Justice Basheer Ahmed Sayeed College for Women

(Formerly SIET Women's College)

(AN AUTONOMOUS INSTITUTIONS AFFILIATED TO UNIVERSITY OF MADRAS)
COLLEGE WITH POTENTIAL FOR EXCELLENCE
56, KB Dasan Road, Teynampet, Chennai, Tamil Nadu 600018
Phone : 044 2346 4152 Email : jbascollege@gmail.com
Application No. 21FUCOM47269

Date. 18 Aug 2021

B.Com. - Shift I [FN]

1. APPLICANT NAME (In English) : SWETHA LAKSHMANAN

2. Residential Address : 156 Guruvappan Street, Kottur - 600085

3. Mobile No : 9094863547

4. Email : swethabharkavi@gmail.com

5. Date of Birth : 14 Aug 2003

6. Blood Group : B+

7. Nationality : Indian

8. Mother Tongue : Tamil

9. Religion : Hinduism

10. Community : ST

11. Caste : Adi Dravidar

12. Name and Address Of The School Last : Lady SivaswamiAyyar Girls Hr Sec School, Mylapore
Studied

13. Year of Course Completed : 2021

14. Statement of marks of the qualifying examination.

Medium of Instruction (12th) : English
Medium of Instruction (10th) : English
Number of Attempt : 1
Board : STATE BOARD
Exam register number : 2016779454

MARKS MONTH & YEAR OF

SUBJECT MAX. MARKS
OBTAINED PASSING
Select Language 100 76 May 2021

English 100 72 May 2021

Economics 100 74 May 2021

Commerce 100 70 May 2021

Accountancy 100 73 May 2021

Business Maths 100 68 May 2021

Total 600 433

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15. Parents Information

PARTICULARS FATHER MOTHER

Name Lakshmanan Anandhi

Occupation Line man printing press House maid

Occupation Address Triplicane Kotturpuram

Annual Income 115200 54000

Mobile Number 7305869267 9094863547

16. Distinction / Participation In Sports / : NA

Athltetics /NCC / NSS

17. Whether Differently Abled? : No

18. Are you a Daughter of Ex-Service Man : No

19. First Generation Learner : Yes

20. Seeking Admission Under Sports Quota? : No

21. Any Other Courses applied for in this : No

college ?
Applying for a particular course does not guarantee admission into Justice Basheer Ahmed Sayeed
College for Women

DECLARATION AND UNDERSTANDING

1. I/We, the undersigned, hereby declare that I/We have received a copy of the Prospectus and have read
through it and agree to abide by all the terms and conditions contained therein.
2. I/We, the undersigned, hereby declare that all the particulars furnished above are true and correct.
3. I/We, the undersigned, hereby declare that if granted admission into the College, I/We agree to abide by
the rules and regulation of the College in force, and as may be amended from time to time.

Signature of the Father / Mother / Signature of the Applicant

Guardian

Note
1. The last date for receipt of application is ten days(10) after the date of publication of the Higher Secondary
results
2. No enclosures need to be sent by candidates along with this application

FOR OFFICE USE ONLY :

CERTIFICATES VERIFIED : ADMITTED :

HR.SEC.MARKS COMMUNITY TRANSFER

CONDUCT SPL.CATEGORY PHOTOGRAPH

SIGNATURE OF THE STAFF MEMBER WHO PROCESSED THE APPLICATION WITH THE DATE : ________________

SIGNATURE OF THE HEAD OF THE DEPARTMENT WITH THE DATE : _______________________________

SIGNATURE OF THE PRINCIPAL WITH THE DATE : _______________________________

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