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    Application No: Regular

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    Bussiness Empire
    Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

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    Application No: Regular

    Uploaded by

    Bussiness Empire
    38 views2 pages
    Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

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    Harshad A

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    Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views2 pages

    Application No: Regular

    Uploaded by

    Bussiness Empire
    Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    For Office Use

    Batch: Scrutiny Payment: Online/DD PI

    Serial:
    Only

    Kalyan Citizen`s Education Society`s B.K. Birla Night Arts, Science & Commerce College (1122)

    Birla College Road Klayan (W)


    Kalyan
    Application No :

    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

    505150

    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 : 16/06/2022 Payment Category :
    1.Personal Information
    Candidate's Name(Regional) : हर्षदा गोपाळ लोहार
    LOHAR HARSHADA GOPAL
    Candidate's Name as printed on
    [*This name will appear on all University

    Mark sheet :
    records/documents]

    Father's/Husband's Name : GOPAL Mother's Name : ARUNA


    Marital Status : UnMarried Mother Tongue : Marathi
    Place Of Birth : KALYAN Gender : Female Date of Birth (DD/MM/YYYY) : 07/10/2004
    Blood Group : BPositive Religion : Hindu Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    City/Town/Village :
    State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
    KALYAN
    Address (House
    no,street/area/suburb ROOM NO 7 SAMRATCOLONY JADHAV CHAWL BETURKARPADA KALYAN Pin Code : 421301
    etc.) :
    Permanent Address :
    City/Town/Village :
    State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
    KALYAN
    Address : ROOM NO 7 SAMRATCOLONY JADHAV CHAWL BETURKARPADA KALYAN Pin Code : 421301
    Contact details
    Mobile
    8591184311 Email ID: [email protected]
    Number
    2.Legal Reservation Information
    Category Type : Category : NT-1 (NT-
    Sub Category : LOHAR
    Reserved B)
    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.5.1 - Foundation Course 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.5.1 - Foundation Course 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 : Business Annual Income of Guardian : 84000
    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
    SHREE
    OF SECONDARY AND HIGHER March
    Std 10th GAJANAN A061611 -- 348.00 500.00 --
    -
    -- 69.60
    SECONDARY 2020
    VIDYALAY
    EDUCATION,Maharashtra
    MAHARASHTRA STATE BOARD
    Std 12th OF SECONDARY AND HIGHER B.K.BIRLA June
    M171840 -- 328.00 600.00 --
    -
    -- 54.67
    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.

    Certificate of Caste with Category.

    Passing Certificate of Std 10th.

    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 :505150
    (LOHAR HARSHADA GOPAL)
    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 Sat Jun 18 2022 15:26:07 GMT+0530 (India Standard Time)

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