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Amreena Mu Form Syba

This document is an application form for admission to S. K. Somaiya College of Arts, Science and Commerce for the B.A. program for the academic year 2022-2023. It includes personal details of the candidate, Amreena Xavier Thomas, along with her educational background and selected courses. The form also contains a declaration by the candidate affirming the accuracy of the information provided.

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0% found this document useful (0 votes)
12 views2 pages

Amreena Mu Form Syba

This document is an application form for admission to S. K. Somaiya College of Arts, Science and Commerce for the B.A. program for the academic year 2022-2023. It includes personal details of the candidate, Amreena Xavier Thomas, along with her educational background and selected courses. The form also contains a declaration by the candidate affirming the accuracy of the information provided.

Uploaded by

SXT 7
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

S. K. Somaiya College of Arts, Science and Commerce (540)


Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2147602
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : B.A.(with Credits) - Regular - Rev16 - S.Y. B.A. Sem III (12300001) PRN:2021016401057914
Application Date : 29/07/2022 Payment Category : 25
1.Personal Information
Candidate's Name(Regional) :
AMREENA XAVIER THOMAS
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
RAKKINI
Father's/Husband's Name : THOMAS Mother's Name :
THOMAS
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Arrakonam Gender : Female Date of Birth (DD/MM/YYYY) : 19/10/2003
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 P/188 Sec 4,Cidco Colony Airoli,Navi Mumbai Pin Code : 400708
etc.) :
Contact details
Mobile
9324492417 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 III
UAPS301 - Social Psychology: Part I UAPS302 - Developmental Psychology: Part I
UAFC301 - Foundation Course-II UAHP3A1 - Health Psychology: Part I
UAPHI301 - Social Philosophy UAPHI302 - Schools of Indian Philosophy
UAECO301 - Macroeconomics-I UAECO302 - Public Finance
Sem IV

UAPS401 - Social Psychology: Part II UAPS402 - Developmental Psychology:Part II


UAFC401 - Foundation Course - IV UAPHI401 - Political Philosophy
UAPHI402 - Greek and Medieval Philosophy UAECO401 - MACROECONOMICS –II
UAECO402 - Indian Economy UAENG401 - Indian Literature in English (Essay, Poetry and
UAENG402 - American Literature (Poetry and Drama) Paper Drama) Paper II
III
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 250000
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
Std 10th OF SECONDARY AND HIGHER June 2019 -- -- 385.00 500.00 -- - -- 77.00
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th August
OF SECONDARY AND HIGHER -- -- 479.00 600.00 -- - -- 79.83
(Arts) 2021
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 Fri Jul 29 2022 10:37:43 GMT+0530 (India Standard Time)

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