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Application No: Regular

Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

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128 views2 pages

Application No: Regular

Harshada Gopal Lohar, a 17-year-old Marathi Hindu female from Kalyan, Maharashtra has applied for admission to the B.M.S. (with Credits) program at Birla College for the 2022-2023 academic year. She has secured 54.67% in the HSC Commerce exam in June 2022 and lives with her family at Samrat Colony in Kalyan. The application form provides her personal details, educational qualifications, reservation category, subject preferences, declaration, and sections for required documents and institutional approvals.

Uploaded by

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

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Kalyan Citizen`s Education Society`s B.K. Birla Night Arts, Science & Commerce College (1122)

Birla College Road Klayan (W)


Kalyan
Application No :

University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

505150

Academic Year: 2022-2023 Regular


APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - F.Y. B.M.S. Sem I 
(22300005) PRN:
Application Date : 16/06/2022 Payment Category :
1.Personal Information
Candidate's Name(Regional) : हर्षदा गोपाळ लोहार
LOHAR HARSHADA GOPAL
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : GOPAL Mother's Name : ARUNA


Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : KALYAN Gender : Female Date of Birth (DD/MM/YYYY) : 07/10/2004
Blood Group : BPositive Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
KALYAN
Address (House
no,street/area/suburb ROOM NO 7 SAMRATCOLONY JADHAV CHAWL BETURKARPADA KALYAN Pin Code : 421301
etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
KALYAN
Address : ROOM NO 7 SAMRATCOLONY JADHAV CHAWL BETURKARPADA KALYAN Pin Code : 421301
Contact details
Mobile
8591184311 Email ID: harshada.lohar2004@gmail.com
Number
2.Legal Reservation Information
Category Type : Category : NT-1 (NT-
Sub Category : LOHAR
Reserved B)
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
UBMSFSI.1 - Introduction to Financial Accounts UBMSFSI.2 - Business Law
UBMSFSI.3 - Business Statistics UBMSFSI.5.1 - Foundation Course I
UBMSFSI.4 - Business Communication I UBMSFSI.6 - Foundation of Human Skills
UBMSFSI.7 - Business Economics I
Sem II

UBMSFSII.1 - Principles of Marketing UBMSFSII.2 - Industrial Law


UBMSFSII.3 - Business Mathematics UBMSFSII.5.1 - Foundation Course II
UBMSFSII.4 - Business Communication II UBMSFSII.6 - Business Environment
UBMSFSII.7 - Principles of Management

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 84000
5.Educational Details
Month
Name of Name of Board/University and Name of and Year Exam Certificate Mark Out
CGPA %
Examination State of University School/College of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE BOARD
SHREE
OF SECONDARY AND HIGHER March
Std 10th GAJANAN A061611 -- 348.00 500.00 --
-
-- 69.60
SECONDARY 2020
VIDYALAY
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER B.K.BIRLA June
M171840 -- 328.00 600.00 --
-
-- 54.67
Commerce SECONDARY COLLEGE 2022
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last
Qualifying Exam like degree,diploma,etc.

Certificate of Caste with Category.

Passing Certificate of Std 10th.

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 :505150
(LOHAR HARSHADA GOPAL)
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 Sat Jun 18 2022 15:26:07 GMT+0530 (India Standard Time)

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