8/1/22, 5:19 PM
For Office Use
Batch: Scrutiny Payment: Online/DD PI
Only Serial:
Bal Bharatis College OR Bal Bharatis M. J. P. College of Commerce (14)
Application No :
University of Mumbai 2231870
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2022-2023
Regular
APPLICATION FORM
Course Applied for : B.Com. (A.and F.)(with Credits) - Regular - Rev16 - T.Y. B.Com. (A. and F.) Sem V [2C00455] PRN:2020016400650927
(22300002)
Application Date : 01/08/2022 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed on Mark SHAH SALONI DIPAKBHAI NAYNABEN
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : DIPAKBHAI Mother's Name : NAYNABEN
Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Female Date of Birth (DD/MM/YYYY) : 02/06/2002
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 : Thane City/Town/Village :
Available
Address (House
G/7 NEMINATH APARTMENT DEVCHAND NAGAR, 60 FT. ROAD Bhayander West Pin Code : 401101
no,street/area/suburb etc.) :
Contact details
Mobile Number 919833132972 Email ID:
[email protected] 2.Legal Reservation Information
Category Type : Open Category : GEN
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V [2C00455]
44803 - Cost Accounting III 44804 - Financial Management II
44806 - Taxation IV (Indirect Taxes II) 44809 - Management II (Management Applications)
44801 - Financial Accounting V 44802 - Financial Accounting - VI
Sem VI [2C00456]
85602 - Cost Accounting IV 85603 - Financial Management III
85604 - Taxation V (Indirect Taxes III) 85607 - Economics Paper III (Indian Economy)
85601 - Financial Accounting VII UA_FFSVI.8 - Project Work II
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 150000
5.Educational Details
Month and Exam
Name of Name of Board/University and State of Name of Certificate Mark
Year of Seat Out of CGPA %
Examination University School/College No. Obtained
Passing No.
MAHARASHTRA STATE BOARD OF
Std 10th SECONDARY AND HIGHER SECONDARY June 2018 -- -- 331.00 500.00 --
-
-- 66.20
EDUCATION,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th February
SECONDARY AND HIGHER SECONDARY -- -- 407.00 650.00 --
-
-- 62.62
(Commerce) 2020
EDUCATION,
1/2
8/1/22, 5:19 PM
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 Mon Aug 01 2022 17:19:55 GMT+0530 (India Standard Time)
2/2
