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Hindi Vidya Prachar Samitis Ramniranjan Jhunjhunwala College Of Arts, Science And Application No
Commerce (171)
:
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2928621
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : B.M.S.(Autonomous)(with Credits) - Regular - CBCS - S.Y. B.M.S.(Autonomous) PRN:2021016400901924
Sem III  (-)

Application Date : 14/02/2023 Payment Category : 25

1.Personal Information
Candidate's Name(Regional) :
GURAV VISHAL VILAS
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : VILAS Mother's Name : VIDYA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 22/06/2003
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Kurla City/Town/Village :
Suburban Available
Address (House
Rn.759,Galli No.30,Ganapathi Krupa CHS Kamraj Nagar, V. R. N. Marg
no,street/area/suburb Pin Code : 400077
Ghatkopar (East)
etc.) :
Contact details
Mobile
917710939963 Email ID: vishalgurav2206@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : OBC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
BMS3001 - Paper I BMS3002 - Paper II
BMS3003 - Paper III BMS3004 - Paper IV
Sem IV

BMS4001 - Paper I BMS4002 - Paper II

BMS4003 - Paper III BMS4004 - Paper IV

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Laborer Annual Income of Guardian : 0
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.
Std 10th MAHARASHTRA STATE March -- -- 422.00 500.00 -- - -- 84.40
BOARD OF SECONDARY 2019
 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.
AND HIGHER SECONDARY
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY August
-- -- 494.00 600.00 -- - -- 82.33
(Commerce) AND HIGHER SECONDARY 2021
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 Tue Feb 14 2023 17:55:10 GMT+0530 (India Standard Time)