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Birla College of Arts, Science and Commerce (23)

Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2596499
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : M.Com.(Autonomous)(with Credits) - Regular -

CBCS - Business Management - M.Com.(Autonomous) Part II Sem III  PRN:2019016402389062
(MCOMAUTO101)

Application Date : 04/08/2023 Payment Category : 35

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed PAHUJA SAKSHI MAHESH
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : MAHESH NISHA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : ULHASNAGAR Gender : Female Date of Birth (DD/MM/YYYY) : 30/04/2000
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Kalyan City/Town/Village :
Available
Address (House
1602 LINDEN ROSALIE COMPLEX GODREJ HILL KHADAKPADA KALYAN
no,street/area/suburb Pin Code : 421301
BHARVEGAON
etc.) :
Contact details
Mobile
8169199662 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
MCOMBMA301 - Paper 1 MCOMBMA302 - Paper 2
MCOMBMA303 - Paper 3 MCOMBMA304 - Paper 4
Sem IV

MCOMBMA401 - Paper 1 MCOMBMA402 - Paper 2

MCOMBMA403 - Paper 3 MCOMBMA404 - Paper 4

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 250000
5.Educational Details
Month
Name of Exam
Name of Name of and Year Certificate Mark Out
Board/University and Seat CGPA %
Examination School/College of No. Obtained of
State of University No.
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY
Std 10th May 2016 -- -- 295.00 500.00 -- - -- 59.00
AND HIGHER SECONDARY
EDUCATION,
Std 12th 12Th NATIONAL INSTITUTE OF
June 2019 -- -- 278.00 500.00 -- - -- 55.60
(Commerce) OPEN SCHOOLING,
Degree : B.Com.
(With Credits)- Passed -- -- - - -- - -- -
Regular-Rev16
Degree : Dip. In
Accounting And
Passed -- -- - - -- - -- -
Taxation-Regular-
Rev16
Your Last Qualifying Exam:
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 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 )
Document printed on Fri Aug 04 2023 00:12:38 GMT+0530 (India Standard Time)