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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)