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TAMIL NADU COOPERATIVE UNION

GOVERNMENT OF TAMILNADU
2024 - 2025 DIPLOMA IN COOPERATIVE MANAGEMENT (REGULAR)
Personal Details
Name *
Gender *
Date of Birth (dd-mm-yyyy)*
Age ( 01.08.2024)*
Mobile Number *
Alternate Mobile Number
Aadhar Number *
Whether EMIS Number Available *
Email ID *
Parents/Guardian *
Nationality *
Religion *
Permanent Address
Door No./Flat No./Plot No. *
Street *
City *
District *
State *
Pincode *
If Permanent Address Same as Communication Address Tick This Box
Address for Communication
Door No./Flat No./Plot No. *
Street *
City *
District *
State *
Pincode *
Community *
Sub Caste/இதர இனம்*
Community Certificate file upload (Jpg / Jpeg / Png)*
Do you belong to Differently Abled Category (yes/no) *
Type of Disability
Do you belong to Destitute Widow Category (yes/no) : *
Do you belong to Ex-Serviceman Category (yes/no) : *
Divorcee (yes/no):
Refugee from Srilanka or Burma (yes/no) :
Athlete (National/State/District level) (yes/no) : *
TC Certificate (Jpg / Jpeg / Png):*
Educational Qualification
Educational Qualification Medium of Instruction Certificate No. Name of the Institution Year of Passing Total Marks Marks Secured Percentage Upload Marksheet
S.S.L.C*
* * * * * * * * *
Degree
Post Graduate Degree
Choose ICM*
Declaration
If I am selected as a trainee by your institute of cooperative management, I hereby abide the laws, rules and discipline of the training centre and regularly participate in the classes and examination by maintaining regular attendance and avoiding leaves.I know that I will be allowed to write the exam only if I have 80% Attendance. I also know that I will not be allowed to write the final examination if the attendance record for training is less than 80%.Submission of subjectwise internal record note book, attending two internal test and two practical study visits Also participate in monthly parents/Teachers meeting regarding monthly attendance and training. If unable to continue the training due to unavoidable reasons, I agree that I will not demand to refund the tuition fees paid. Also I will attend the classroom examinations without fail. submission of subject wise internal record notebook, Attending two internal test of two practical study visit. In case of violating legal conditions of the training institute, I agree to be disqualified from the training without any prior notice.
In the institute I have selected for 2024-25 DCM(R) training if there are trainees joined less than 50 then I agree to join the nearest training institute to continue my training I also agree to pay the full fee in one installment while joining the training .
I hereby declare that, I have well known that all subjects in DCM Course taught only in tamil and examinations conducted only, in tamil language, where I have applied in the Concerned ICM.
I hearby read the prospectus for joining in the DCM course.
Parents/Guardian Declaration

I hereby abide the rules and regulations and also legal conditions for the aforesaid declarations.
Payment Details
Payment Type*
Upload Documents
Upload your Photo*
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Upload your Signature*

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Upload your Parents/Guardian Signature*

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