8/9/2021

Batch: Scrutiny Payment: Online/DD PI

For Office Use

Only Serial:

Seva Sadan R. K. Talreja College of Arts, Science and Commerce (164)

Application No :

University of Mumbai 551272

M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

Academic Year: 2021-2022

Regular
APPLICATION FORM

Course Applied for : M.Com.(with Credits) - Regular - Rev16 - M.Com. Part II Sem III [2C00533] 
(MCOM) PRN:2020016401937315
Application Date : 09/08/2021 Payment Category : 35

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on NISHA SHIVSHANKAR
Mark sheet : [*This name will appear on all University records/documents]

Father's/Husband's Name : SHIVSHANKAR SHIVSHANKAR Mother's Name : ASHA

Marital Status : UnMarried Mother Tongue :

Place Of Birth : New Delhi Gender : Female Date of Birth (DD/MM/YYYY) : 01/01/2000
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 : Ambarnath City/Town/Village :
Available
Address (House
H Wing Flat No 10 Radhe Govind Nagar. Bcabin Road Ambernath East Pin Code : 421501
no,street/area/suburb etc.) :
Contact details
Mobile Number 919325895012 Email ID: [email protected]
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem III [2C00533]
UMCISIII.6 - Project Work I 72201 - Advanced Financial Accounting
72206 - Direct Tax 72211 - Advanced Cost Accounting
Sem IV [2C00534]

UMCISIV.6 - Project Work II 67501 - Corporate Financial Accounting

67506 - Indirect Tax - Introduction of Goods and Service Tax 67511 - Financial Management

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 500000
5.Educational Details
Month and Exam
Name of Name of Board/University and State of Name of Certificate Mark
Year of Seat Out of CGPA %
Examination University School/College No. Obtained
Passing No.
MAHARASHTRA STATE BOARD OF
Std 10th SECONDARY AND HIGHER March 2015 -- -- 342.00 500.00 --
-
-- 68.40
SECONDARY EDUCATION,

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Month and Exam

Name of Name of Board/University and State of Name of Certificate Mark
Year of Seat Out of CGPA %
Examination University School/College No. Obtained
Passing No.
MAHARASHTRA STATE BOARD OF
Std 12th 12Th February
SECONDARY AND HIGHER -- -- 351.00 650.00 --
-
-- 54.00
(Commerce) 2017
SECONDARY EDUCATION,
Degree : B. F.
November
M(Bachelors) -- -- 392.00 600.00 --
-
-- 65.33
2020
Degree
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 Mon Aug 09 2021 22:12:02 GMT+0530 (India Standard Time)

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