
Thiruvarur, Pudukkottai, Ramanathapuram, 221 Uppukoravars or Settipalli Koravars (Thanjavur,
Sivaganga, Virudhunagar, Tirunelveli and Nagapattinam, Thiruvarur, Pudukkottai, Madurai,
Thoothukudi Districts) Theni, Dindigul, Vellore and Thiruvannamalai
198 Monda Koravars Districts)
199 Monda Golla (Salem and Namakkal Districts) 222 Urali Gounders (Tiruchirapalli, Karur, Perambalur
200 Mutlakampatti (Tiruchirapalli, Karur, and Pudukkottai Districts)
Perambalur and Pudukkottai Districts) 223 Wayalpad or Nawalpeta Korachas
201 Nokkars (Tiruchirapalli, Karur, Perambalur and
224 Vaduvarpatti Koravars (Madurai, Theni, Dindigul,
Pudukkottai Districts)
Ramanathapuram, Sivaganga, Virudhunagar,
202 Nellorepet Oddars (Vellore and
Tirunelveli, Thoothukudi, Tiruchirapalli, Karur,
Thiruvannamalai Districts) Perambalur and Pudukkottai Districts)
203 Oddars (Thanjavur, Nagapattinam, Thiruvarur,
225 Valayars (Madurai, Theni, Dindigul, Tiruchirapalli,
Tiruchirapalli, Karur, Perambalur, Pudukkottai,
Karur, Perambalur, Pudukkottai, Erode and
Madurai, Theni and Dindigul Districts)
Coimbatore Districts)
204 Pedda Boyas (Tiruchirapalli, Karur, Perambalur
and Pudukkottai Districts) 226 Vettaikarar (Thanjavur, Nagapattinam, Thiruvarur
205 Ponnai Koravars (Vellore and Thiruvannamalai and Pudukkottai Districts)
Districts) 227 Vetta koravars (Salem and Namakkal Districts)
Code Code
No. No.
228 Varaganeri Koravars (Tiruchirapalli, Karur, 245 Chowdry
Perambalur and Pudukkottai Districts) 246A Converts to Christianity from Scheduled Castes
229 Vettuva Gounder (Tiruchirapalli, Karur, irrespective of the generation of conversion (except
Perambalur and Pudukkottai Districts) the Paravar conversion to Christianity of
Kanyakumari District and Shenkottah Taluk of
IV. LIST OF BACKWARD CLASSES
Tirunelveli District)
230 Agamudayar including Thozhu or Thuluva
247B C.S.I. formerly S.I.U.C. (in Kanyakumari District
Vellala
and Shenkottah Taluk of Tirunelveli District)
231 Agaram Vellan Chettiar
248 Donga Dasaris (except Kancheepuram Tiruvallur,
232 Alwar, Azhavar and Alavar (in Kanyakumari Tiruchirapalli, Karur, Perambalur, Pudukkottai,
District and Shenkottah Taluk of Tirunelveli Chennai, Salem and Namakkal Districts)
District)
249 Devangar, Sedar
233 Servai (except Tiruchirappalli, Karur,
250 Dombs (except Pudukkottai, Tiruchirapalli, Karur
Perambalur and Pudukkottai Districts)
and Perambalur Districts) Dommars (except
234 Nulayar (in Kanyakumari District and Thanjavur, Nagapattinam, Tiruvarur, Pudukkottai,
Shenkottah Taluk of Tirunelveli District) Vellore and Thiruvannamalai Districts)
235 Archakarai Vellala 251 Enadi
236 Aryavathi (in Kanyakumari District and 252 Ezhavath y (in Kanyakumari District and
Shenkottah Taluk of Tirunelveli District) Shenkottah Taluk of Tirunelveli District)
237 Ayira Vaisyar 253 Ezhuthachar (in Kan yakumari District and
238 Badagar Shenkottah Taluk of Tirunelveli District)
239 Billava 254 Ezhuva (in Kan yakumari District and Shenkottah
240 Bondil Taluk of Tirunelveli District)
241 Boyas (except Tiruchirappalli, Karur, 255 Gangavar
Perambalur, Pudukkottai, The Nilgiris, Salem, 256 Gavara, Gavarai & Vadugar (Vaduvar) (other than
Namakkal, Dharmapuri and Krishnagiri Dists.) Kamma, Kapu, Balija & Reddi)
Pedda Boyar (except Tiruchirappalli, Karur, 257 Gounder
Perambalur and Pudukkottai Districts) 258 Gowda (including Gammala, Kalali and Anuppa
Oddars (except Thanjavur, Nagapattinam, Gounder)
Thiruvarur, Tiruchirappalli, Karur, Perambalur, 259 Hegde
Pudukkottai, Madurai, Theni and Dindigul
260 Idiga
Districts) Kaloddars (except Kancheepuram,
Tiruvallur, Ramanathapuram, Sivaganga, 261 Illathu Pillaimar, Illuvar, Ezhuvar & Illathar
Virudhunagar, Madurai, Theni, Dindigul, 262 Jhetty
Pudukkottai, Tiruchirappalli, Karur, Perambalur, 263 Jogis (except Kancheepuram, Tiruvallur, Madurai,
Tirunelveli, Thoothukudi, Salem & Namakkal Theni, Dindigul, Cuddalore, Villupuram, Vellore
Districts) Nellorepet Oddars (except Vellore and and Thiruvannamalai Districts)
Thiruvannamalai Districts) Sooramari Oddars
264 Kabbera
(except Salem and Namakkal Districts)
265 Kaikolar, Sengunthar
242 Chakkala (except Sivaganga, Virudhunagar,
Ramanathapuram, Thanjavur, Nagapattinam, 266 Kaladi (except Sivaganga, Virudhunagar,
Thiruvarur, Pudukkottai, Tiruchirappalli, Karur, Ramanathapuram, Madurai, Theni, Dindigul,
Perambalur, Madurai, Theni, Dindigul and The Thanjavur, Nagapattinam, Thiruvarur, Pudukkottai,
Nilgiris Districts) Tiruchirapalli, Karur and Perambalur Districts)
243 Chavalakarar (in Kanyakumari District and 267 Kalari Kurup including Kalari Panicker (in
Shenkottah Taluk of Tirunelveli District) Kanyakumari District and Shenkottah Taluk of
Tirunelveli District)
244 Chettu or Chetty (including Kottar Chetty, Elur
Chetty, Pathira Chetty, Valayal Chetty, 268 Kalingi
Pudukadai Chetty) (in Kanyakumari District
and Shenkottah Taluk of Tirunelveli District)
Code Code
No. No.
269 Kallar 290 Krishnanvaka (in Kanyakumari District and
Easanattu Kallar Shenkottah Taluk of Tirunelveli District)
Gandharva Kottai Kallars (except Thanjavur, 291 Kudikara Vellalar
Nagapattinam, Thiruvarur and Pudukkottai 292 Kudumbi (in Kanyakumari District and
Districts) Shenkottah Taluk of Tirunelveli District)
Kootappal Kallars (except Pudukkottai, 293 Kuga Vellalar
Tiruchirapalli, Karur and Perambalur Districts) 294 Kunchidigar
Piramalai Kallars (except Sivaganga, 295A Latin Catholics except Latin Catholic Vannar in
Virudhunagar, Ramanathapuram, Madurai, Kanyakumari District
Theni, Dindigul, Pudukkottai, Thanjavur, 296B Latin Catholics in Shenkottah Taluk of
Nagapattinam and Thiruvarur Districts)
Tirunelveli District
Periyasooriyur Kallars (except Tiruchirapalli,
Karur, Perambalur and Pudukkottai Districts) 297 Lambadi
298 Lingayat (Jangama)
270 Kallar Kula Thondaman
299 Mahratta (NonBrahmin) (including Namadev
271 Kalveli Gounder
Mahratta)
272 Kambar
300 Malayar
273 Kammalar or Viswakarma, Viswakarmala 301 Male
(including Thattar, Porkollar, Kannar, Karumar, 302 Maniagar
Kollar, Thacher, Kal Thacher, Kamsala and
Viswabrahmin) 303 Maravars (except Thanjavur, Nagapattinam,
Tiruvarur, Pudukkottai, Ramanathapuram,
274 Kani, Kanisu, Kaniyar Panicker
Sivaganga, Virudhunagar, Tirunelveli and
275 Kaniyala Vellalar
Thoothukudi Districts) (including Karumaravars.
276 Kannada Saineegar, Kannadiyar (Through out
Appanad Kondayamkottai Maravar (except
the State) and Dasapalanjika (Coimbatore, Erode
and the Nilgiris Districts) Sivaganga, Virudhunagar, Ramanathapuram,
Madurai, Theni and Dindigul Districts) and
277 Kannadiya Naidu
Sembanad Maravars (except Sivaganga,
278 Karpoora Chettiar
Virudhunagar and Ramanathapuram Districts)
279 Karuneegar (Seer Karuneegar, Sri Karuneegar, 304 Moondrumandai Enbathunalu (84) Ur. Sozhia
Sarattu Karuneegar, Kaikatti Karuneegar,
Mathuvazhi Kanakkar, Sozhi Kanakkar & Vellalar
Sunnambu Karuneegar) 305 Mooppan
280 Kasukkara Chettiar 306 Muthuraja, Muthuracha, Muttiriyar, Mutharaiyar
307 Nadar, Shanar & Gramani including Christian
281 Katesar Pattamkatti
Nadar, Christian Shanar and Christian Gramani
282 Kavuthiyar
308 Nagaram
283 Kerala Mudali
309 Naikkar (in Kanyakumari District and
284 Kharvi Shenkottah Taluk of Tirunelveli District)
285 Khatri 310 Nangudi Vellalar
286 Kongu Vaishnava 311 Nanjil Mudali (in Kanyakumari District and
287 Kongu Vellalars (including Vellala Gounder,
Nattu Gounder, Narambukatti Gounder, Shenkottah Taluk of Tirunelveli District)
Tirumudi Vellalar, Thondu Vellalar, Pala 312 Odar (in Kanyakumari District and Shenkottah
Gounder, Poosari Gounder, Anuppa Vellala Taluk of Tirunelveli District)
Gounder, Padaithalai Gounder, Chendalai 313 Odiya
Gounder, Pavalankatti Vellala Gounder, Pala
314 Oottruvalanattu Vellalar
Vellala Gounder, Sanku Vellala Gounder, &
Rathinagiri Gounder) 315 O.P.S. Vellalar
288 Koppala Velama 316 Ovachar
289 Koteyar 317 Paiyur Kotta Vellalar
Code Code
No. No.
353 Urikkara Nayakkar
318 Pamulu
319 Panar (except in Kanyakumari District and 354A Virakodi Vellala
Shenkottah Taluk of Tirunelveli D istrict where the 355 Vallambar
Community is a Scheduled Caste) 356A Vallanattu Chettiar
320A Pandiya Vellalar 357 Valmiki
321 Omitted 358 Vaniyar, Vania Chettiar (including Gandla, Ganika,
322 Kathikarar in Kanyakumari D istrict Telikula and Chekkalar)
323 Pannirandam Chettiar or Uthama Chettiar 359 Veduvar and Vedar (except in Kan yakumari District and
324 Parkavakulam (including Surithimar Nathamar, Shenkottah Taluk of T irunelveli District where the
Malayamar, Moopanar & Nainar) Community is a Scheduled Castes)
325 Perike (including Perike Balija) 360 Veerasaiva (in Kanyakumari District and Shenkottah
326 Perumkollar (in Kanyakumari District and Taluk of Tirunelveli D istrict)
Shenkottah Taluk of Tirunelveli D istrict) 361 Velar
327 Podikara Vellalar 362 Vellan Chettiar
328 Pooluva Gounder 363 Veluthodathu Nair (in Kanyakumari District and
329 Poraya Shenkottah Taluk of T irunelveli District)
330 Pulavar (in Coimbatore and Erode Districts)
364 Vokkaligar (including Vakkaligar, Okkaligar,
331 Pulluvar or Pooluvar
332 Pusala Kappiliyar, Kappiliya, Okkaliga Gowda, Okkaliya-
333 Reddy (Ganjam) Gowder, Okkaliya Gowda)
365 Wynad Chetty (The Nilgiris D istrict)
334 Sadhu Chetty (including Telugu Chetty, Twenty four
366 Yadhava (including Idaiyar, Telugu Speaking Idaiyar
manai Telugu Chetty)
known as Vaduga Ayar or Vaduga Idaiyar or Golla and
335 Sakkaravar or Kavathi (in Kanyakumari District and Asthanthra Golla)
Shenkottah Taluk of Tirunelveli D istrict) 367 Yavana
336 Salivagana 368 Yerukula
337 Saliyar, Padmasaliyar, Pattusaliyar, Pattariyar and 369A Converts to Christianity from any Hindu Backward
Adhaviyar Classes Community or Most Backward Classes
338 Savalakkarar Community or Denotified Communities (except the
Converts to Christianity from Meenavar,
339 Senaithalaivar, Senaikudiyar and Illaivaniar
Parvatharajakulam, Pattanavar, Sembadavar,
340A Serakula Vellalar
Mukkuvar or Mukayar and Paravar)
341 Sourashtra (Patnulkarar) 370 Orphans and destitutes children who have lost their
342 Sozhia Vellalar (including Sozha Vellalar. Parents before reaching the age of ten and are
Vetrilaikarar, Kodikalkarar and Keeraikarar) destitutes; and who have nobody else to take care of
343 Srisayar them either by law or custom; and also who are
344 Sundaram Chetty admitted into an y of the Schools or orphanages run by
345 Thogatta Veerakshatriya the Government or recognised by the Government.
346 Tholkollar (in Kanyakumari District and Shenkottah
Taluk of Tirunelveli District) Code V. LIST OF BACKWARD CLASSES
347 Tholuva Naicker and Vetalakara Naicker No. MUSLIMS

348 Omitted
371 Ansar
349 Thoriyar
372 Dekkani Muslims
350 Ukkirakula Kshatriya Naicker
373 Dudekula
351 Uppara, Uppillia and Sagara
374 Labbais including Rowthar and Marakayar
352 Urali Gounder (except Tiruchirapalli, Karur, (whether their spoken language is Tamil or Urdu)
Perambalur and Pudukkottai Districts) and Orudaya 375 Mapilla
Gounder or Oorudaya Gounder (in Madurai, Theni, 376 Sheik
Dindigul, Coimbatore, Erode, Tiruchirapalli, Karur, 377 Syed
Perambalur, Pudukkottai, Salem and Namakkal
Districts)
 CERTIFICATE No. I

Name: ……………………………………... Application No.

Medical Certificate for Orthopaedically Differently Abled Person

(TO BE ISSUED BY DISTRICT MEDICAL BOARD)

Certified, that the District Medical Board of ……………………………………. (City) have this ……day of
………………………. 2021 examined the Candidate whose particulars are given below:

1. Name of the Candidate : Space for affixing

recent Passport size
2. Father’s Name : photograph of the
candidates duly
attested by Chairman,
3. Sex : District Medical Board

4. Approximate Age :

5. Identification Marks : 1.
2.

6. Whether Audiologically / Visually impaired :

(if yes for either one or both medical certificate(s) for
fitness from the respective specialist(s) to be produced) :

7. Nature of Orthopaedic :
8. Extent of permanent disability in percentage :
9. Whether the Candidate fulfils the following Standards
and may be considered for admission to undergo studies
in Engineering College / Technical Institution :
(a) Normal Blood Pressure : Yes / No
(b) Mentally Normal : Yes / No
(c) Independent in ambulation with or without
calipers but without any support : Yes / No
(d) Good standing balance with or without calipers
but without any support : Yes / No
(e) Hand function within normal limits without any aid : Yes / No
(f) Good control over bowel and bladder : Good / Not good
(g) Is the disability non-progressive : Yes / No
10. Whether eligible for consideration under Differently Abled Persons Quota : Yes / No
11. Whether the candidate is physically and mentally fit to be considered : Yes / No
for admission in Engineering College / Technical Institution (If no please specify
the reasons)

Signature of the Applicant Chairman, District Medical Board

Members
Date with seal of 1.
Medical Board 2.
Note : This Certificate should be obtained from the Chairman, District Medical Board. Candidates with
permanent Physical Impairment 40% and above are eligible for consideration under reserved quota .
 CERTIFICATE No. II

Name: ……………………………………... Application No.

Medical Certificate for Hearing Impaired

(To be issued by the District Medical Board)

Certified, that the District Medical Board of ……………………………………. (City) have this
………………….. day of ………………………. 2021 examined the Candidate whose particulars are given below.

1. Name of the Candidate : Space for affixing

recent Passport size
photograph of the
2. Father’s Name : candidate duly
attested by
3. Sex : Chairman, District
Medical Board
4. Age :

5. Identification Marks 1)
2)

6. Whether Orthopaedically / Visually impaired : Yes / No

(If yes for either one or both medical certificate /s
for fitness from the respective specialist /s to be produced)

7. Nature of hearing loss and

Extent of disability : RE. LE.
a) Pure tone average db ………… ………….

b) Speech discrimination score ………… .…………

8. a) Whether a suitable hearing aid to be used : Yes / No

b) Is the impairment non-progressive : Yes / No

9. Whether eligible for consideration under Differently

Abled persons quota : Yes / No

10. Whether the candidate is physically and mentally : Yes / No

fit to be considered for admission in engineering (If no please specify reasons)
College / Technical institution

Signature of the Applicant Chairman, District Medical Board

Date with seal of

Medical Board Members
1.

2.
Note: This Certificate should be obtained from the Chairman, District Medical Board. Candidates with
hearing ability 40 db and above only in the better ear with speech discrimination score of 50%
and above is eligible for consideration under reserved quota.
 CERTIFICATE No. III

Name: ……………………………………... Application No.

Medical Certificate for Visually Impaired

(TO BE ISSUED BY THE DISTRICT MEDICAL BOARD)

Certified, that the District Medical Board of ……………………………. (City) have this …………….. day of
……………..2021 examined the Candidate whose particulars are given below:

1. Name of the Candidate :

2. Father’s Name : Space for affixing
3. Sex : recent Passport
4. Age : size photograph of
5. Identification Marks 1) ……………………... 2)……………………………. the candidates
6. Whether Orthopaedically / Audiologically impaired : Yes / No duly attested by
Chairman, District
(If yes for either one or both medical certificate /s Medical Board
for fitness from the respective Board has to be produced)
7. Low vision: (Person with low vision means a person
with impairment of vision of less than 6/18 to 6/60
with best correction in the better eye or impairment of
field in any one of the following categories)
a) Reduction of fields less than 50 degrees :
b) Hemianopia with macular involvement :
c) Attitudinal defect involvement lower fields :
8.Categories of Visual Disability
(Please choose the appropriate box)
Percentage Tick (as
Category Better eye Worse eye
Impairment Applicable)
Category O 6/9 – 6/18 6/24 to 6/36 20%
Category I 6/16 – 6/36 6/20 to Nil 40%
Category II 6/40 – 4/60 or field of vision 10º - 20º 3/60 to Nil 75%
Category III 3/60 to 1/60 or field of vision 10º F.C at 1 ft. to Nil 100%
F.C at 1 ft. to Nil or field of
Category IV F.C at 1 ft. to Nil 100%
vision 10º
F.C at 1 ft. to Nil or
One eyed persons 6/6 30%
field of vision 10º

(One Eyed Persons with normal vision are not considered as Disabled)
Note: F.C. means Finger Count
9. Whether eligible for consideration under Differently
Abled persons quota : Yes / No
10. Whether the candidate is physically and mentally : Yes / No
fit to be considered for admission in Engineering (If no please specify
College / Technical institution the reasons)

Signature of the Applicant Chairman, District Medical Board

Date with seal of
Medical Board Members
1.
2.
Note: This Certificate should be obtained from the Chairman, District Medical Board. Candidates with
low vision of 40% Impairment and above are considered as disabled and are eligible for
consideration under reserved quota.
 CERTIFICATE NO. IV

Application No.

PRESENT EMPLOYMENT CERTIFICATE (from the Present Employer)*

Thiru./Tmt./Ms.…………………………..……………………………………….. is employed on permanent

full-time basis as .……………………………………………………………. (Designation) in the organisation

…………………………………………………………………………………………………………………………………………
(Name and complete address of the organisation to be furnished)

.……………………………………………………………………………………………………………………………………….
from ….………………. to ……………..…… (as on date) and in normal course shall continue to hold
such employment at the place of study throughout the period of his/her part-time course.

At present the candidate is working at …………………………………………………………………………………

and the distance between the place of working and college is ………….. km.

This organisation has no objection to permit the candidate to do Part-Time B.E. Degree course.
The #TNGST / CST / TIN No. / TAN No. / CIN / SIC No. / Registration No. of this organisation
is ………………………………….. (Copy of certificate to be uploaded).
#
The said employee is enrolled under GPF/ CCF/ PF scheme and his/her Account number
is ………………………………………

Recovery of subscription is being made w.e.f. ………………………..… from the salary of the said
employee.
(Month & Year)

Station: Signature :
Date : Name and Designation :

Office Phone :
Office Seal
Copy of the Salary certificate for the month of November or December 2021 is to be
uploaded.
* The present employer must fill up this certificate and the same is subject to verification.
Application without this certificate is liable for rejection.

# Strikeout whichever is not applicable.

12. LAST DATE FOR REGISTRATION

Last date for Registration and submission of Application through online: 24.01.2022

Important:

The Candidates are informed that admission given at the time of counseling will only be Provisional. If
the candidate is found ineligible on verification of original certificates by the Competent Authority, they
cannot claim any right for admission or continuation of study at any stage.

The Candidates can apply only through online mode.

www.annauniv.edu/cfa

15