NAINA MOHAMED COLLEGE OF ARTS & SCIENCE
RAJENDRAPURAM - 614 624
Application Form for Admission to B.A./ B.Lit., / B.Com.,/B.B.A., / B.C.A/ B.Sc.,
Name in Full (BLOCK LETTERS) :
*
Name Required
Date of Birth :
/
/
Date Month Year
Age :
Age Required
Sex :
Male
Female
Nationality :
Indian
Others
Religion :
Community :
O.C
B.C
MBC/DC
S.C
S.T
Others
Caste :
Name of Parent / Guardian :
*
Father Name Required
Occupation of Parent / Guardian :
Mother Name :
Address for Communication :
*
Address Required
Pin Code :
Aadhar No :
Mobile No :
*
Not a Valid Phone No
Mobile No Required
Last Studied School :
Qualifying Examination :
H.S.C
S.S.C.E OF CBSE
I.S.C.E
Others
Medium of Instruction :
Tamil
English
Others
Mother Tongue :
Year of Passing :
STATEMENT OF MARKS IN QUALIFYING EXAMINATION :
Sl.No.
Subjects
Max Marks
Marks Scored
1 .
2 .
3 .
4 .
5 .
6 .
TOTAL
0
0
Additional Qualification, if any :
Average yearly income of the parent :
FURTHER QUERIES CALL : +91 96008 60274 , 99650 86659