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G.V. Acharya Institute of Engineering And Technology (807)

Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
3108925
Academic Year: 2023-2024 Regular
APPLICATION FORM

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

Science and Engineering (Artificial Intelligence and Machine PRN:2022016402517003
Learning) - T.E. C-Scheme Sem V (BECBCS1001)

Application Date : 01/03/2024 Payment Category : 27

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed VAISHAMPAYAN ANIKET SHIRIN
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : SHIRIN JAYASHREE
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Kalyan Gender : Male Date of Birth (DD/MM/YYYY) : 19/04/1999
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 G-2 Trishul Apt Behind Nitin Raj Hotel, Katemanivali Kalyan Pin Code : 421306
etc.) :
Contact details
Mobile
919167515446 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V
CSCAIML501 - Computer Network CSCAIML502 - Web Computing
CSCAIML503 - Artificial Intelligence CSCAIML504 - Data Warehousing & Mining
CSLAIML501 - Web Computing and Network Lab CSLAIML502 - Artificial Intelligence Lab
CSLAIML503 - Data Warehousing & Mining Lab CSLAIML504 - Business Communication and Ethics-II
CSMAIML501 - Mini Project : 2A CSDLOAIML5013 - Internet of Things
Sem VI

CSCAIML601 - Data Analytics and Visualization CSCAIML602 - Cryptography and System Security
CSCAIML603 - Software Engineering and Project CSCAIML604 - Machine Learning
Management CSLAIML601 - Data Analytics and Visualization Lab
CSLAIML603 - Software Engineering and Project CSLAIML602 - Cryptography & System Security Lab
Management Lab CSLAIML604 - Machine Learning Lab
CSLAIML605 - Skill base Lab Course: Cloud Computing CSMAIML601 - Mini Project Lab: 2B
CSDLOAIML6012 - Distributed Computing

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Professional Annual Income of Guardian : 500000
5.Educational Details
Name of Month and Exam
Name of Name of Certificate Mark Out
Board/University and Year of Seat CGPA %
Examination School/College No. Obtained of
State of University Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY
Std 10th June 2014 -- -- 333.00 500.00 -- - -- 66.60
AND HIGHER
SECONDARY EDUCATION,
Diploma :
Mechanical Maharashtra State Board November
-- -- 603.00 800.00 -- - -- 75.38
Engineering Of Technical Education 2020
Diploma
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 Fri Mar 01 2024 17:07:34 GMT+0530 (India Standard Time)