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DG Application

The document is an application form for undergraduate admission for the academic year 2025-2026 for a B.Com course. It includes personal information, educational details, and parent information of the applicant, Balamurugan M, along with various declarations and contact details. The application specifies that further communication will be sent to the registered email address.
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0% found this document useful (0 votes)
63 views3 pages

DG Application

The document is an application form for undergraduate admission for the academic year 2025-2026 for a B.Com course. It includes personal information, educational details, and parent information of the applicant, Balamurugan M, along with various declarations and contact details. The application specifies that further communication will be sent to the registered email address.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Further communication regarding admission will be communicate to your registered email id only.

UG APPLICATION FORM 2025-2026


B.Com
Day Aided Course Application Applied
Shift Shift I
DU02 DU02-12572 (Corporate
Code No. Course Secretaryship)

PERSONAL INFORMATION

Student Name : BALAMURUGAN M Date of Birth : 05/09/2007

Gender : Male Religion : Hindu

Community : SC Caste : Devandrakula Velalar

Board of studies : State Board Nationality : Indian

Community Certificate
Blood Group : O +ve : TN-5202205062168
Number

Marital Status : Single Mother Tongue : Tamil

Student Mobile Number : 6380796604 Sports : No

Active participation
Sports Name/Level : / :
in any club

Student Email Id : b15527237@gmail.comStudent Aadhar Card No : 966411866152

EMIS : 2014296184 Student Whatsapp No : 6380796604

Hostel Accommodation Required : No

Select the second language you prefered to choose in College : Tamil

Have you applied for any other course in our college : No

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 Islands : No

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 : :

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 6/10 bajanai kovil 7th street, choolaimedu, chennai, 600094 no 6/10 bajanai kovil 7th street, choolaimedu, chennai

PARENT INFORMATION

Parent Name / Guardian Mobile Annual


Relation Occupation Education Email-ID
Name Number Income

b15527237@gmail.
MR. MURUGESAN P Father driver NA 9962786694 100000
com

MRS. MEENAKSHI b15527237@gmail.


Mother house wife NA 6380796604 NA
REMILA M com

6th,7th,8th,9th EDUCATIONAL DETAILS

Class Institution Name Medium Govt/Aided/Private/Matric Board Stream

VI TTA matric higher secondary school English Private-Matric State Board Regular

VII TTA matric higher secondary school English Private-Matric State Board Regular

VIII TTA matric higher secondary school English Private-Matric State Board Regular

IX TTA matric higher secondary school English Private-Matric State Board Regular

10th,11th,12th EDUCATIONAL DETAILS

Month
Register Govt/Aided/Private/M and
Class Institution Name Medium Board Stream
Number atric Passed
Year

TTA matric higher


X 5917704 English Private-Matric State Board Regular 2023
secondary school

TTA matric higher


XI 2414754657 English Private-Matric State Board Regular 2024
secondary school

TTA matric higher


XII 1754803 English Private-Matric State Board Regular 2025
secondary school

X SUBJECT DETAILS

Subject Marks Total Marks No.of Attempts

English 44 100 0

Language 35 100 0

Maths 65 100 0

Science 45 100 0

Social 40 100 0

X Subtotal(without language & English) : 150 X Subtotal Percentage(%) : 50.00 X Total(with language & English)
: 229 X Percentage(%): 45.80
XI & XII SUBJECT DETAILS

XI Total XI No.of XII Total XII No.of


Subject XI Marks XII Marks
Marks Attempts Marks Attempts

English 37 100 0 100

Language 36 100 0 100

Computer Applications 45 100 0 100

Economics 40 100 0 100

Commerce 35 100 0 100

Accountancy 46 100 0 100

XI Subtotal(without language & English) : 166 XI Subtotal Percentage(%) : 41.50 XI Total(with language & English)
: 239 XI Percentage(%): 39.83

XII Subtotal(without language & English) : 0 XII Subtotal Percentage(%) : 0.00 XII Total(with language & English)
: 0 XII Percentage(%): 0.00

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 Protocol.

Place Signature of the Signature of the Applicant


Father/Mother/Guardian

For Office Use Only


Certificates Verified : [ ]

HSC Marks [ ] Community [ ] TC [ ] CC [ ]

Special Category [ ] Admitted [ ] Migration Certificate [ ] FC [ ]

Gujarathi-Vaishnav [ ] Maheshwari [ ] Agarwal [ ]

Eligibility Certificate [ ]

Full Signature of the staff who processed the Application:


Name & Designation of the Staff:

Date: PRINCIPAL

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