Lonavala Educational Trust's

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And
Smt.S.A.Mithaiwala Science College
Valvan Ta-Mawal Dist-Pune Pincode- 410403
Contact : 02114273006 / 7888042376 / 7888042375 / Email : lonavalacolleg@gmail.com

Admission Form Details (Academic Year : 2021-22)

Verification Signature Division Roll No G.R. No

Scholarship Verification Signature Category Caste Sub Caste

Fee Collection Clerk's Signature Rcpt. No. Amount Date

Bank Name Branch DD No. Prv. Class/Attend

Registration Information Date : 29/10/2021 08:32 PM

Admission Form Number : 1337014

Registration Number : 2000063690

Admission Type : Section : Class :

Provisional SENIOR T.Y.B.COM Credit Pattern
Division : Fee Category : Caste Category :
GRANT PAYING OPEN
Merit Form No. : University/Board Registration Eligibility No.(UG & PG) :
N.A. No. : N.A. 12019247204
CAP Application Kit No. : Adhaar Card No. : Pan Card No. :
N.A. 680197004241 N.A.
Voter ID. : Saral ID. :
N.A. N.A.

Student's Information

Student's Name : Gender :

NAMRATA KESHAV KHILARE Female
Student's Email ID : Student's Mobile :
khilarenamrata@gmail.com 9607499524
Adress Line 1 :
Tungarli Lonavla

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 1
No:1337014)
Adress Line 2 :
Tungarli Lonavla
Location : Taluka : District :
Kaivalyadham Maval Pune
State : Country : Pin Code :
Maharashtra INDIA 410403
Student's Phone 1 : Student's Phone 2 : Student's Fax :
9607499524 9607499524 N.A.
Student's Birth Date : Student's Birth Place : Birth Place Taluka :
26/01/2002 LONAVALA MAVAL
Birth Place District : Birth Place State : Birth Place Country :
PUNE MAHARASHTRA INDIA
Student's Delivery Place : Nationality : Mother Tongue :
LONAVALA INDIAN Marathi
Marital Status : Occupational Status : Blood Group :
Single Unemployed B+
Handicap : Is Organ Donor : Conveyance Use :
No No. Two Wheeler
Religion : Caste : Sub Caste :
HINDU MARATHA N.A.
Caste Category : Caste Validity No. : Is Minority :
OPEN N.A. No
Minority Detail : Ration Card Type : Computer Course :
N.A. Orange Tally
Specialization : Interest : Family Doctor Name :
Account N.A. N.A.
Family Doctor Mobile No. :
N.A.

Parent's Information

Father's Name :
KESHAV ANANTA KHILARE
Mother's Name :
GANGA
Parent's Email : Father's Mobile :
N.A. 7559103768
Parents Address Line 1 :
Tungarli Lonavala Paranjape Banglow
Parents Address Line 2 :
Tungarli Lonavala Paranjape Banglow
Location : Taluka : District :
Lonavala Maval Pune
State : Country : Pin Code :
Maharashtra INDIA 410401

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 2
No:1337014)
Location Type : Mother's Mobile : Parent's Phone :
Urban 9764646147 N.A.
Parent's Fax : Is Alumni : Parent's Profession :
N.A. No N.A.
Parent's Occupation :
Service

Guardian's Information

Guardian's Name :
KESHAV KHILARE
Relation : Guardian's Mobile : Guardian's Phone :
Father 7559103768 N.A.
Guardian's Email :
N.A.
Guardian's Address Line 1 :
Tungarli Lonavala Paranjape Banglow
Guardian's Address Line 2 :
Tungarli Lonavala Paranjape Banglow
Location : Taluka : District :
Lonavala Maval Pune
State : Country : Pin Code :
Maharashtra INDIA 410401
Guardian's Fax :
N.A.

Parent's Company/Occupation Information

Company Name :
N.A.
Email :
N.A.
Company Address Line 1 :
N.A.
Company Address Line2 :
N.A.
Location: Taluka: District:
N.A. N.A. N.A.
State : Country : Pin Code :
N.A. N.A. N.A.
Mobile No. : Phone : Fax :
N.A. N.A. N.A.
Web Site :
N.A.
Last Year's Details with (TC/LC)/Migration/Eligibility Information
Last Attended Class : Last Year College/School UDISE Code :
S.Y.BCOM N.A.
Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 3
No:1337014)
Last Attended Institute Name :
DR.B.N.PURANDARE ARTS & SMT.S.G.GUPTA COMM.COLLEGE
Last Examining Body (Board/University) :
SAVITRIBAI PHULE PUNE UNIVERSITY
Eligibility : State of Residence : Last Qualified Exam :
Same Institute/College M.S. S.Y.BCOM
Passing Month : Passing Year : Percentage :
Oct 2021 N.A.
Result : Attempt : Exam Center :
A+ Grade N.A. N.A.
Seat No. : T.C./L.C. No. : T.C./L.C. Date :
N.A. N.A. N.A.
Migration Cert. No. : Migration Cert. Issue Date : Gap :
N.A. N.A. N.A.
Current Year's Information :
Other Activity : Preparing for Competitive Exam :
N.S.S. UPSC
Short Term Course Offered by Inst. : Availed Earn and Learn Scheme :
N.A. No
Are From Dushkalgrast Area : Consession
N.A. Information :
Applicable Fees Consession : IFSC Code of Bank : Bank Account No:
(None) BARB0LONAVA 09440100018237
Residence Type: Is Using Cycle Bank: Distance from College (KM):
N.A. No 5.00
Parent's Annual Income : Is Creamy Layer : No. of Family Memebrs :
80000 No 5
Is BPL : Social Reservation :
No (None)
Consession User Name : Consession Password :
N.A. N.A.
Passport Information :

Passport Type : Country : Country Code :

N.A. N.A. N.A.
Passport No : Place of Issue : Issue Date :
N.A. N.A. N.A.
Expiry Date : Visa No : Nature of Visa :
N.A. N.A. N.A.
Isued at : No. of Entries : Visa Issue Date :
N.A. N.A. N.A.
Visa Expiry Date : University Letter No. : University Letter Date :
N.A. N.A. N.A.

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 4
No:1337014)
University ID No. : R. P. No. : R. P. Valid From :
N.A. N.A. N.A.
R. P. Valid Till : FSIS ID :
N.A. N.A.
Subjects :
Subject Group Subject Name Subject Code
Compulsory 1) B.R.F. (M.LAW) 3113
Compulsory 2) ADVANCED A/C 3123
Compulsory 3) INDIAN & GLOBAL ECO. DEVP 3133
Compulsory 4) AUDITING & TAXATION 3153
Compulsory 5) AUDITING & TAXATION 3154
Subject Group - A 6) BANKING & FINANCE II 3421
Subject Group - A 7) BANKING & FINANCE II 3422
Subject Group - A 8) BANKING & FINANCE III 3423
Subject Group - A 9) BANKING & FINANCE III 3424
Documents Attached :
Previous Educational Qualification Details :
1) Institute Name : DR.B.N.PURANDARE ARTS & SMT.S.G.GUPTA COMM.COLLEGE
Board/Uniersity Name : SAVITRIBAI PHULE PUNE UNIVERSITY
Qualified Course : Passing Year : 2021
S.Y.B.Com.
Passing Month : Obtained Marks : Maximum Marks :
Percentage : Grade : A+ Grade Attempt : 1st
2) Institute Name : DR.B.N.PURANDARE ARTS & SMT.S.G.GUPTA COMM.COLLEGE
Board/Uniersity Name : SAVITRIBAI PHULE PUNE UNIVERSITY
Qualified Course : Passing Year : 2021
S.Y.B.Com.
Passing Month : Oct Obtained Marks : Maximum Marks :
Percentage : Grade : A+ Grade Attempt : 1st

NAMRATA KESHAV KHILARE

Student's Signature

Undertaking

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 5
No:1337014)
 We hereby certify that the information provided in this application form is correct. We undertake
to abide by the rules and regulations of the college and the orders issued by the competent authorities
from time to time. We are agree that decision of the principal in respect of the student’s admission will be
binding upon us.

Student's Signature Parent's Signature

Principal's/Vice Principal's/Authority Signature

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Admission Admission Not
Smt.S.A.Mithaiwala Science College Confirmed Confirmed

Dr. B.N. Purandare Arts And Smt. S.G. Gupta Commerce And Smt.S.A.Mithaiwala Science College (Form Page 6
No:1337014)