APPLN NO. CAF DATE OF REGN.

M.O.P. VAISHNAV COLLEGE FOR WOMEN (AUTONOMOUS)

No. 20, IV LANE, NUNGAMBAKKAM HIGH ROAD, CHENNAI - 34.
Website - www.mop-vaishnav.ac.in
APPLICATION FOR ADMISSION
B.Com. (Accounting & Finance - Shift I) 2012 - 2013 (Semester Pattern)

1. Name of the Applicant : (BLOCK LETTERS) English :

(Expand Initials)
Tamil :

2. Date of Birth as entered in H.S.C : 6. Community : OC BC MBC / DNC SC/ST

3. Nationality : 7. Community Name :

4. Religion : 8. Mother Tongue :

5. Part I Language Preferred : 9. Name of the Parent / Guardian :

Tamil / Hindi / Sanskrit / French
10. Address for Communication : 11. Occupation of the Parent :
Door No. / Street ________________________ Designation :
Area / District __________________________ Organisation / Company
State _________________________________ Office Address & Tel. No :
PIN __________________________________
Tel / Cell No : __________________________ E-mail Id :

12. Annual Income of the family :

13. Tick the Physically Daughter of Ex-serviceman Tamil Origin from Sports
appropriate box Handicapped of Tamil Nadu origin Andaman and Nicobar NCC/ NSS

14. Medium of Instruction : a) Upto X Std : b) XII Std:

15. School studied in X Std : Total Marks in X Std :

16. School studied in XII Std :

17.Qualifying Examination passed State Board CBSE Other Boards

Marks Max. Month / Year of No. of
Subject Reg. No.
Obtained Marks Passing Attempts
Part I : English 100/200
Part II : Language 100/200
Part III : Subjects 100/200
100/200
100/200
100/200
TOTAL 500/1200

18. Particulars of other courses 1. _____________________ 4. _____________________

applied in this college: 2. _____________________ 5. _____________________
(Course / Appl. No.) 3. _____________________ 6. _____________________

M.O.P. Vaishnav College For Women (Autonomous) Chennai - 34.

Website - www.mop-vaishnav.ac.in
No. CAF Acknowledgement ℡ 2833 02 62
Received Application Form for B.Com. (Accounting & Finance - Shift I) 2012 - 2013 course.
This is only an acknowledgement of registration of application and not an offer of a seat.
19. i) Are you appearing for CA CPT Any other Professional Courses

ii)When are you planning to do your CA Course :

INFORMATION ON CO-CURRICULAR & EXTRA - CURRICULAR ACTIVITIES

Other Activities No. of competitions participated No. of Prizes won

(I) Co-Curricular activities School Inter School Other level School Inter School Other level

a) Debate

b) Quiz

c) Projects

d) Creative writing
(Essay, Story, Script,
Poetry)

e) Publications, if any

f) Any others

(II) Extra Curricular

activities participated

a) NSS

b) Music

c) Dance

d) Dramatics

e) Arts

f) Any others

NCC
(III) Sports Levels of Representation
Representation / Position

Name of the Sport District State National

(IV) Leadership Post

held at School

I declare that all the particulars furnished above are true and correct. I submit that I will abide by the rules and
regulations of the College.

Signature of the Parent / Guardian Name & Signature of the Applicant