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Rayat Shikshan Sansthas Mahatma Phule Arts, Science and Commerce College (487)
Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2823593
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : M.Com.(with Credits) - Regular - Rev16 - M.Com. PRN:2019016401060113

Part II Sem III [2C00533] (MCOM)

Application Date : 05/09/2023 Payment Category : 35

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed KACHGUNDE KARAN SUBHASH
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : SUBHASH MANISHA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : GANGAKHED Gender : Male Date of Birth (DD/MM/YYYY) : 18/05/2002
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 : Yavatmal Tehsil : Pusad City/Town/Village :
Available
Address (House
no,street/area/suburb AT - DAGAD DHANORA POST - SHEMBALPIMPRI DAGAD DHANORA Pin Code : 445209
etc.) :
Contact details
Mobile
9137621606 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : VJ/DT(A)
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III [2C00533]
UMCISIII.6 - Project Work I 72202 - Human Resource Management
72212 - Entrepreneurial Management 72222 - Organizational Behaviour
Sem IV [2C00534]

UMCISIV.6 - Project Work II 67507 - Advertising and sales Management

67512 - Retail Management 67522 - Management of Business Relations

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 30000
5.Educational Details
 Month
Name of Exam
Name of Name of and Year Certificate Mark Out
Board/University and Seat CGPA %
Examination School/College of No. Obtained of
State of University No.
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY August
Std 10th -- -- 309.00 600.00 -- - -- 51.50
AND HIGHER SECONDARY 2017
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY
May 2019 -- -- 407.00 650.00 -- - -- 62.62
(Commerce) AND HIGHER SECONDARY
EDUCATION,
Degree : B.Com.
(With Credits)- Passed -- -- - - -- - -- -
Regular-Rev16
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 05 2023 11:42:08 GMT+0530 (India Standard Time)