Application No. :

Pondicherry Institute of Agricultural Sciences

(PIAS)

[In collaboration with ANNAMALAI UNIVERSITY, accredited with 'A' GRADE by NAAC]

APPLICATION FOR ADMISSION TO

DIPLOMA IN AGRICULTURE / DIPLOMA IN HORTICULTURE

( ACADEMIC YEAR 2026 2027 )

Note: 1. To be filled in capital letters only.

2. Encircle wherever code number is given applicable to you

Candidate Details

1. Name of the Candidate (as entered in the +2 certificate)

2. Name of the Parent / Guardian

3. Address for Communication

PIN CODE

Phone No. (With STD Code)

Mobile No.

Space for affixing
Passport size
photograph

4. Gender

Male	Female
1	2

5. Date of Birth

Date

Month

Year

6. Nationality

Nationality	Indian	Others
Code No.	1	2

If others, mention below

7. Religion

Religion	Hinduism	Christianity	Islam	Jainism	Others
Code No.	1	2	3	4	5

If others, mention below

8. Mother tongue

Mother tongue	Tamil	Malayalam	Telugu	Hindi	Kanadam	Others
Code No.	1	2	3	4	5	6

If others, mention below

9. Community

Community	General	BC	MBC	OBC	SC	ST
Code No.	1	2	3	4	5	6

10. Details of SSLC

Examination Passed	Month and Year of Passing	Marks Secured	Maximum Marks	Name of the School and Place

11. Details of Qualifying Examination Passed

Examination Passed	Month and Year of Passing	Marks Secured	Maximum Marks	Name of the School and Place

12. Subject - Wise Marks in the Qualifying Examination

Subjects	Marks Secured	Maximum Marks
English
Mathematics
Physics
Chemistry
Biology (Botany / Zoology)
Bio-Technology
Vocational Agriculture
Any Other

DECLARATION BY THE CANDIDATE

I, Son / Daughter of hereby solemnly declare that the information furnished and the statements given in the application and the enclosures are true, correct, complete and no relevant fact is suppressed.

Place

Date

Signature of the Candidate

DECLARATION BY THE PARENT / GUARDIAN

I, Parent / Guardian of hereby solemnly declare that I am fully aware of the declaration given by the applicant, my Son / Daughter, and I declare and I bind myself on the same terms contained in the above declaration.

Place

Date

Signature of the Parent / Guardian

DD Amount Rs.800 /-
Note : D.D. Drawn in favour of PONDICHERRY INSTITUTE OF AGRICULTURAL SCIENCES, Payable at PUDUCHERRY
Send the Filled Application with DD to CHAIRMAN, PIAS, No.81, Lalitha Nagar Main Road,
(Opp to Aravind Eye Hospital), Thavalakuppam, Puducherry - 605 007

PIAS Online Admission Application

Candidate Details

4. Gender

5. Date of Birth

6. Nationality

7. Religion

8. Mother tongue

9. Community

10. Details of SSLC

11. Details of Qualifying Examination Passed

12. Subject - Wise Marks in the Qualifying Examination

DECLARATION BY THE CANDIDATE

DECLARATION BY THE PARENT / GUARDIAN