6/25/23, 5:52 PM about:blank

For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Vidya Prasark Mandal`s K. G. Joshi College of Arts and N. G. Bedekar College of

Application No
Commerce (354)
Creek Land, Chendani Bander Road. Thane :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1141869
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.M.S.(Autonomous)(with Credits) - Regular - CBCS - F.Y. ABC ID: 495-842-234-307 PRN:
B.M.S.(Autonomous) Sem I  (-)

Application Date : 11/06/2023 Payment Category :

1.Personal Information

Candidate's Name(Regional) : सोनिया

Candidate's Name as printed on SONIYA BABAN RAJPUT
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : BABAN Mother's Name : SIMRAN
Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : MIRAJ Gender : Female Date of Birth (DD/MM/YYYY) : 25/08/2003
Blood Group : Religion : Buddhist Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village :
State : Maharashtra District : Mumbai City Tehsil : Mumbai Location Area : Urban
MUMBAI CITY
Address (House
C-105 SHREEJI GARDEN VALIVALI ROAD BADLAPUR Pin Code : 400008
no,street/area/suburb etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Mumbai City Tehsil : Mumbai Location Area : Urban
MUMBAI CITY
Address : C-105 SHREEJI GARDEN VALIVALI ROAD BADLAPUR Pin Code : 400008
Contact details
Mobile Number 9284798341 Email ID: soniya25rajput2003@gmail.com
2.Legal Reservation Information
Category Type :
Category : SC Sub Category : BAUDHA
Reserved
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
BMS1001 - Paper 1 BMS1002 - Paper 2
BMS1003 - Paper 3 BMS1004 - Paper 4
Sem II

BMS2001 - Paper 1 BMS2002 - Paper 2

BMS2003 - Paper 3 BMS2004 - Paper 4

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 0
5.Educational Details
Month
Name of Name of Board/University and State Name of Exam Certificate Mark
and Year Out of CGPA %
Examination of University School/College Seat No. No. Obtained
of Passing
Std 10th MAHARASHTRA STATE BOARD BHAGYSHREE March A084752 -- 430.00 500.00 -- - -- 86.00
OF SECONDARY AND HIGHER ENGLISH SCHOOL 2020
about:blank 1/2
6/25/23, 5:52 PM about:blank
SECONDARY Month
Name of Name of Board/University and State
EDUCATION,Maharashtra Name of Exam Certificate Mark
and Year Out of CGPA %
Examination of University School/College Seat No. No. Obtained
MAHARASHTRA STATE BOARD of Passing
ARYA GURUKUL
Std 12th OF SECONDARY AND HIGHER March
INTERNATIONAL M009653 -- 408.00 600.00 -- - -- 68.00
Science SECONDARY 2022
COLLEGE
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Science]
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.

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 :1141869 (SONIYA BABAN RAJPUT) 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 Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Sun Jun 25 2023 17:52:20 GMT+0530 (India Standard Time)

about:blank 2/2