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Application No: Regular: Academic Year: 2019-2020

This document is an application for admission to Rachana Sansad College of Applied Art and Craft for the B.F.A. program. It contains personal information about the applicant such as name, date of birth, contact details, family details, educational qualifications, and a declaration agreeing to college policies. The applicant is applying for the regular annual B.F.A. program and has provided details of their 10th and 12th standard exams as well as a foundation diploma in art. Required documents for admission are also listed.

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niel
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63 views2 pages

Application No: Regular: Academic Year: 2019-2020

This document is an application for admission to Rachana Sansad College of Applied Art and Craft for the B.F.A. program. It contains personal information about the applicant such as name, date of birth, contact details, family details, educational qualifications, and a declaration agreeing to college policies. The applicant is applying for the regular annual B.F.A. program and has provided details of their 10th and 12th standard exams as well as a foundation diploma in art. Required documents for admission are also listed.

Uploaded by

niel
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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8/25/2019

For Office Use


Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Application No :
Rachana Sansad College of Applied Art and Craft (649)
5th floor, 278 Shankar Ghanekar Marg, Prabhadevi, MumbaiMumbai 1727291
Academic Year: 2019-2020 Regular

Course Applied for : B.F.A. - Regular - Rev16 - Applied Art - B.F.A. Part I Annual (-) PRN:
Application Date : 25/08/2019

1.Personal Information

Candidate's Name(Regional) : NIEL


Candidate's Name as printed on Mark THAKKAR NIEL KAUSHIK
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : KAUSHIK THAKKAR Mother's Name : MILI

Marital Status : UnMarried Mother Tongue : Gujarati


Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 04/09/2000
Blood Group : BPositive Religion : Hindu Country of Citizenship : India
Height : Not Available Weight : Not Available Hemoglobin : Not Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : NAVI
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
MUMBAI
Address (House
505,Parvati Apartment,House no-0256 Plot no 104,Sector 9,Diva Gaon Airoli Pin Code : 400708
no,street/area/suburb etc.) :
Permanent Address :
City/Town/Village : NAVI
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
MUMBAI
Address : 505,Parvati Apartment,House no-0256 Plot no 104,Sector 9,Diva Gaon Airoli Pin Code : 400708
Contact details
Mobile Number 9004729711 Email ID: [email protected]
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Specially Abled? No
3.Social Information(Additional Inforamtion)
Ward of Primary Teacher
Deserted/Divorced/Widowed Women
Paper Selected for:
Annual
UBFA1.1 - Advertising Art and Ideas UBFA1.2 - History of Visual Communication
UBFA1.3 - Drawing UBFA1.4 - Nature and Object Drawing
UBFA1.5 - 2D Design and Colour UBFA1.6 - Graphic Desing
UBFA1.7 - Typography and Calligraphy UBFA1.8 - Layout
Annual

Medium of Instruction : English


Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Passing Certificate of Std 10th.

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8/25/2019
Leaving Certificate.
Domicile Certificate.
Statement of Marks of Std 10th.
Affidavit regarding Anti Ragging.
Original Statement of Marks for std. 12th.
School/College Leaving Certificate.
Statement of CET/Certificate of CET.
4.Guardian Information
Occupation of Guardian : Professional Annual Income of Guardian : 120000
5.Educational Details
Month
Name of Name of Board/University and Name of and Year Exam Mark
Certificate No. Out of CGPA %
Examination State of University School/College of Seat No. Obtained
Passing
CENTRAL BOARD OF SHETH KARAMSHI
9.2 -
Std 10th SECONDARY KANJI ENGLISH May 2016 4112802 M615450040126 - - -
A1
EDUCATION,Maharashtra SCHOOL
MAHARASHTRA STATE BOARD K.J. SOMAIYA
Std 12th OF SECONDARY AND HIGHER JUNIOR COLLEGE February
M310488 304481 561.00 650.00 -- - -- 86.31
Commerce SECONDARY OF ARTS AND 2018
EDUCATION,Maharashtra COMMERCE
MAHARASHTRA STATE BOARD K.J. SOMAIYA
Std 12th OF SECONDARY AND HIGHER JUNIOR COLLEGE February
M310488 304481 561.00 650.00 -- - -- 86.31
Commerce SECONDARY OF ARTS AND 2018
EDUCATION,Maharashtra COMMERCE
Diploma :
Directorate of Art Maharashtra MUDRA SCHOOL
Foundation June 2019 0037 003770 413.00 700.00 -- - -- 59.00
State,Maharashtra OF ART
Diploma
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
7.Other Information
Would you like to apply for Hostel accommodation required NA
DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do
understand that I need to obtain and produce all the required documents. I Application No :1727291 admit to having understood what constitutes ragging
and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for
punishment according to the university regulations.

Place : Date :
( Signature of the Candidate )
For College/Institute/Study Center Use Only
Designation Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: Rs. Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Sun Aug 25 2019 15:05:14 GMT+0530 (India Standard Time)

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