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Pilai

This document is an application form for admission to the B.M.S. program at Pillai HOCL College of Arts, Science and Commerce for the academic year 2022-2023. It includes personal, educational, and guardian information of the applicant, Ashukumaar Gangeshwar Jha, along with details about the courses selected and required documents. The applicant declares the information provided is accurate and acknowledges the university's regulations regarding ragging and sexual harassment.

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jhaashu285
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0% found this document useful (0 votes)
73 views2 pages

Pilai

This document is an application form for admission to the B.M.S. program at Pillai HOCL College of Arts, Science and Commerce for the academic year 2022-2023. It includes personal, educational, and guardian information of the applicant, Ashukumaar Gangeshwar Jha, along with details about the courses selected and required documents. The applicant declares the information provided is accurate and acknowledges the university's regulations regarding ragging and sexual harassment.

Uploaded by

jhaashu285
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Pillais HOCL College of Arts, Science and Commerce (870) Application


PILLAI HOC COLLEGE OF ARTS , SCIENCE & COMMERCE, PILLAIS HOCL EDUCATIONAL CAMPUS, RASAYANI, VIA
KHALAPUR Khalapur No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1068186
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - F.Y. B.M.S. Sem I (22300005) PRN:
Application Date : 20/06/2022 Payment Category :
1.Personal Information
Candidate's Name(Regional) : आशुकु मार गंगेश्वर झा
ASHUKUMAR GANGESHWAR JHA
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : GANGESHWAR Mother's Name : RANJU
Marital Status : UnMarried Mother Tongue : Hindi
Place Of Birth : Bihar Gender : Male Date of Birth (DD/MM/YYYY) : 27/01/2004
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Navi
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Mumbai
Address (House
no,street/area/suburb Room No. 50/4 Nagdevi Road Karave Gaon Pin Code : 400706
etc.) :
Permanent Address :
City/Town/Village : Navi
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Mumbai
Address : Room No. 50/4 Nagdevi Road Karave Gaon Pin Code : 400706
Contact details
Mobile
8591196130 Email ID: jhaashu285@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
UBMSFSI.1 - Introduction to Financial Accounts UBMSFSI.2 - Business Law
UBMSFSI.3 - Business Statistics UBMSFSI.5.4 - Foundation Course in Physical Education I
UBMSFSI.4 - Business Communication I UBMSFSI.6 - Foundation of Human Skills
UBMSFSI.7 - Business Economics I
Sem II

UBMSFSII.1 - Principles of Marketing UBMSFSII.2 - Industrial Law


UBMSFSII.3 - Business Mathematics UBMSFSII.5.4 - Foundation Course in Physical Education II
UBMSFSII.4 - Business Communication II UBMSFSII.6 - Business Environment
UBMSFSII.7 - Principles of Management

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 250000
5.Educational Details
Month
Name of Name of Board/University and Name of and Year Exam Certificate Mark Out
CGPA %
Examination State of University School/College of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER S.S HIGH March
Std 10th A043864 6279 401.00 500.00 -- - -- 80.20
SECONDARY SCHOOL 2020
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER STERLING JR March
M164429 -- 402.00 600.00 -- - -- 67.00
Commerce SECONDARY COLLEGE 2022
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
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.

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 :1068186
(ASHUKUMAR GANGESHWAR JHA) 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: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Mon Jun 20 2022 11:16:33 GMT+0530 (India Standard Time)

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