Apply Online

To Apply online you have purchased the Demand Draft for Rs.500 in favour of Loyola Institute of Technology, Chennai – 600123 payable at Chennai

You can pay the Application fee of Rs. 500 online in the
Acc no:551901010050518
Ifsc code UBIN0555193
Union Bank of India
Porur branch

    Choice of Branch *
    Type of Admission * Single Window SystemManagement

    Biographic Information

    Full Name *
    Name of the Father/Guardian*

    Mother Name *
    Place of birth *

    Gender * MaleFemale
    Date of Birth *

    Religion *

    Parents Occupation *

    Annual Income *
    Blood Group *

    Permanent Communication Details

    Address *


    State *
    Country *

    Phone *
    Email *

    Qualifying Examination Details

    Exam Passed *
    Name of Institution *

    Board of Examination *
    Year of Passing *

    % of Marks Scored
    % Marks Scored in Physics

    % Marks Scored in Chemistry
    % Marks Scored in Mathematics

    Medium of Instruction *

    Other Details

    Whether Hostel Accommodation required *
    Do you Require Bus Facility *

    Bank Details


    Demand Draft Number
    A/C Number

    Name of the Bank

    Declaration By The Applicant

    I hereby Certify That the Information Given in this Application Form is Complete and Accurate and I understand that the Submission of inaccurate information will entail no admission or termination of enrollment. I shall abide by the rules and regulations Laid Down by the Institutions from time to Time.

    Name of the Student
    Name of the Parent


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