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This document is an application form for admission to a Bachelor of Commerce course at a college in Mumbai, India. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, family details, and a declaration signed by the applicant.

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Om Kamble
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© © All Rights Reserved
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0% found this document useful (0 votes)
7 views

About Blank

This document is an application form for admission to a Bachelor of Commerce course at a college in Mumbai, India. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, family details, and a declaration signed by the applicant.

Uploaded by

Om Kamble
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Bharat College of Arts and Commerce (468)


Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2335044
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.Com.(with Credits) - Regular - Rev16 - T.Y. PRN:2021016400581133


B.Com. Sem V [2C00145] (22300001)

Application Date : 15/07/2023 Payment Category : 13


1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed KAMBLE OM BANDU
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : BANDU RUPALI
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Pune Gender : Male Date of Birth (DD/MM/YYYY) : 22/07/2002
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 : Thane Tehsil : Ambarnath City/Town/Village :
Available
Address (House
no,street/area/suburb 404 Rosefinch, Pranjee Garden City Katrap Badlapur Pin Code : 421503
etc.) :
Contact details
Mobile
918766776121 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V [2C00145]
23101 - Financial Accounting and Auditing VII - Financial 23107 - Financial Accounting and Auditing VIII - Cost
Accounting Accounting
23113 - Business Economics V 23114 - Commerce V
23115 - Direct & Indirect Taxation Paper I 23120 - Computer system & Applications Paper I
Sem VI [2C00146]

83013 - Business Economics VI 83014 - Commerce VI


83001 - Financial Accounting and Auditing IX - Financial 83007 - Financial Accounting and Auditing X - Cost
Accounting Accounting
83015 - Direct and Indirect Taxation Paper II 83020 - Computer systems and Applications Paper II

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 250000
5.Educational Details
Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY March
Std 10th -- -- 231.00 500.00 -- - -- 46.20
AND HIGHER SECONDARY 2019
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY August
-- -- 463.00 600.00 -- - -- 77.17
(Commerce) AND HIGHER SECONDARY 2021
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 Sat Jul 15 2023 17:33:27 GMT+0530 (India Standard Time)

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