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    NEHRU COLLEGE OF MANAGEMENT application for admission : COURSE SELECTED : Name: Mr. / Miss / Mrs. (Block Letters) Address (With pin code) and telephone no. A) Address of Parent / Guardian b) Occupation : : c) Annual Income : 7. A) Date of Birth : 9. Nationality : 10. Mother tongue : 11. Native of (Place,

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    Ncm Application

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    NEHRU COLLEGE OF MANAGEMENT application for admission : COURSE SELECTED : Name: Mr. / Miss / Mrs. (Block Letters) Address (With pin code) and telephone no. A) Address of Parent / Guardian b) Occupation : : c) Annual Income : 7. A) Date of Birth : 9. Nationality : 10. Mother tongue : 11. Native of (Place,

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    11 views2 pages

    NCM Application

    Uploaded by

    svsaravanan
    NEHRU COLLEGE OF MANAGEMENT application for admission : COURSE SELECTED : Name: Mr. / Miss / Mrs. (Block Letters) Address (With pin code) and telephone no. A) Address of Parent / Guardian b) Occupation : : c) Annual Income : 7. A) Date of Birth : 9. Nationality : 10. Mother tongue : 11. Native of (Place,

    Copyright:

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    NEHRU COLLEGE OF MANAGEMENT

    APPLICATIONFORADMISSION
    COLLEGESELECTED: COURSESELECTED:

    1. 2. 3. 4. 5. 6.

    Name:Mr./Miss/Mrs. (BlockLetters) Address(Withpincode) Andtelephoneno. FathersName MothersName

    : : :

    Photoof Applicant

    Sex(male/female) : a)AddressofParent/Guardian b)Occupation : :

    c)AnnualIncome : 7. a)AddressoftheLocalGuardian : (WithPhoneNo.) b)Occupation : 8. DateofBirth : 9. Nationality : 10. Mothertongue : 11. Nativeof(Place,Dist.&State) : 12. Tickthesectionofthecommunity :OCBCOBCMBCDNCSCST youbelongto 13. AcademicRecord(Attachattestedcopies) Examination Aggregate% Year& School/ Periodofstudy Regular/ ofMarks Monthof University/ Private Passing ExaminationBody FromTo S.S.L.C 10+2or Equivalent Degree

    T.C. No.

    14. StudiedMathematicsuptothelevel : SSLC/PUC/HSC/PDC/DEGREE 15. RegistrationFee(PayablebycashorDD/ : MOdrawnonNEHRUCOLLEGE payableatCOIMBATORE) (MentionD.D/M.O.Recpt.No/Cash) 16. DoYourequireHostelfacilities : Yes/No 17.Whetheryouhaveappriateforany : entranceexaminations JOINTDECLARATIONBYTHESTUDENTANDTHEPARENT Ideclarethatthestatementsgivenabovearetrueandcorrect. Ihavegonethroughtheprospectusthoroughly,theprospectuswasreadandexplainedtousincluding therules,regulations,coursedetails,recognitions,feesdetails,examination,board/universitydetails, hostelmessrules,allothercontentsgivenintheprospectus,informationbulletinandbothsidesof theapplicationforadmission. Ishallpayallmyduesintimeandshallnotclaimanyrefundforanyreasonwhatsoever.Iknowany fees/charges/dues/finespaidbymeareneitherrefundablenortransferable.IncaseIamforcedto discontinue for any reason, after paying full / part of admission fee /or any charges to the College, I knowthatIhavetopaythebalanceoffeesforthecourse.IknowonceifIjointheCollege,Ihaveto paytheentirefeesofthecourse,forwhichIhavejoined,whetherIstudyordiscontinuethestudies,at anytime,foranyreason. IknowthatIhavetopayallmyfees/dues/otherchargesintime,otherwiseIhavetopayfineasfixed by the College. I also know that hostel rent and mess charges, as applicable, are to be paid, if I am residingintheCollegehostel.IhavetopaythefullhostelrentevenifIstayforoneday. IalsoknowthatallOriginalCertificatesaretobedepositedwiththeCollegeanditwillbereturnedonly afterthecompletionofthecourseandafterfullpaymentofthecoursefees/dues. Place: Date: ... .. SignatureofParent/Guardian SignatureofApplicant FOROFFICEUSE Application Eligible/ Selected/ Admitted FeeReceipt ReceivedOn NotEligible NotSelected Date No.&Date

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