For Office Use
Batch: Scrutiny Payment: Online/DD PI
Serial:
Only
Tolani College of Commerce (412)
150-151, Sher-E-Punjab Society, Guru Gobind Singh Road, Off Mahakali Caves Road. Andheri Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
326795
Academic Year: 2022-2023 Regular
APPLICATION FORM
Course Applied for : B.B.A(Autonomous)(with Credits) - Regular - CBCS - Logistics - F.Y.B.B.A. PRN:
(Autonomous) Sem I (-)
Application Date : 14/06/2022 Payment Category :
1.Personal Information
Candidate's Name(Regional) : श्रुती
SHRUTI
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : KRISHNA Mother's Name : VARA
Marital Status : UnMarried Mother Tongue : Telugu
Place Of Birth : BHIWANDI Gender : Female Date of Birth (DD/MM/YYYY) : 20/08/2004
Blood Group : BNegative Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Location Area :
State : Maharashtra District : Palghar Tehsil : Vasai
Nallasopara Semiurban
Address (House
no,street/area/suburb B/001 Plot No. 26 Priyanka CHSL. Central Park Nallasopara East More Pin Code : 401209
etc.) :
Permanent Address :
City/Town/Village : Location Area :
State : Maharashtra District : Palghar Tehsil : Vasai
Nallasopara Semiurban
Address : B/001 Plot No. 26 Priyanka CHSL. Central Park Nallasopara East More Pin Code : 401209
Contact details
Mobile
7559266199 Email ID: shrutiadep599@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
BBASHILOMA101 - Paper 1 BBASHILOMA102 - Paper 2
BBASHILOMA103 - Paper 3 BBASHILOMA104 - Paper 4
Sem II
BBASHILOMA201 - Paper 1 BBASHILOMA202 - Paper 2
BBASHILOMA203 - Paper 3 BBASHILOMA204 - Paper 4
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 180000
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
Std 12th OF SECONDARY AND HIGHER CHETANA June
M257158 3201008 378.00 600.00 -- - -- 63.00
Commerce SECONDARY COLLEGE 2022
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER INFANT JESUS
Std 10th July 2020 A173393 -- 408.00 500.00 -- - -- 81.60
SECONDARY HIGH SCHOOL
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.
Leaving Certificate.
Passing Certificate of Std. 10th.
Passing Certificate of Std. 12th/Statement of Marks of std.12th.
School/College Leaving Certificate.
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 :326795
(SHRUTI) 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 Tue Jun 14 2022 18:15:38 GMT+0530 (India Standard Time)
