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Jayesh

The document is an application form for admission to a Bachelor of Commerce course. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, subjects selected for study and a declaration signed by the applicant.

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krunalsaid2001
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82 views2 pages

Jayesh

The document is an application form for admission to a Bachelor of Commerce course. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, subjects selected for study and a declaration signed by the applicant.

Uploaded by

krunalsaid2001
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Shankar Narayan College Of Arts and Commerce (462)


Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1555408
Academic Year: 2021-2022 Regular
APPLICATION FORM

Course Applied for : B.Com.(with Credits) - Regular - Rev16 - T.Y. B.Com. Sem V [2C00145] (22300001) PRN:2019016401029962
Application Date : 14/08/2021 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
SURYAVANSHI JAYESH ASHOK
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : ASHOK SURYAVANSHI Mother's Name : SUNITA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : SATARA Gender : Male Date of Birth (DD/MM/YYYY) : 17/11/2001
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 : Palghar Tehsil : Vasai City/Town/Village :
Available
Address (House
no,street/area/suburb ROOM NO 107 SAI PREET APT PHOOLPADA ROAD VIRAR EAST Pin Code : 401305
etc.) :
Contact details
Mobile Email ID:
917262904281
Number [email protected]
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:


Sem V [2C00145]
23101 - Financial Accounting and Auditing VII - Financial 23107 - Financial Accounting and Auditing VIII - Cost
Accounting Accounting
23113 - Business Economics V 23114 - Commerce V
23115 - Direct & Indirect Taxation Paper I 23120 - Computer system & Applications Paper I
Sem VI [2C00146]

83013 - Business Economics VI 83014 - Commerce VI


83001 - Financial Accounting and Auditing IX - Financial 83007 - Financial Accounting and Auditing X - Cost
Accounting Accounting
83015 - Direct and Indirect Taxation Paper II 83020 - Computer systems and Applications Paper II

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 150000
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 -- -- 387.00 500.00 -- - -- 77.40
2017
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th February
OF SECONDARY AND HIGHER -- -- 437.00 650.00 -- - -- 67.23
(Commerce) 2019
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 Sat Aug 14 2021 10:59:06 GMT+0530 (India Standard Time)

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