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Hindi Vidya Prachar Samitis Ramniranjan Jhunjhunwala College Of Arts, Science And Commerce (171)

Application No :

University of Mumbai 2590762

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

Academic Year: 2022-2023 Regular

APPLICATION FORM

Course Applied for : B.M.S.(Autonomous)(with Credits) - Regular - CBCS - T.Y. B.M.S.(Autonomous) PRN:2020016401740354
Sem V 
(-)

Application Date : 13/09/2022 Payment Category : 28

1.Personal Information
Candidate's Name(Regional) :
SINGH SHUBHAM DHIRENDRA
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : DHIRENDRA Mother's Name : CHANDRAKALA

Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 03/09/2001
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Kalyan City/Town/Village :
Available
Address (House
WING A-403, RADHIKA APRTMENT CHAKKI NAKA,PUNE LINK ROAD
no,street/area/suburb Pin Code : 421306
KALYAN
etc.) :
Contact details
Mobile
919082638339 Email ID: [email protected]
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 V
BMS001 - PAPER I BMS002 - PAPER II
BMS003 - PAPER III BMS004 - PAPER IV
Sem VI

BMS005 - PAPER V BMS006 - PAPER VI

BMS007 - PAPER VII BMS008 - PAPER VIII

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Retired Annual Income of Guardian : 50000
5.Educational Details
Month Exam
Name of Name of Board/University and Name of Certificate Mark Out
and Year Seat CGPA %
Examination State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE BOARD
March
Std 10th OF SECONDARY AND HIGHER -- -- 271.00 500.00 --
-
-- 54.20
2017
SECONDARY EDUCATION,
 Month Exam
Name of Name of Board/University and Name of Certificate Mark Out
and Year Seat CGPA %
Examination State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE BOARD
Std 12th 12Th
OF SECONDARY AND HIGHER July 2020 -- -- 365.00 650.00 --
-
-- 56.15
(Commerce)
SECONDARY EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
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
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 )
Document printed on Tue Sep 13 2022 13:20:10 GMT+0530 (India Standard Time)