Further communication regarding admission will be communicate to your registered email id only.
UG APPLICATION FORM 2023 - 2024
B.Com
Eve Unaided Course Applicati Applied
Shift Shift II
EU25 EU25-29205 (Accounting &
Code on No. Course Finance)
PERSONAL INFORMATION
Student Name : SURAJ B Date of Birth : 07/12/2005
Gender : Male Religion : Jain
Community : OC Caste : Hindu
Board of studies : State Board Nationality : Indian
Blood Group : AB +ve Mode Of Transport : Public-Transport
Marital Status : Single Mother Tongue : Hindi
Student Mobile Number : 6369912226 Sports : No
Active participation
Sports Name/Level : / :
in any club
Student Email Id : bsuraj1020@gmail.comStudent Aadhar Card No: 373711704216
EMIS : 2016634070 Student Whatsapp No : 6369912226
Hostel Accommodation Required : No
Select the second language you prefered to choose in College : Sanskrit
Have you applied for any other course in our college : Yes
List of courses - 1. EU23-13375 , 2. EU25-29205 ,
Proficiency in other fields(Arts,Music,Dance,etc.,) : No
Did you lost your parents in Covid-19? : No
Are you from Tamil Nadu Origin Currently Living in Andaman and Nicobar
: No
Islands
Are you Studied +2 from another State
: No
(If So Produce eligibility certificate regarding community & course)
Government scholarship Received at school level : No
Are you from Other Country : No
Do you belong to linguistic minority : : DUNGERWAL
Whether your father/mother is a Non Resident India : No
Whether your Father or Mother working/worked in Defence Sector : No
Differently Abled (PWD) : No
CONTACT DETAILS
Temporary Address Permanent Address
NO:34,parathasarthy street,maduranatakm,chengalpattu NO:34,parathasarthy street,maduranatakm,chengalpattu
district,60306 district,60306
PARENT INFORMATION
Father
is Ex-
Parent Name / Mobile Annual Servic
Relation Occupation Education Email-ID
Guardian Name Number Income e
Men(Y/
N)
BATHUTHAR FATHER BUSINESSMAN 9443353343 No
HEMANTH KUMAR BROTHER BUSINESSMAN 8667653152 No
6th,7th,8th,9th EDUCATIONAL DETAILS
Class Institution Name Medium Govt/Aided/Private/Matric Board Stream
VI MAHARISHI VIDYA MANDIR English Private-Matric CBSE Regular
VII MAHARISHI VIDYA MANDIR English Private-Matric CBSE Regular
VIII MAHARISHI VIDYA MANDIR English Private-Matric CBSE Regular
ADHIPARASAKTHI MATRIC HR SEC
IX English Private-Matric State Board Regular
SCHOOL
10th,11th,12th EDUCATIONAL DETAILS
Month
Register Govt/Aided/Private/ and
Class Institution Name Medium Board Stream
Number Matric Passed
Year
ADHIPARASAKTHI MATRIC
X 2819428 English Private-Matric State Board Regular 2021
HR SEC SCHOOL
ADHIPARASAKTHI MATRIC
XI 2753476 English Private-Matric State Board Regular 2022
HR SEC SCHOOL
ADHIPARASAKTHI MATRIC
XII 7778177 English Private-Matric State Board Regular 2023
HR SEC SCHOOL
X SUBJECT DETAILS
Subject Marks Total Marks No.of Attempts
English 100 100 1
Language 100 100 1
Maths 100 100 1
Science 100 100 1
Social 100 100 1
X Subtotal(without language & English) : 300 X Subtotal Percentage(%) : 100.00 X Total(with language & English)
: 500 X Percentage(%): 100.00
XI & XII SUBJECT DETAILS
XI Total XI No.of XII XII Total XII No.of
Subject XI Marks
Marks Attempts Marks Marks Attempts
English 80 100 0 85 100 1
Language 35 100 0 43 100 1
Computer Science 81 100 0 99 100 1
Economics 92 100 0 88 100 1
Commerce 95 100 0 79 100 1
Accountancy 88 100 0 99 100 1
XI Subtotal(without language & English) : 356 XI Subtotal Percentage(%) : 89.00 XI Total(with language & English)
: 471 XI Percentage(%): 78.50
XII Subtotal(without language & English) : 365 XII Subtotal Percentage(%) : 91.25 XII Total(with language & English)
: 493 XII Percentage(%): 82.17
I declare that all the particulars furnished above are true and correct (In case the furnished information is found to be
incorrect later, the application/admission will be rejected). I hereby agree that I will abide by the rules and regulations of the
college that are in force from time to time. I will follow the COVID-19 Protocal.
Place Signature of the Signature of the Applicant
Father/Mother/Guardian
