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Application Report

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27 views2 pages

Application Report

Uploaded by

yashthebc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Deccan Education Society's Brihan Maharashtra College Of Commerce(Autonomous) £845, Shivajinagar, Pune, Maharashtra 411004 ENTRANCE EXAM FORM 2023-2024 Regi Form No.: 8841204 Personal information section Full Name ANUSHKA PRADEEP MAHAJAN Dos 10/08/2004 Gender Female E-mail Id anushkamahajan2S1@gmailcom Mother Name PRATIBHA State of Domicile | Maharashtra Phone Number Candidate's/Student’s 9175434182 Religion HINDU Mob.No. Caste oc Sub Caste | Reve Guar Mother Tongue MARATHI ‘Admission Quota Type MAHARASHTRA DOMICILE Reserve Category Residence Address | Flat no A301, Chourang Terrace Pune Saswed Road, Tukai Darshan, Fursungi,Phursungi 412308 Permanent Address Flat no A301, Chourang Terrace Pune Saswad Road Tukai Darshan, Fursungi,Phursungi12308 Country INDIA State Maharashtra city FURSUNG! Pin | a2308 Taluka District PUNE Blood Group Please Select Place OF Birth CHOPDA Education Details Section Degree Year of Roll No/Seat Total Marks Obtained /Out | Percentage Name University Name Passing Number of % ssc MAHARASHTRA STATE 2a20 coszsae 27/500 wea BOARD Last Qualifying Details Section Degree Year of Roll No/Seat Total Marks Obtained / | Percentage Name University Name Passing Number Out of % sc ‘IR PARSHURAM BHAL COLLEGE 2am pono 6/600 na Form fee details Payment Mode ONLINE Transaction No. 112994744499 Amount (In Rs.) 300 Physically Handicapped/Sports/ Defence or ExServiceman Physically Handicapped : Sport [no Is Orphan : No ‘Social Reservation (Special Category) Information Section SRNo. ‘SOCIAL RESERVATION NAME | ANUSHKA PRADEEP MAHAJAN declare that the information given by me in the application is true to the best of my knowledge and belief! have fled this application form for admission to the first year course in F.Y.BB.A ~ SEM 1 Place: Date: Signature of Student Print Date: 29052025

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