BON SECOURS ARTS &SCIENCE COLLEGE FOR WOMEN
Affiliated to Bharathidasan University, Tiruchirapalli
Rukumanipalayam, Mannargudi – 614001
UG / PG- STUDENT PROFILE
20 - 20
PHOTO
DEPARTMENT OF -----------------------------------
1. Name of the Student (in English) :
2. Name of the Student (in Tamil) :
3. Admission Number :
4. Batch :
5. Degree(UG/PG) :
6. Register Number :
7. ABC ID Number :
8. EMIS No :
9. UMIS No :
10. Father’s Name & Qualification :
11. Father’s Name (in Tamil) :
12. Father’s Occupation :
13. Mother’s Name & Qualification :
14. Mother’s Name (in Tamil) :
15. Mother’s Occupation :
16. Blood group :
17. Religion :
18. Community :
19. Caste :
20. Nationality :
21. E mail Id :
22. Mobile Number Whats App (Parents) :
23. Mobile Number Whats App (Student) :
24. First Graduate (Yes/ No) :
25. Physically Challenged (Yes/ No) :
26. Single Child (Yes/ No) :
27. Domicile (Rural/Urban) :
28. Annual Income of Parents :
29. Student’s Adhaar Number :
30. Family Ration Card Number :
31. Student’s Bank Name :
32. Student’s Bank Account Number :
33. IFSC Code :
34. Bank Branch :
35. SSLC Marks & % :
36. HSC Marks & % :
37. UG Marks & % or Grade :
38. Mentoring Details: First Year :
Second Year :
Third Year :
39. Scholarship Details if Any :
40. Part V Activity :
41. Personal Identification (Any Two) : 1.
2.
42. Permanent Address(with Pincode) :
Signature of the Student Signature of the Mentor