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

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SONIYA 

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Vidya Prasark Mandal`s K. G. Joshi College of Arts and N. G. Bedekar College of Commerce (354) Application No :
Creek Land, Chendani Bander Road. Thane
University of Mumbai 1141869
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.M.S.(Autonomous)(with Credits) - Regular - CBCS - F.Y. B.M.S.(Autonomous) Sem I  (-) ABC ID: 495-842-234-307 PRN:

Application Date : 11/06/2023 Payment Category :

Candidate
1.Personal Information Photo
Candidate's Name(Regional) : सोनिया

SONIYA BABAN RAJPUT

Candidate's Name as printed on Mark sheet : Candidate
[*This name will appear on all University records/documents]
Signature
Father's/Husband's Name : BABAN Mother's Name : SIMRAN
Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : MIRAJ Gender : Female Date of Birth (DD/MM/YYYY) : 25/08/2003
Blood Group : Religion : Buddhist Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
State : Maharashtra District : Mumbai City Tehsil : Mumbai City/Town/Village : MUMBAI CITY Location Area : Urban
Address (House no,street/area/suburb etc.) : C-105 SHREEJI GARDEN VALIVALI ROAD BADLAPUR Pin Code : 400008
Permanent Address :
State : Maharashtra District : Mumbai City Tehsil : Mumbai City/Town/Village : MUMBAI CITY Location Area : Urban
Address : C-105 SHREEJI GARDEN VALIVALI ROAD BADLAPUR Pin Code : 400008
Contact details
Mobile Number 9284798341 Email ID: [email protected]
2.Legal Reservation Information
Category Type : Reserved Category : SC Sub Category : BAUDHA
Is Specially Abled? No Is Guardian from EBC (Economic Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
BMS1001 - Paper 1 BMS1002 - Paper 2
BMS1003 - Paper 3 BMS1004 - Paper 4
Sem II

BMS2001 - Paper 1 BMS2002 - Paper 2

BMS2003 - Paper 3 BMS2004 - Paper 4

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 0
5.Educational Details
Name of Month and Year of Exam Seat Certificate Mark
Name of Board/University and State of University Name of School/College Out of CGPA %
Examination Passing No. No. Obtained

MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY

Std 10th BHAGYSHREE ENGLISH SCHOOL March 2020 A084752 -- 430.00 500.00 -- - -- 86.00
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY ARYA GURUKUL INTERNATIONAL
Std 12th Science March 2022 M009653 -- 408.00 600.00 -- - -- 68.00
EDUCATION,Maharashtra COLLEGE
Your Last Qualifying Exam: HSC/Std 12th [Science]
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:

Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like degree,diploma,etc.

Certificate of Caste with Category.

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 Application No
:1141869 (SONIYA BABAN RAJPUT) 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 )
For College/Institute/Study Center Use Only
Designation Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Sun Jun 11 2023 09:57:06 GMT+0530 (India Standard Time)

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