J.N.N ARTS & SCIENCE WOMEN'S COLLEGE

90, Ushaa Garden, Kannigaipair, Chennai Periyapalayam Highway, Tamil Nadu 601102

Application Form

Note: All ‘*' marked fields are mandatory.

Student Details

Title

First Name *

Middle Name

Last Name *

Father Name *

Mother Name *

Birth Date *

Age Age

Country of Birth *

Gender *

State *

Country *

Email *

Permanent Address *

Aadhaar Card

Enter valid Aadhaar Number

Country Of Citizenship *

Category *

Student Photo *

Maximum file size 1MB , Format should be .png or .jpg or .jpeg

Degree *

1st Choice *

2nd Choice

Education Details

Institution Details

Name of Board *

Name Of School*

School Address*

Reg.No. *

Year of Passing *

Marks Obatained HSC

Subject Name *

Max Mark *

Mark Scored *

Total Marks Total Marks

Percentage Percentage

Parent/Guardion Details

Parent/Guardian *

Parent/Guardian Name *

Landline Number

Mobile Number *

Mother Tongue

Mother Mobile No.

Student Bank Details

Bank A/C No

MICR Code:

IFSC Code:

Your application has been submitted successfully.

Please take printout of this form & carry the same while visiting school for further admission process.

J.N.N ARTS & SCIENCE WOMEN'S COLLEGE

90, Ushaa Garden, Kannigaipair

Chennai Periyapalayam Highway, Tamil Nadu 601102

Form.No.: {{aplform.AplnNum}}

Program : {{aplform.PrName}} , Roll No. _________________
Preferred Second course : {{aplform.ScndCrse}}
Admission Receipt No. _________________

Form of Application for Admission 20 - 20

Date: {{todayDate|date:'dd-mm-yyyy'}}

To,
The Principal
I hereby apply for admission to {{aplform.PrName}}
I submit that all information given herein by me is true and correct to the best of my knowledge and belief.

I have read and understood the disciplinary and general rules given in the Prospectus and agree to abide by the same.

Date / /20

(Signature of the Applicant)

Student Details

Gender

Male

Female

Name of student

Father's name

Mother's name

Date of Birth

Age : {{aplform.age}}Years

Place of Birth : {{aplform.CnBpl}}

State : {{aplform.CnAdStat}}

Nationality			{{aplform.Natnl}}			Belonging to {{aplform.Cmnm}}
Permanent Address						{{aplform.PemAdd}}

Students Aadhaar Card No.: {{aplform.NatID}}

Student's Bank Details,(if He/She has)

BANK A/C No.: {{aplform.addnlDtls.bkacno}}

MICR Code: {{aplform.addnlDtls.micrcd}}

IFSC Code: {{aplform.addnlDtls.ifsccd}}

Education Details:

Name of the school last attended	{{aplform.Inst}}
Address of the School	{{aplform.InstAdL1}}

Marks Obatained HSC

S.No.	Subject Name	Max Mark	Mark Scored
{{$index+1}}.	{{sub.CnSubj}}	{{sub.MaxMark}}	{{sub.Scored}}

Seat.No	Month & Year of Passing	Total Marks	Percentage
{{aplform.RegNo}}	{{aplform.DateOfPass}}	{{aplform.totmark}}	{{aplform.percnt}}

Parent/Guardian Details:

a. Name of the {{aplform.parnt}}:_________________
b. Relationship_________________ Phone.No.(Res):_________________ Father's Phone No.(office):_________________________ Mobile: {{aplform.FatAdMob}}
Mother's Mobile No.: {{aplform.MotAdMob}} Guardian Mob.No.:_________________________
c. Office Address:_____________________________________________________________________
d. Mother Tongue: {{aplform.MothTng}}

a. Name of the {{aplform.parnt}}:_________________
b. Relationship:_________________ Phone.No.(Res):_________________ Father's Phone No.(office):_________________________ Mobile: _________________________
Mother's Mobile No.: {{aplform.MotAdMob}} Guardian Mob.No.:_________________________
c. Office Address:_____________________________________________________________________

a. Name of the {{aplform.parnt}}:_________________
b. Relationship:_________________ Phone.No.(Res):_________________ Father's Phone No.(office):_________________________ Mobile: _________________________
Mother's Mobile No. _________________________ Guardian Mob.No.: {{aplform.GrdnAdMob}}
c. Office Address:_____________________________________________________________________

Declaration of Parents

To,
The Principal,
J.N.N Arts & Science Women's College,
90, Ushaa Garden, Kannigaipair, Chennai Periyapalayam Highway, Tamil Nadu 601102.

Dear Sir,

1. I have read and understood the rules of the college regarding discipline attendance etc. and I undertake to see that, my ward abides by them. I understand that my ward has to submit to the general discipline of the school and that the Principal's decision on all the matters of discipline shall be final and binding on my ward.

2. Name of the ward ___________________________________________________________________

3. Exact relationship : Son / Daughter

4. Information about health problems,if any__________________________________________________

5. Name /Address & Phone No.of Doctor treating the ward ______________________________________

Your's faithfully,

_____________________________________
Signature of the Guardian/Parent

Principal's Remark and Decision

(Signature)
Principal