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Application Form – 2025
Your first step to enrol for the Palli program 2025!
Please enable JavaScript in your browser to complete this form.
Introduction
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Step
1
of 5
Eligibility Criteria:
1. Only Students from Tamilnadu are eligible to apply.
2. DOB: After Jan 1, 2004, Before December 31, 2008.
3. Highest Qualification: Class 12 / 10+3 Diploma / 12+2 Diploma (At least in the final/semester year of Diploma) - the year of passing: 2025.
4. Students from an underprivileged or low-income background with an annual family income of less than 3 lakhs.
5. Mandatory Subjects: Maths / Business Maths, Science / Computer Science, English (Medium of schooling in Native language is not a barrier).
6. Degree holders or those who are currently in their graduation are not eligible.
Note: This form requires you to upload Aadhar, Ration Card, Income Certificate, and extracurricular activities certificates (optional) and share details on 10th & 12th/Diploma marks and other details. Please keep the information handy while filling out the form.
Email
*
Next
Personal Details
Student Name
*
Student Date of Birth
*
Gender
*
Male
Female
Not prefer to say
Street Address
*
Apartment, suite, etc
*
City
*
State/Province
*
ZIP / Postal Code
*
Country
*
Contact Number
*
WhatsApp Phone Number
If WhatsApp number is available, updates will be communicated via WhatsApp and Email. One or more applicants MUST NOT share the same Whatsapp number
Aadhar Card
*
Click or drag a file to this area to upload.
Max. size: 32.0 MB
Aadhar Number
*
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Next
Parent / Guardian Information
Parent/Guardian Name
*
Parent/Guardian Phone Number
*
Parent/Guardian Relationship
*
Example: Mother/Father/Uncle/Sister
Ration Card / Family Card
*
Click or drag a file to this area to upload.
Max. size: 32.0 MB
Annual Family Income
*
Please enter the full value Ex: 4,20,000 or 38,000
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Next
Educational Background
Current Educational Qualification
*
Currently in 12th
Completed 12th
Currently pursuing Diploma
Completed Diploma
Other
If other please mention here
*
10th Standard : Medium of Instruction
*
English
Tamil
10th Standard : School Type
*
Government
Government Aided
Private
10th: Year of Completion
*
10th Standard Total Percentage
*
10th Standard : Math Score (mention 'Your Marks'/'Total' - example: 90/100)
*
10th Standard : English Score (mention 'Your Marks'/'Total' - example: 90/100)
*
Upload the 10th Mark sheet
*
Click or drag a file to this area to upload.
Max. size: 32.0 MB
12th Standard or Diploma : Medium of Instruction
*
Tamil
English
12th Standard/Diploma : School/Institute Type
*
Government
Government Aided
Private
12th Standard/Diploma: Year of Completion
*
12th Standard/Diploma : English Score (mention 'Your Marks'/'Total' - example: 90/100)
12th Standard/Diploma : Maths Score (mention 'Your Marks'/'Total' - example: 90/100)
12th Standard or Diploma Total Percentage
Upload the 12th Mark sheet or Diploma Marksheet
Click or drag a file to this area to upload.
Max. size: 32.0 MB
School or College Name
*
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Other Skillset
Mention any extra curricular certificates or creative work of yours
Computer Course Completion Certificate - if any
Learning Devices
We would like to understand the student's accessibility to devices to take up the preliminary entrance examination post their application screening
What device you / your family own?
*
Smart Phone with Internet Connectivity
Laptop with Internet Connectivity
Tablet with Internet Connectivity
Desktop with Internet Connectivity
I don't have accessibility to phone or any devices. Looking forward to your support to appear in entrance exam
General Questions
How did you come to know about DCKAP Palli Program?
*
DCKAP Employee
School HM / Teacher / Principal
College Principal / HOD / Placement Officer
NGO
Other
Why do you want to take up this training?
*
Please leave any additional information if you would like to share with us
*
I AGREE that the given data is true to the best of my knowledge
Submit
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