Appln.

No 4104

M.O.P. VAISHNAV COLLEGE FOR WOMEN (AUTONOMOUS)

No.20, IV LANE, NUNGAMBAKKAM HIGH ROAD, CHENNAI - 600 034
APPLICATION FOR ADMISSION
Page 1
B.COM. ACCOUNTING AND FINANCE Shift I 2023-2024

1. Name of the Applicant : [BLOCK LETTERS] English : DHARSHINI

(As in XII Mark Sheet)

2. Date of Birth as in XII Mark Sheet : 17/08/2005 6. Community : SC

3. Nationality : INDIAN 7. Community Name : OTHERS

4. Religion : HINDU 8. Mother Tongue : TELUGU

5. Part I Language Preferred for X : TAMIL 9. Name of the Parent / Guardian :

Tamil / Hindi / Sanskrit / French MUNUSWAMY
Part I Language Preferred for XII : TAMIL

10. Address for Communication : 11. Occupation of the Parent : LEATHER GOODS
STRICKER
Door No. / Street : 135,F BLOCK,3RD MAIN ROAD Designation : WORKER

Area / District :
THANIKACHALAM NAGAR, Organisation / Company : AYYAPPA ENTERPRISES
PONNIAMMA
State : TAMIL NADU Office Address :

PIN : 600110

Telephone No. :

Mobile No. to which SMS

Mobile Phone No. :
to be sent : 9344748256
Email Id :

12. Annual Income of the Family : 55000

13. Physically Handicapped : NO Daughter of Ex-serviceman : NO Tamil Origin from Andaman: NO

of Tamil Nadu origin and Nicobar
Sports : NO NCC : NO NSS : NO

14. Medium of Instruction : a) Up to X Std : ENGLISH b)Up to XII Std : ENGLISH

LADY MCTM HIGHER SECONDARY SCHOOL

15. School Studied in X Std : Marks Secured in X Std : 0

LADY MCTM HIGHER SECONDARY SCHOOL

16. School Studied in XII Std : Total Marks in X Std : 0

14. Qualifying Examination Passed : TN STATE BOARD

Reg. No. : 2939239

Subject Marks Obtained Max. Marks Month & Year of Passing No. of Attempts

ENGLISH 51 100 April - 2023

TAMIL 35 100 April - 2023

Accountancy 47 100 April - 2023

Computer Application 58 100 April - 2023

Commerce 35 100 April - 2023

Economics 40 100 April - 2023

Board Total : 266.00 600 Total in Core Subjects : 180.00

I declare that all the particulars furnished above are true and correct. I submit that I will abide by the rules and regulations
of the College.
If the particulars furnished above are not true, I agree that My / My ward's admission stands cancelled automatically.

5/25/2023 12:35:30PM Signature