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    University Exam Form

    Uploaded by

    Sunny Khan
    - This document is an application form for a B.E. program in Electronics and Telecommunication Engineering at Bharati Vidyapeeth College of Engineering. - The applicant is Aryan Rajani Dubal, a 22-year-old male from Maharashtra, India applying for the 7th semester of the program. - The application provides personal details of the applicant including name, date of birth, address, family details, educational qualifications, category and reservation details, income details, program and course details, and a declaration signed by the applicant.

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    University Exam Form

    Uploaded by

    Sunny Khan
    14 views2 pages
    - This document is an application form for a B.E. program in Electronics and Telecommunication Engineering at Bharati Vidyapeeth College of Engineering. - The applicant is Aryan Rajani Dubal, a 22-year-old male from Maharashtra, India applying for the 7th semester of the program. - The application provides personal details of the applicant including name, date of birth, address, family details, educational qualifications, category and reservation details, income details, program and course details, and a declaration signed by the applicant.

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    - This document is an application form for a B.E. program in Electronics and Telecommunication Engineering at Bharati Vidyapeeth College of Engineering. - The applicant is Aryan Rajani Dubal, a 22-year-old male from Maharashtra, India applying for the 7th semester of the program. - The application provides personal details of the applicant including name, date of birth, address, family details, educational qualifications, category and reservation details, income details, program and course details, and a declaration signed by the applicant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views2 pages

    University Exam Form

    Uploaded by

    Sunny Khan
    - This document is an application form for a B.E. program in Electronics and Telecommunication Engineering at Bharati Vidyapeeth College of Engineering. - The applicant is Aryan Rajani Dubal, a 22-year-old male from Maharashtra, India applying for the 7th semester of the program. - The application provides personal details of the applicant including name, date of birth, address, family details, educational qualifications, category and reservation details, income details, program and course details, and a declaration signed by the applicant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    For Office Use

    Batch: Scrutiny Payment: Online/DD PI

    Serial:
    Only

    Bharati Vidyapeeth College Of Engineering (17)


    Application No :
    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    3056553
    Academic Year: 2023-2024 Regular
    APPLICATION FORM

    Course Applied for : B.E.(with Credits) - Regular - CBCS - Electronics


    and Telecommunication Engineering - B.E. C-Scheme Sem VII PRN:2020016401946972
    (BECBCS1001)

    Application Date : 19/12/2023 Payment Category : 13


    1.Personal Information
    Candidate's Name(Regional) :
    Candidate's Name as printed DUBAL ARYAN RAJANI
    on Mark sheet : [*This name will appear on all University records/documents]
    Mother's
    Father's/Husband's Name : RAJAN RAJANI
    Name :
    Mother
    Marital Status : UnMarried
    Tongue :
    Place Of Birth : Gender : Male Date of Birth (DD/MM/YYYY) : 25/06/2002
    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
    no,street/area/suburb Prithviraj Appartment Room No. 405 Tisgaon Kalyan Pin Code : 421306
    etc.) :
    Contact details
    Mobile
    918425878489 Email ID: [email protected]
    Number
    2.Legal Reservation Information
    Category Type :
    Category : SC
    Reserved
    Is Guardian from EBC (Economic
    Is Specially Abled? No
    Backward Class)? No
    3.Social Information(Additional Inforamtion)
    Not Applicable
    Paper Selected for:
    Sem VII
    42471 - Microwave Engineering 42472 - Mobile Communication System
    ECL701 - Microwave Engineering Laboratory ECL702 - Mobile Communication System Laboratory
    ECP701 - Major Project-I 42475 - Cloud Computing and Security
    42479 - 5G Technology 42488 - Cyber Security and Laws
    Sem VIII

    52971 - Optical Communication and Networks ECL801 - Optical Communication and Networks Laboratory
    ECP801 - Major Project-II 52974 - Wireless Networks
    52979 - Network Management in Telecommunication 52989 - Digital Business Management

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Service Annual Income of Guardian : 353030
    5.Educational Details
    Month and Exam
    Name of Name of Board/University and Name of Certificate Mark Out
    Year of Seat CGPA %
    Examination State of University School/College No. Obtained of
    Passing No.
    MAHARASHTRA STATE BOARD
    March
    Std 10th OF SECONDARY AND HIGHER -- -- 431.00 500.00 -- - -- 86.20
    2018
    SECONDARY EDUCATION,
    MAHARASHTRA STATE BOARD
    Std 12th 12Th February
    OF SECONDARY AND HIGHER -- -- 404.00 650.00 -- - -- 62.15
    (Science) 2020
    SECONDARY EDUCATION,
    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 Tue Dec 19 2023 16:21:28 GMT+0530 (India Standard Time)

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