STUDENT COPY
CHANDMAL TARACHAND BORA COLLEGE (6214A)
Chandmal Tarachand Bora College Shirur (Ghodnadi) Dist- Pune Pin- 412210 Shirur Application No :
Yashwantrao Chavan Maharashtra Open University 92571
Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
Academic Year: 2024-2025 Distance Education
ADMISSION FORM
Course Applied for : B.Com (English Medium)(with Credits) - Distance ABC ID: 282-512-427-267 PRN:
Education - 2007 Pattern - F.Y.B.Com (English Medium) (G02)
Application Date : 05/07/2024 Payment Category :
Exam Center Name [Code] : - [-]
1.Personal Information
Candidate's Name(Regional) : सातव तुषार हनुमंत
Candidate's Name as printed
SATAV TUSHAR HANUMANT
on School leaving/Passing
[*This name will appear on all University records/documents]
Certificate :
Mother's
Father's/Husband's Name : HANUMANT MANISHA
Name :
Mother
Marital Status : UnMarried Marathi
Tongue :
Place Of Birth : Shirur Gender : Male Date of Birth (DD/MM/YYYY) : 27/12/2005
Blood Group : OPositive Religion : Hindu Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Location Area :
State : Maharashtra District : Pune Tehsil : Shirur
Shirur Semiurban
Address (House
no,street/area/suburb Row House No. 13 Mangalmurti Nagar Shirur Pin Code : 412210
etc.) :
Permanent Address :
City/Town/Village : Location Area :
State : Maharashtra District : Pune Tehsil : Shirur
Shirur Semiurban
Address : Row House No. 13 Mangalmurti Nagar Shirur Pin Code : 412210
Contact details
Mobile
7219339905 Primary 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:
F.Y.B.Com (English Medium)
COM 106 - Commerce COM 107 - Elements of Statistics
COM 211 - Office Management GKN 101 - General Knowledge and Social Awareness
HEN 101 - Foundation Course in English and Hindi ENG 102 - English for Business
S.Y.B.Com (English Medium)
Medium of Instruction : English
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 100
Identity Card Fees(N) - 10 E-Suvidha / E-Services Fees(N) - 60
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 0 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 0 Student Insurance Fees(N) - 10
Tuition Fees(N) - 1100 Adm Examination Fees(N) - 1080
Prospectus Fees(N) - 50 Tuition Fees(LSC - 1st Year)(N) - 500
Total : 3288
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
3288 Paid 15/07/2024 04:00:18 749411721059218260 Online Payment
4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 40000
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained Of
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY AND JIVAN VIKAS June
Std 10th C096336 091654 457.00 500.00 -- - -- 91.40
HIGHER SECONDARY MANDIR 2022
EDUCATION,Maharashtra
MAHARASHTRA STATE VIDYADHAM
Std 12th BOARD OF SECONDARY AND JUNIOR May
P040905 086928 372.00 600.00 -- - -- 62.00
Science HIGHER SECONDARY COLLEGE OF 2024
EDUCATION,Maharashtra SCIENCE
Your Last Qualifying Exam: HSC [Science]
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Leaving Certificate.
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 Application No :92571
(SATAV TUSHAR HANUMANT) 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 )
For College/Institute/Study Center Use Only
Designation Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
[STUDY CENTER COPY]
CHANDMAL TARACHAND BORA COLLEGE (6214A)
Chandmal Tarachand Bora College Shirur (Ghodnadi) Dist- Pune Pin- 412210 Shirur Application No :
Yashwantrao Chavan Maharashtra Open University
Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
92571
Academic Year: 2024-2025 Distance Education
ADMISSION FORM
Course Applied for : B.Com (English Medium)(with Credits) - Distance
ABC ID: 282-512-427-267 PRN:
Education - 2007 Pattern - F.Y.B.Com (English Medium) (G02)
Application Date : 05/07/2024 Payment Category :
Exam Center Name [Code] : - [-]
1.Personal Information
Candidate's Name(Regional) : सातव तुषार हनुमंत
Candidate's Name as printed
SATAV TUSHAR HANUMANT
on School leaving/Passing
[*This name will appear on all University records/documents]
Certificate :
Mother's
Father's/Husband's Name : HANUMANT MANISHA
Name :
Mother
Marital Status : UnMarried Marathi
Tongue :
Place Of Birth : Shirur Gender : Male Date of Birth (DD/MM/YYYY) : 27/12/2005
Blood Group : OPositive Religion : Hindu Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Location Area :
State : Maharashtra District : Pune Tehsil : Shirur
Shirur Semiurban
Address (House
no,street/area/suburb Row House No. 13 Mangalmurti Nagar Shirur Pin Code : 412210
etc.) :
Permanent Address :
City/Town/Village : Location Area :
State : Maharashtra District : Pune Tehsil : Shirur
Shirur Semiurban
Address : Row House No. 13 Mangalmurti Nagar Shirur Pin Code : 412210
Contact details
Mobile
7219339905 Primary 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:
F.Y.B.Com (English Medium)
COM 106 - Commerce COM 107 - Elements of Statistics
COM 211 - Office Management GKN 101 - General Knowledge and Social Awareness
HEN 101 - Foundation Course in English and Hindi ENG 102 - English for Business
S.Y.B.Com (English Medium)
Medium of Instruction : English
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 100
Identity Card Fees(N) - 10 E-Suvidha / E-Services Fees(N) - 60
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 0 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 0 Student Insurance Fees(N) - 10
Tuition Fees(N) - 1100 Adm Examination Fees(N) - 1080
Prospectus Fees(N) - 50 Tuition Fees(LSC - 1st Year)(N) - 500
Total : 3288
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
3288 Paid 15/07/2024 04:00:18 749411721059218260 Online Payment
4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 40000
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained Of
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY AND JIVAN VIKAS June
Std 10th C096336 091654 457.00 500.00 -- - -- 91.40
HIGHER SECONDARY MANDIR 2022
EDUCATION,Maharashtra
MAHARASHTRA STATE VIDYADHAM
Std 12th BOARD OF SECONDARY AND JUNIOR May
P040905 086928 372.00 600.00 -- - -- 62.00
Science HIGHER SECONDARY COLLEGE OF 2024
EDUCATION,Maharashtra SCIENCE
Your Last Qualifying Exam: HSC [Science]
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Leaving Certificate.
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 Application No :92571
(SATAV TUSHAR HANUMANT) 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 )
For College/Institute/Study Center Use Only
Designation Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Jul 18 2024 15:48:40 GMT+0530 (India Standard Time)
