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0% found this document useful (0 votes)
79 views4 pages

Aj Form

Uploaded by

Vedant Shivkar
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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DC

Shiromani Gurudwara Parbandhak Committe's


GURU NANAK KHALSA COLLEGE OF ARTS, SCIENCE & COMMERCE
(AUTONOMOUS)
NATHALAL PAREKH MARG, KINGS CIRCLE, MATUNGA (EAST), MUMBAI - 400019 IN HOUSE

Academic Year: 2024-25 Registration No.: PGP2MCOM2400036 Student Profile Picture

Course: MCom: Part-2 Application Date: Tuesday 11 June 2024

1. Admission Details

Student ID: 20232061050 University PRN: 0

Category: GENERAL Sikh Minority: NO

Abc ID:

2. Personal Details
Primary Information
Aadhaar Number: 985646998057 Last Name: Patel

First Name: Ajit Father's Name: Sukhram

Mother's Name: Kismati Devi

Additional Information
Date of Birth: Saturday 13 July 2002 Place of Birth: Mariahu

Gender: Male Mother Tongue: Hindi

Religion: Hindu Caste & Sub-Caste: Open

Marital Status: Unmarried Nationality: Indian

Blood Group: B+

3. Academic Details

SEM 1 SGPI: 5.6 SEM 2 SGPI:

4. Contact Details

Mobile Number: 9136559106 Email: ajitpatel132002@gmail.com

Parent's Mobile Number: 9136559101 Parent's Email: shrutipatel1605@gmail.com

Communication Address : 6/17, Spring Mill Compound, G.D Ambekar Road, Naigaon, Dadar East, Mumbai: 400014

State: Maharashtra District : Mumbai

Pin Code: 400014


5. Legal Reservation Information

Domicile of State: Maharashtra Parent's / Guardian's Occupation: Employed/Service

Annual Income: Between 1 - 3 Lac INR per Year Social Reservation Information: None

Any Physical Disability: NO

Declaration by Student and Parent/Guardian

We hereby declare that, we have read the rules and eligibility criteria related to admission and the information filled in this form is
accurate and true to the best of our knowledge. We will be responsible for any discrepancy, arising out of the wrong information
furnished and signed by us and we undertake that, in the absence of any document the final admission will not be granted and / or
admission will stand cancelled, under such circumstances we will have no claim against the college.

I seek admission to the aforesaid course and class. I understand that my admission to the said course and class is a provisional
admission subject to confirmation of the same by the college authority. I understood the eligibility criteria for my said admission in the
college. I have fulfilled the eligibility criteria and I am eligible for my said admission. The information given by me in the admission form
are true and correct. I am aware that my admission is liable to be cancelled in case the information furnished by me is found to be
incorrect and/or I am found not eligible for the said admission to the said course for any reason whatsoever at any stage and under such
circumstances I will not hold the college responsible nor will I have any claim or damage against the college.

Place : MUMBAI

Date :
Signature of the Parent/Guardian Signature of the Student
(Sign above the line) (Sign above the line)

FOR OFFICE USE ONLY

Checked by - Signature Signature of Prof InCharge / Principal Signature of Cashier


DC
Shiromani Gurudwara Parbandhak Committe's
GURU NANAK KHALSA COLLEGE OF ARTS, SCIENCE & COMMERCE
(AUTONOMOUS)
NATHALAL PAREKH MARG, KINGS CIRCLE, MATUNGA (EAST), MUMBAI - 400019 IN HOUSE

DECLARATION BY THE STUDENT

I hereby declare and state as under.

I understand as per University norms I should regularly attend the lectures / practicals / tutorials and that it shall not be the responsibility
of the college to inform me if I default in my attendance, as prescribed by the University / College.

I have carefully gone through the College Prospectus and I affirm that it will be my responsibility to ensure that the internal assessment
task will be accomplished by the prescribed date and the college may proceed to take steps against me if I default in the same.

I have fully understand the eligibility criteria for admission and I have fulfilled the requisite criteria of qualification for admission.

I understand that my admission in the college will be cancelled and/or term will not be granted and/or I will not be allowed to appear the
semester examination/s if I fail to have the requisite attendance i.e. 75% attendance as prescribed by the university and/or for any acts
prejudicial to the discipline and reputation of the college.

I have read and understood the rules of code of conduct of the college and i will abide by the same.

I am very much aware that ragging in any form is strictly prohibited in the college premises and any violation of the same on my part will
be liable for stringent disciplinary action against me as per the directive of Hon'ble Supreme Court.

Place: ____________

Date: _____________

___________________________

(Signature of the Student)

DECLARATION BY THE PARENT

I have gone through the declaration given by my ward hereinabove and understood the contents therein. I hereby assure that I shall
constantly monitor my ward's academic performance by regular visits to the college.

Place: ____________

Date: _____________

___________________________

(Signature of the Parent/Guardian)

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