8/12/2021
For Office Use
                        Batch:                         Scrutiny                            Payment: Online/DD               PI
       Only             Serial:
                                                          Wilson College (369)
                                           At Post Girgaon, Chowpatty Seaface Road. Mumbai                                        Application No :
                                                          University of Mumbai                                                       1129255
                                         M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
                                                     Academic Year: 2021-2022
                                                                                                                                       Regular
                                                              APPLICATION FORM
  Course Applied for : B.A.(with Credits) - Regular - Rev16 - F.Y. B.A. Sem I (12300001)                              PRN:
  Application Date : 12/08/2021                    Payment Category :
  1.Personal Information
  Candidate's Name(Regional) :                     हुनाईड badani
  Candidate's Name as printed on Mark              HUNAID BADANI
  sheet :                                          [*This name will appear on all University records/documents]
  Father's/Husband's Name :                        YUNUS BADANI            Mother's Name :       MUNIRA
  Marital Status :                                 UnMarried               Mother Tongue :       Gujarati
  Place Of Birth : Mumbai                          Gender : Male              Date of Birth (DD/MM/YYYY) : 04/01/2003
  Blood Group : BNegative                          Religion : Muslim          Country of Citizenship : India
  Is Student NRI/ Foreign National : No                                                       Domicile State: Maharashtra
  Address For Correspondence :
                                                                                                                                 Location Area :
  State : Maharashtra                District : Mumbai City        Tehsil : Mumbai               City/Town/Village : Mumbai
                                                                                                                                 Metropolitan
  Address (House
                                Building Number 3A, 02Nd Floor Saifee Burhani Park Transit II Mumbai                             Pin Code : 400033
  no,street/area/suburb etc.) :
  Permanent Address :
                                                                                                                                 Location Area :
  State : Maharashtra                District : Mumbai City        Tehsil : Mumbai               City/Town/Village : Mumbai
                                                                                                                                 Metropolitan
  Address :                          Building Number 3A, 02Nd Floor Saifee Burhani Park Transit II Mumbai                        Pin Code : 400033
  Contact details
  Mobile Number 9820272951                                                                           Email ID: hunythegreat@gmail.com
  2.Legal Reservation Information
  Category Type : Open            Category : GEN
  Is Specially Abled? No
  3.Social Information(Additional Inforamtion)
  Paper Selected for:
    Sem I
    UBA 1.2 - Paper I _Communication Skills in English                           UBA 1.62 - Elements of Archaeology in India
    UBAFSI.6.1 - Foundation Course - I                                           UBA 1.41 - PAPER I - INTRODUCTION TO LITERATURE (SHORT
    UBA 1.24 - PAPER I - GENERAL PSYCHOLOGY                                      STORIES AND NOVEL)
                                                                                 UBA 1.38 - COMMERCE PAPER I
    Sem II
               UBA 2.2 - PAPER II - COMMUNICATION SKILLS IN ENGLISH                  UBA 2.62 - Elements of Museology in India
               UBAFSII.6.1 - Foundation Course - II                                  UBA 2.41 - PAPER II - INTRODUCTION TO LITERATURE
               UBA 2.38 - COMMERCE PAPER II                                          (POETRY AND DRAMA)
                                                                                     UBA 2.24 - PAPER I - GENERAL PSYCHOLOGY
  Medium of Instruction : English
  4.Guardian Information
  Occupation of Guardian : Business                                            Annual Income of Guardian : 800000
  5.Educational Details
                                                                                        Month and
    Name of              Name of Board/University and State of            Name of                  Exam Certificate Mark
                                                                                         Year of                            Out of CGPA              %
  Examination                        University                        School/College             Seat No. No.     Obtained
                                                                                         Passing
                                                                                                                                                     1/2
8/12/2021
                                                                                       Month and
    Name of          Name of Board/University and State of             Name of                    Exam Certificate Mark
                                                                                        Year of                            Out of CGPA                    %
  Examination                    University                         School/College               Seat No. No.     Obtained
                                                                                        Passing
                 COUNCIL FOR THE INDIAN SCHOOL                     CHRIST
                                                                               March
  Std 10th       CERTIFICATE                                       CHURCH HIGH                      6937904 375528          352.00      500.00 -- - --   70.40
                                                                               2019
                 EXAMINATIONS,Maharashtra                          SCHOOL
                MAHARASHTRA STATE BOARD OF
                                               WILSON                                  August
  Std 12th Arts SECONDARY AND HIGHER SECONDARY                                                      m111871 --              461.00      600.00 -- - --   76.83
                                               COLLEGE                                 2021
                EDUCATION,Maharashtra
  Your Last Qualifying Exam: HSC/Std 12th [Arts]
  7.Other Information
  Would you like to apply for Hostel accommodation required                                                                                      NA
  Required Documents and Certificates Section:
        Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like
        degree,diploma,etc.
        Passing Certificate of Std 10th.
        Birth Certificate.
        Passing Certificate of Std. 10th.
        Statement of Marks of Std. 10th.
  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 :1129255 (HUNAID BADANI) 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           Remarks / Particulars / Recommendations                                                                          Signature and Date
  Admission Clerk
  Admission
  Committee
  Accountant/Cashier Cash Received: INR                                      Receipt No.:                                                Date:
  Registrar/Office
  Superintendent
 Document printed on Thu Aug 12 2021 16:30:10 GMT+0530 (India Standard Time)
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