For Office Use
Batch: Scrutiny Payment: Online/DD PI
Serial:
Only
Thakur Educational Trusts Thakur College of Science and Commerce (490)
Application No :
University of Mumbai 2778644
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2023-2024 Regular
APPLICATION FORM
Course Applied for : B.Com. (A.and F.)(Autonomous)(with Credits) -
PRN:2021016401872547
Regular - CBCS - T.Y. B.Com. (A. and F.)(Autonomous) Sem V (-)
Application Date : 29/08/2023 Payment Category : 13
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed KABARIYA ADNAN RAFIK SAHIDA
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : RAFIK SAHIDA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Gujrat Gender : Male Date of Birth (DD/MM/YYYY) : 18/11/2003
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 : Mumbai City Tehsil : Mumbai City/Town/Village :
Available
Address (House
no,street/area/suburb 302 Baugerehmat Poojanagar Back Road Miraroad East Pin Code : 401107
etc.) :
Contact details
Mobile
919004978687 Email ID: adnan.kabariya@somaiya.edu
Number
2.Legal Reservation Information
Category Type :
Category : OBC
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
BAF001 - PAPER I BAF002 - PAPER II
BAF003 - PAPER III BAF004 - PAPER IV
Sem VI
BAF005 - PAPER V BAF006 - PAPER VI
BAF007 - PAPER VII BAF008 - PAPER VIII
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 12000
5.Educational Details
Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
CENTRAL BOARD OF
Std 10th May 2019 -- -- 366.00 500.00 -- - -- 73.20
SECONDARY EDUCATION,
Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY August
-- -- 526.00 600.00 -- - -- 87.67
(Commerce) AND HIGHER SECONDARY 2021
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 Tue Aug 29 2023 12:29:25 GMT+0530 (India Standard Time)
