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| <html> |
| <head> |
| <title> |
| TAMIL TECH UNIVERSITY FORM |
| </title> |
| </head> |
| <body bgcolor="#33ccff,#ff99cc" text="#000099"> |
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| <h1 align="center"> M.P.AJITH COMPUTER EDUCATION,K.K.CITY</h1> |
| <form> |
| <table cellpadding="5px"align="center"> |
| <tr><td>Name :</td><td><input type="text"></td></tr> |
| <tr><td>Password :</td><td><input type="Password"></td></tr> |
| <tr><td>ConfirmationPassword :</td><td><input type="Confirmation Password"></td></tr> |
| <tr> |
| <td>D.O.B :</td> |
| <td> |
| <select> |
| <option>1</option> |
| <option>2</option> |
| <option>3</option> |
| <option>4<ption> |
| <option>5</option> |
| <option>6</option> |
| <option>7</option> |
| <option>8</option> |
| <option>9</option> |
| <option>10</option> |
| <option>11</option> |
| <option>12</option> |
| <option>13</option> |
| <option>14</option> |
| <option>15</option> |
| <option>16</option> |
| <option>17</option> |
| <option>18</option> |
| <option>19</option> |
| <option>20</option> |
| <option>21</option> |
| <option>22</option> |
| <option>23</option> |
| <option>24</option> |
| <option>25</option> |
| <option>26</option> |
| <option>27</option> |
| <option>28</option> |
| <option>29</option> |
| <option>30</option> |
| </select> |
| |
| <select> |
| <option>Januvary</option> |
| <option>Feprauvary</option> |
| <option>March</option> |
| <option>April</option> |
| <option>May</option> |
| <option>June</option> |
| <option>July</option> |
| <option>August</option> |
| <option>Septembr</option> |
| <option>October</option> |
| <option>November</option> |
| <option>December</option> |
| </select> |
| |
| <select> |
| <option>1990</option> |
| <option>1991</option> |
| <option>1992</option> |
| <option>1993</option> |
| <option>1994</option> |
| <option>1995</option> |
| <option>1996</option> |
| <option>1997</option> |
| <option>1998</option> |
| <option>1999</option> |
| <option>2000</option> |
| <option>2001</option> |
| <option>2002</option> |
| <option>2003</option> |
| <option>2004</option> |
| <option>2005</option> |
| <option>2006</option> |
| <option>2007</option> |
| <option>2008</option> |
| <option>2009</option> |
| <option>2010</option> |
| <option>2011</option> |
| <option>2012</option> |
| <option>2013</option> |
| <option>2014</option> |
| <option>2015</option> |
| <option>2016</option> |
| <option>2017</option> |
| <option>2018</option> |
| </select> |
| </td> |
| </tr> |
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| <tr> |
| <td>Education :</td> |
| <td> |
| <select multiple> |
| <option>10TH</option> |
| <option>12TH</option> |
| <option>Diploma</option> |
| <option>UG</option> |
| <option>PG<ption> |
| <option>M.PHIL</option> |
| <option>PH.D</option> |
| <option>Engineering</option> |
| </select> |
| |
| <tr> |
| <td>Courses :</td> |
| <td> |
| |
| <select> |
| <option>B.TECH IT</option> |
| <option>B.E MECHANICAL</option> |
| <option>B.E CIVIL</option> |
| <option>B.E EEE<ption> |
| <option>B.E ECE</option> |
| <option>B.E CSE</option> |
| <option>B.E AUTOMOBILE</option> |
| <option>B.E MANUFAUCTURING</option> |
| <option>B.TECH CHEMICAL</option> |
| <option>B.TECH BIO TECHNOLOGY</option> |
| <option>B.TECH PETROLOIUM</option> |
| <option>B.E BIO TECHNOLOGY</option> |
| <option>MBA</option> |
| <option>MCA</option> |
| <option>M.PHIL</option> |
| <option>PH.D</option> |
| </select> |
| |
| <tr> |
| <td>State :</td> |
| <td> |
| <select> |
| <option>Assam </option> |
| <option>Andhra pradhesh</option> |
| <option>oidisha</option> |
| <option>Punjab</option> |
| <option>Delhi</option> |
| <option>Gujarath</option> |
| <option>karnataka</option> |
| <option>Haryana</option> |
| <option>Rajasthan</option> |
| <option>Himachal pradhesh</option> |
| <option>Utterkand</option> |
| <option>jharkand</option> |
| <option>Chhattisgarh</option> |
| <option>Kerala</option> |
| <option>Tamil nadu</option> |
| <option>Madhya pradhesh</option> |
| <option>West Bengal</option> |
| <option>Bihar</option> |
| <option>Maharashtra</option> |
| <option>Utter pradhesh</option> |
| <option>Chandigarh</option> |
| <option>Telangana</option> |
| <option>Jamu kashmir</option> |
| <option>Tiripura</option> |
| <option>Meghalaya</option> |
| <option>Goa</option> |
| <option>Arunachala pradhesh</option> |
| <option>Manipur</option> |
| <option>Mizzoram</option> |
| <option>Sikkim</option> |
| <option>Pudhuchery</option> |
| <option>Nagaland</option> |
| <option>Andhamaan nicobar island</option> |
| </select> |
| |
| <tr> |
| <td>Districk :</td> |
| <td> |
| <select> |
| <option>Ariyalur</option> |
| <option>Chennai</option> |
| <option>Coimpatore</option> |
| <option>Cuddalore</option> |
| <option>Dharmapuri</option> |
| <option>Dindigal</option> |
| <option>Erode</option> |
| <option>Kanchipuram</option> |
| <option>Karur</option> |
| <option>Krishnagiri</option> |
| <option>Madurai</option> |
| <option>Nagapadinam</option> |
| <option>Kanyakumari</option> |
| <option>Namakkal</option> |
| <option>Nagarkoil</option> |
| <option>Perambalur</option> |
| <option>Pudukottaio</option> |
| <option>Ramanaathapuram</option> |
| <option>Salem</option> |
| <option>Sivagangai</option> |
| <option>Thanjavur</option> |
| <option>Theni</option> |
| <option>Thiruvallur</option> |
| <option>Thoothukudi</option> |
| <option>Tirichiraapalli</option> |
| <option>Tirunelveli</option> |
| <option>Tirupur</option> |
| <option>Thiruvannamalai</option> |
| <option>Uthagamandalam</option> |
| <option>Vellolre</option> |
| <option>Villupuram</option> |
| <option>Virudhunagar</option> |
| </select> |
| |
| <tr> |
| <td>Sub Districk :</td> |
| <td> |
| <select> |
| <option>Chengam</option> |
| <option>Polur</option> |
| <option>Thiruvannamalai</option> |
| <option>Thanraampatu</option> |
| <option>Thaanipaadi</option> |
| <option>Vandhavaasi</option> |
| </select> |
| |
| <tr> |
| <td>Village :</td> |
| <td> |
| <select> |
| <option>Ambetkar nager</option> |
| <option>Andipatti</option> |
| <option>Arasanganni</option> |
| <option>Anna nagar</option> |
| <option>Arasanganthal</option> |
| <option>Nachipaatu</option> |
| <option>Chinna pinjur</option> |
| <option>Arattavaadi</option> |
| <option>Erukkampatti</option> |
| <option>Kandhipuram</option> |
| <option>Kalladaavi</option> |
| <option>Thanda</option> |
| <option>karungalipadipatti(k.k.city)</option> |
| <option>Kottangal</option> |
| <option>Mannaadipatti</option> |
| <option>Melchengam</option> |
| <option>Nadaraapattu</option> |
| <option>Ravandhavaadi</option> |
| <option>Elangunni</option> |
| <option>Manikkal</option> |
| <option>Puliyampatti</option> |
| <option>Kurumapatti</option> |
| <option>Neepathurai</option> |
| <option>thappunaayakanpatti</option> |
| <option>poondhamalli</option> |
| </select> |
| |
| <tr> |
| <td>Coachers :</td> |
| <td> |
| <select> |
| <option>M.MANABOOB BASHA.B.A,B.L.,</option> |
| <option>JOICY.,PGDCA&TALLY ERP9</option> |
| <option>SATHAM.,PGDCA&TALLY ERP9</option> |
| <option>M.P.AJITH KUMAR.,B.e</option> |
| <option>S.SARATH KUMAR.,B.COM</option> |
| </select> |
| |
| </td> |
| </tr> |
| <tr><td>Email :</td><td><input type="email"></td></tr> |
| <tr><td>Mobile number :</td><td><input type="mobile number"></td></tr> |
| <tr align="center"><td colspan="2"><input type="submit"value="Submit"><button>Clear</button></td></tr> |
| <tr><td>Enter OTP :</td><td><input type="Enter OTP"></td></tr> |
| <tr align="center"><td colspan="2"><input type="submit"value="Submit"><button>Clear</button></td></tr> |
| <tr><td>Genter :</td><td><input type="radio"name="Gen">male<input type="radio"name="Gen">female</td></tr> |
| <tr><td>Address:</td><td><textarea></textarea></td></tr> |
| <tr><td colspan="2"><input type="checkbox">I accept al the data is true</td></tr> |
| <tr><td colspan="2"><input type="file">Resume</td></tr> |
| <tr align="center"><td colspan="2"><input type="submit"value="Submit"><button>Clear</button></td></tr> |
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| <marquee> |
| <P> |
| <font size="10" face="Engravers MT"color="red"> |
| </p> |
| ADMISSION OPEN ! ADMISSION OPEN ! ADMISSION OPEN ! |
| </marquee> |
| <h1 align="center"> APPLICATION FORM</h1> |
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| </table> |
| </body> |
| </html>
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