GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 842254
Personal Information
Name: SIRAJUN NISHA S Name of the Parent/Guardian: SIRAJUN NISHA S
Communication Address: DOOR NO. 57/49D, P.P.D. ROAD 5TH CROSS STREET, Permanent Address: DOOR NO. 57/49D, P.P.D. ROAD 5TH CROSS STREET,
THANGAL, THIRUVOTTIYUR, THANGAL, THIRUVOTTIYUR,
CHENNAI 600 019. CHENNAI 600 019.
Alternate mobile number: 9791184797 State: Tamil nadu
District: Chennai Taluk: Thiruvottriyur
Communication address pincode: 600019 Native District: Chennai
Civic status of Native Place: Corporation Date of Birth (DD-MM-YYYY): 06-10-2007
Gender: Female Mother Tongue: Tamil
Nationality: Indian Religion: Muslim
Name of the Community: BCM Name of the Caste:
Labbais including Rowthar and Marakayar (whether their spoken language is Tamil or Urdu)
Aadhar Number (optional): 754523544242
Special Reservation Information
Whether you are a candidate under quota for Eminent Sports person?: No Level of Participation: --
Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No Differently Abled Person: No
Differently Abled Type: -- NCC (A) Certificate Holder: No
Tamil Origin from Andaman & Nicobar Island: No Select Children/Widows of eligible Personnel of Security Forces Category:
None of the Above
AFC Center for certificate verification:
Bharathi Womens College (Autonomous), No.1 Prakasam Salai, Chennai - 600108
Scholarship Information
Parent Occupation: Self Employed Annual Income: 108000
Are you a First Graduate?: Yes Post Matric Scholarship (SC/SCA/ST/Converted Christians): No
School of Study Information
Category of School: Govt. Aided Civic status of school location (+2): Corporation
Have you studied VI to XII in Government school?: No
Class Year of Passing Name of the school District State Block Category of
Govt.School
VI Std. 2018 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
VII Std. 2019 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
VIII Std. 2020 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
IX Std. 2021 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
X Std. 2022 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
XI Std. 2023 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
XII Std. 2024 Muruga Dhanushkodi Girls Hss Chennai Tamil nadu George town --
Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2313756401 HSC Roll number: 6742737
Qualified Year: 2024 HSC Group: HSC Academic
Group Code: Medium of Instruction: English
ECONOMICS/COMMERCE/ACCOUNTANCY/BUSINESS MATHEMATICS AND STATIS-
TICS
Educational Management Information System(EMIS) Number: 1021300065 Community certificate number: TN-5202403084960
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 842254
Subjects Permanent Register Number/Roll Month Year Maximum Mark Obtained Mark No. of Attempts
Number
TAMIL 6742737 March 2024 100 92 1
ENGLISH 6742737 March 2024 100 84 1
ECONOMICS 6742737 March 2024 100 95 1
COMMERCE 6742737 March 2024 100 95 1
ACCOUNTANCY 6742737 March 2024 100 96 1
BUSINESS MATHEMATICS 6742737 March 2024 100 52 1
AND STATISTICS
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 842254
Affix recent Passport
size Photo
DECLARATION BY THE APPLICANT
I, SIRAJUN NISHA S (Son / Daughter) of SIRAJUN NISHA S hereby solemnly declare that the information furnished and the statements
given in the application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable
to forfeit my seat and / or removal from the rolls of the Institution at whatever stage of study I may be, besides making me liable for criminal
prosecution. I am fully aware that as per the directions of the Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act
1997, Ragging is an offence, as is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from
the Institutions and / or rigorous imprisonment up to 3 years, and / or fine up to Rs.25,000/-
Place:
Date: ( Signature of the Applicant )
DECLARATION BY THE PARENT/ GUARDIAN
I, SIRAJUN NISHA S (Parent / Guardian) of SIRAJUN NISHA S hereby solemnly declare that I am fully aware of the declaration made by
the applicant, and I declare and bind myself on the same terms contained in the above declaration. The statements and the information given
are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the seat and / or removal from the rolls of the Institution
at whatever may be the stage of study, besides making me liable for criminal prosecution I am fully aware that as per the directions of the
Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997,Ragging is an offence, as is banned in the Institutions and
anyone indulging in ragging is liable to be punished such as expulsion from the Institution and / or rigorous imprisonment up to 3 years, and /
or fine up to RS. 25,000/-
Place:
Date: ( Signature of Parent / Guardian )
Note: Guardian can execute the above declaration, only if both the parents are not alive.
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 842254
The following original certificates have to be produced at the time of certificate verification.
1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Permanent Community Certificate Card for BCM (Permanent card / Electronic form / Digitally Signed E-Certificate)
5. Income Certificate of the Parent
6. Special Reservation Form for Sports and relevant certificates
7. Special Reservation Form for Ex-Serviceman and relevant certificates
8. Special Reservation Form for Blindness & Low Vision and relevant certificates
9. Special Reservation Form for NCC-'A' Certificate holders and relevant Certificates
Printout of the application, Signed declaration and photocopies of all the above mentioned certificates need to be submitted
at the time of Admission
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF COLLEGIATE EDUCATION
TAMIL NADU GOVT ARTS AND SCIENCE COLLEGES ADMISSIONS - 2024
Application for Admission to Arts and Science Degree Course
Application Number: 842254
Choices Selected
District Course Id Course Name College Name College Code Preference Or-
der
Chennai SCAE1 B.C.A. Bachelor of Computer Queen Mary's College (Autonomous), Dr.Radhakrishnan Salai, Mylapore, 1012002 1
Application (E/M) ( 1ST SHIFT Chennai - 600 004.
)
Chennai CCOE1 B.Com. (Commerce) (E/M) ( Quaid-E-Millath Government College for Women (Autonomous), Anna 1012006 2
1ST SHIFT ) Salai, Chennai - 600002
Chennai CCSE1 B.Com. (Corporate Secre- Queen Mary's College (Autonomous), Dr.Radhakrishnan Salai, Mylapore, 1012002 3
taryship) (E/M) ( 1ST SHIFT ) Chennai - 600 004.
Chennai CCSE1 B.Com. Corporate Secretaryship Quaid-E-Millath Government College for Women (Autonomous), Anna 1012006 4
(E/M) ( 1ST SHIFT ) Salai, Chennai - 600002
Chennai AECE1 B.A. Economics (E/M ) ( 1ST Quaid-E-Millath Government College for Women (Autonomous), Anna 1012006 5
SHIFT ) Salai, Chennai - 600002
Chennai AECE1 B.A. Economics (E/M) ( 1ST Queen Mary's College (Autonomous), Dr.Radhakrishnan Salai, Mylapore, 1012002 6
SHIFT ) Chennai - 600 004.
Chennai LENE1 B.A. English ( 1ST SHIFT ) Quaid-E-Millath Government College for Women (Autonomous), Anna 1012006 7
Salai, Chennai - 600002
Chennai LENE1 B.A. English ( 1ST SHIFT ) Queen Mary's College (Autonomous), Dr.Radhakrishnan Salai, Mylapore, 1012002 8
Chennai - 600 004.
