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) : *
Date of Birth :  /  /
   Date         Month           Year
 
Age :
Sex :
 
Nationality :
Religion :  
Community :  
Caste :  
Name of Parent / Guardian : *
Occupation of Parent / Guardian :  
Mother Name :  
Address for Communication : *
Pin Code :
Aadhar No :  
Mobile No : *

Last Studied School :
Qualifying Examination :  
Medium of Instruction :  
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