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Sujal Gupta

This document is an application form for admission to a Bachelor of Commerce program. It contains personal information of the applicant such as name, date of birth, address, contact details, family details, educational qualifications and program details. The applicant is seeking admission to the regular FY BCom semester 1 program for the academic year 2019-2020. The application provides details of the applicant's 10th and 12th board exam results and declares that the information provided is true. It needs to be signed by the applicant and contains sections for college use and recommendations.

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Suraj Gupta
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166 views3 pages

Sujal Gupta

This document is an application form for admission to a Bachelor of Commerce program. It contains personal information of the applicant such as name, date of birth, address, contact details, family details, educational qualifications and program details. The applicant is seeking admission to the regular FY BCom semester 1 program for the academic year 2019-2020. The application provides details of the applicant's 10th and 12th board exam results and declares that the information provided is true. It needs to be signed by the applicant and contains sections for college use and recommendations.

Uploaded by

Suraj Gupta
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

Application No :
Jashbhai Maganbhai Patel College of Commerce (0196)
off. M. G. Road, Nr. Azad Maidan, Goregaon (W), MumbaiBoriwali 691869
Academic Year: 2019-2020
Regular

Course Applied for : B.Com.(with Credits) - Regular - Rev16 - F.Y. B.Com. Sem I (22300001) PRN:

Application Date : 06/06/2019


1.Personal Information

Candidate's Name(Regional) : पाल मनीषा म ीलाल

PAL MANISHA MISHRILAL


Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
KAMLESH
Father's/Husband's Name : MISHRILAL PAL Mother's Name :
KUMARI
Marital Status : UnMarried Mother Tongue : Hindi
Place Of Birth : Mumbai Gender : Female Date of Birth (DD/MM/YYYY) : 18/01/2001
Blood Group : OPositive Religion : Hindu Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Boriwali
Suburban Mumbai Metropolitan
Address (House
no,street/area/suburb Prem nagar CHAWl no 23 Salmaan hotel Goregaon west Pin Code : 400104
etc.) :
Permanent Address :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Boriwali
Address : Suburban Mumbai
Prem nagar CHAWl no 23 Salmaan hotel Goregaon west Metropolitan
Pin Code : 400104
Contact details
Mobile
9648057532 Email ID: mpal1894@gmail.com
Number
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Specially Abled? No
3.Social Information(Additional Inforamtion)
Economically Backward Class
Paper Selected for:
Sem I
UBCOMFSI.1 - Accountancy and Financial Management I UBCOMFSI.2 - Commerce I
UBCOMFSI.3 - Business Economics I UBCOMFSI.4 - Business Communication I
UBCOMFSI.5 - Environmental Studies I UBCOMFSI.7 - Mathematical and Statistical Techniques I
UBCOMFSI.6.1 - Foundation Course I

Sem II

UBCOMFSII.1 - Accountancy and Financial Management II UBCOMFSII.2 - Commerce II


UBCOMFSII.3 - Business Economics II UBCOMFSII.4 - Business Communication II
UBCOMFSII.5 - Environmental Studies II UBCOMFSII.7 - Mathematical and Statistical Techniques II
UBCOMFSII.6.1 - Foundation Course II

Medium of Instruction : English


Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Passing Certificate of Std 10th.
Leaving Certificate.
4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 100000
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained of
Passing
KUNDILAL
MAHARASHTRA STATE
GOVINDRAM
BOARD OF SECONDARY AND June
Std 10th SEKSARIA A307696 293899 285.00 500.00 -- - -- 57.00
HIGHER SECONDARY 2017
SARVODAYA HIGH
EDUCATION,Maharashtra
SCHOOL
MAHARASHTRA STATE
DURGADEVI
Std 12th BOARD OF SECONDARY AND May
SARAF JUNIOR M283368 -- 373.00 650.00 -- - -- 57.38
Commerce HIGHER SECONDARY 2019
COLLEGE
EDUCATION,Maharashtra
Your Last Qualifying Exam: SSC/Std 10th
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 Application No :691869
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 Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: Rs. Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Jun 06 2019 19:54:16 GMT+0530 (India Standard Time)

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