Submitted On: 07/06/2023 11:56 FormNo:8001003

Sheth T.J. Education Society`s

Sheth N.K.T.T. College of Commerce

and Sheth J.T.T. College of Arts.
ADMISSION FORM
F.Y.B.Com. (2023-2024)
The Principal,
Sheth N.K.T.T. College of Commerce
and Sheth J.T.T. College of Arts.
Behind Collector Office, Kharkar Alley, Thane, Maharashtra - 400601
I wish to apply for admission to the F.Y.B.Com. Class. I give below the necessary particulars.

Student Name JADHAV YASH TANAJI

Mother`s Name TRUPTI
University Application No 591756 Aadhar Card 518054413280
Gender/Sex Male Marital Status Unmarried
Blood Group B+ Date Of Birth(As per LC) 15/04/2006
Place Of Birth (Village/City) Khed Place Of Birth (Taluka) Khed
Place Of Birth (District) Khed, Maharashtra Place Of Birth (State) Maharashtra
Place Of Birth (Country) India Nationality Indian
Mother Tongue Marathi Religion Hindu
Category OPEN Caste : Maratha
SubCaste Maratha Physically Challenged N/A
Percent Of Physical Disability 0 Special Reservation Quota N/A
Inhouse Quota Yes
Correspondence Address Vrindavan society, 9/A, 4th floor, flat no. 44, Thane (w) 400601, MAHARASHTRA
(Actual Place Of Stay)
Correspondence Pin Code 400601
Permanent Address Vrindavan society, 9/A, 4th floor, flat no. 44, Thane (w) 400601, MAHARASHTRA
Rural/Urban(Native) Urban Telephone No.(Resi.) ----
Student Mobile No 8369308883 Student Email ID [email protected]
Guardian Mobile No 9960248678 Guardian Email ID ----
Avail Railway Concession: No
Enrolled in Voter`s List? No
Subjects Offered
1. Foundation Course-I & II 2. Business Communication - I & II
3. Business Economics - I & II 4. Environmental Studies - I & II
5. Mathematical & Statistical Techniques I & II 6. Accountancy & Financial Management - I & II
7. Commerce-I & II
 FormNo:8001003
Examination Name of the Board / Mon. & Year Name of the College Seat No Total Marks Attempt Out of /
University of Passing /SGPA Grade
SSC Maharashtra State Board 2021-04 Shreerang vidyalaya A006130 347 1 500
HSC Maharashtra State Board 2023-02 NKT College M164680 389 1 600

Maths Marks Stream

PARENT / GUARDIAN DETAILS
Parents/Guardian Name Tanaji Bhiku Jadhav Parents/Guardian Relationship Father
Parents/Guardian Occupation Job Parents/Guardian Office Add. Amargyan, sarthi, thane(w)400
601
Annual Income (In Figures) 120000.00 Earning Family Members 1
Non-Earning Family Members 1

DECLARATION BY STUDENT
1. I hereby declare and undertake that my admission to next program for the AY 2022-23 is provisional subject to approval of eligibility condition decided by the

University of Mumbai from time to time.

2. I hereby declare and undertake that, If my admission is not granted by University of Mumbai for any reason (eligibility criteria or extra admissions) I shall accept it
and take back my fees paid. I will not held the college responsible for that and my admission taken will stand cancelled with immediate effect
3. I hereby declare that I have read all the rules and regulations framed by the college authorities as given in the college prospectus, which are presently in force.
4. I hereby declare and undertake to abide by all the mentioned rules and regulations and hereby agree, if admitted, to confirm to them and to such other rules as may

hereafter be made for the smooth functioning of the college.

5. I hereby declare that I will visit the college website www.nktdegreecollege.org for regular update and notices.
6. I may not be granted terms or allowed to appear for the College / University Examination if my attendance in lectures and tutorials / practicals falls short of 75%.
7. I may not be granted any concession in any matter, if I take up any employment during the course of my studies.
8. I hereby declare that I shall show satisfactory progress and maintain good conduct.
9. I hereby declare that I have not registered my name at any other institution for any other full time course.
10. I hereby declare that the information filled in by me in this form is accurate and true to the best of my knowledge I will be responsible for any discrepancy, arising
out of the form signed by me and I undertake that, in absence of any document the final admission will not be granted and / or admission will stand cancelled.
11. I WILL DISPLAY MY IDENTITY CARD PROMINENTLY IN THE COLLEGE PREMISES.
12. I have given my and my parents most recent contact details (phone, email). In case of any change I undertake to inform college accordingly.
13. I hereby give my consent for use of my contact details for educational communication.
14. I am aware that as per University Circular No. SW/42 of 2015 dtd. 29th Oct. 2015, I am compulsorily required to give an undertaking on www.antiragging.in & www.
amanmovement.org.
15. I will get myself enrolled for Voter ID Card when I would turn 18 Years of age.
16. I am aware that if eligible for Scholarship / Freeship scheme of Social Welfare Department then I must complete all formalities in time. If I fail to do so then I
undertake to pay full fees of course by end of October of the Current Academic year.

(Signature of the Student) (Name & Signature of the Parent / Guardian)

UPLOADED DOCUMENT INFORMATION

Following Documents are uploaded:
1. 12th Leaving Certificate 2. HSC Mark Sheet
3. SSC Mark Sheet 4. University Pre Enrollment Form (First Page Only)

FEES PAYMENT INFORMATION

Order No: 10059140023 Amount: 7398.00 Status: SUCCESS
Bank reference No: 10059140023 PG Tracking No: 230608150864266
Payment Success Date : 6/8/2023 12:18:00 PM
 DECLARATION BY PARENT / GUARDIAN

1. I have permitted my son / daughter / ward to join your college. The

information supplied by him / her is correct to the best of my knowledge.
I have acquainted myself with the rules and fees, dues of my son
/daughter / ward and to see that he / she observes, the said rules in
totality. I hereby give my consent for use of my contact details for
educational communication.

२. माझ्या पाल्याची सदर वर्ाातील उपस्थिती ठरवून ददलेल्या म्हणजेच एकू ण

कामकाजाच्या ७५% प्रमाणात भरली नाही, तर महास्वद्यालय / स्वद्यापीठ
परीक्षेस बसण्यास त्याला/ स्तला अपात्र ठरस्वले जाईल याची मला मास्हती असून
असे घडल्यास त्या संदभाात माझी कोणतीही तक्रार असणार नाही.

३. माझ्या पाल्याची १८ वर्षे पूणा झाल्याबरोबर मी त्याचे / स्तचे नाव मतदार

यादीत नोंदवून घेणार आहे.