NAINA MOHAMED COLLEGE OF ARTS & SCIENCE
RAJENDRAPURAM - 614 624
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Application Form for Admission to B.A./ B.Lit., / B.Com.,/B.B.A., / B.C.A/ B.Sc.,
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Name in Full (BLOCK LETTERS) :
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Name Required
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Date of Birth :
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Date Month
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Age :
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Age Required
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Sex :
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Nationality :
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Religion :
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Community :
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Caste :
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Name of Parent / Guardian :
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Father Name Required
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Occupation of Parent / Guardian :
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Mother Name :
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Address for Communication :
*
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Address Required
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Pin Code :
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Aadhar No :
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Mobile No :
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Not a Valid Phone No
Mobile No Required
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Last Studied School :
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Qualifying Examination :
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Medium of Instruction :
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Mother Tongue :
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Year of Passing :
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STATEMENT OF MARKS IN QUALIFYING EXAMINATION :
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Additional Qualification, if any :
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Average yearly income of the parent :
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FURTHER QUERIES CALL : +91 96008 60274 , 99650 86659
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