For Office Use
Batch: Scrutiny Payment: Online/DD PI
Only Serial:
Bharati Vidyapeeth College Of Engineering (17)
Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2954223
Academic Year: 2022-2023 Regular
APPLICATION FORM
Course Applied for : B.E.(with Credits) - Regular - CBCS - Mechanical Engineering - S.E. C-Scheme Sem PRN:2021016402308376
III (BECBCS1001)
Application Date : 10/04/2023 Payment Category : 25
1.Personal Information
Candidate's Name(Regional) :
TATKARE KUNAL BHAU
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : BHAU Mother's Name : ARUNA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Chiplun Gender : Male Date of Birth (DD/MM/YYYY) : 13/06/2003
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
no,street/area/suburb Shivanand Apartment B Wing Room No 501 Savarkar Nagar Thane (W) Pin Code : 400606
etc.) :
Contact details
Mobile
919322591972 Email ID:
[email protected]Number
2.Legal Reservation Information
Category Type : Category : NT-1
Reserved (NT-B)
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
MEC301 - Engineering Mathematics-III MEC302 - Strength of Materials
MEC303 - Production Processes MEC304 - Materials and Metallurgy
MEC305 - Thermodynamics MEL301 - Materials Testing
MEL302 - Machine Shop Practice MEPBL301 - Mini Project – 1A
MESBL301 - CAD –Modeling
Sem IV
MEC401 - Engineering Mathematics-IV MEC402 - Fluid Mechanics
MEC403 - Kinematics of Machinery MEC404 - CAD/CAM
MEC405 - Industrial Electronics MEL401 - Industrial Electronics
MEL402 - Kinematics of Machinery MEL403 - Python Programming
MEPBL401 - Mini Project – 1B MESBL401 - CNC and 3-D Printing
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 120000
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
Std 10th June 2019 -- -- 429.00 500.00 -- - -- 85.80
AND HIGHER SECONDARY
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY
July 2021 -- -- 565.00 600.00 -- - -- 94.17
(Science) AND HIGHER 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 Mon Apr 10 2023 21:12:52 GMT+0530 (India Standard Time)
