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Parle Tilak Vidyalaya Associations Sathaye College (155)

Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
47869
Academic Year: 2025-2026 Regular
APPLICATION FORM

Course Applied for : B.Com. (Autonomous)(with Credits) - Regular - PRN:2023016402491577

CBCS - T.Y. B.Com.(Autonomous) Sem V (BCOMAUTO1001)

Application Date : 03/07/2025 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed DODMANI ANANT CHANVEER
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : CHANVEER SUREKHA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Solapur Gender : Male Date of Birth (DD/MM/YYYY) : 04/04/2006
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Andheri City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb SHIV SAI MITRA MANDAL SARIPUT NAGAR JV LINK ROAD SEEPZ Pin Code : 400093
etc.) :
Contact details
Mobile
918355998609 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 V
BCOM001 - PAPER I BCOM002 - PAPER II
BCOM003 - PAPER III BCOM004 - PAPER IV
Sem VI

BCOM005 - PAPER V BCOM006 - PAPER VI

BCOM007 - PAPER VII BCOM008 - PAPER VIII

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Laborer Annual Income of Guardian : 180000
5.Educational Details
 Month and Exam
Name of Name of Board/University Name of Certificate Mark Out
Year of Seat CGPA %
Examination and State of University School/College No. Obtained of
Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY August
Std 10th -- -- 309.00 500.00 -- - -- 61.80
AND HIGHER SECONDARY 2021
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY February
-- -- 263.00 600.00 -- - -- 43.83
(Commerce) AND HIGHER SECONDARY 2023
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 Thu Jul 03 2025 10:26:03 GMT+0530 (India Standard Time)