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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Application No :
South Indian Education Societys College Of Arts, Science And Commerce. (710)
Sri. Chandrasekarendra Saraswathy Vidyapuram, Plot-1-C, Sector-5. Nerul, Navi MumbaiThane 703843
Academic Year: 2019-2020
Regular

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - F.Y. B.M.S. Sem I (22300005) PRN:

Application Date : 06/06/2019


1.Personal Information

Candidate's Name(Regional) : नरंजन बाळाराम बरवाडकर

NIRANJAN BALARAM BIRWADKAR


Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Mother's Name
Father's/Husband's Name : BALARAM BIRWADKAR BHAGYASHREE
:
Mother Tongue
Marital Status : UnMarried Marathi
:
Place Of Birth : Mumbai shivdi Gender : Male Date of Birth (DD/MM/YYYY) : 29/04/2002
Blood Group : BPositive 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 : Navi
State : Maharashtra District : Raigad Tehsil : Panvel Location Area : Urban
mumbai
Address (House
no,street/area/suburb 4A 505 MANASAROVAR COMPLEX KAMOTHE NAVI MUMBAI KAMOTHE Pin Code : 410209
etc.) :
Permanent Address :
City/Town/Village : Navi
State : Maharashtra District : Raigad Tehsil : Panvel Location Area : Urban
mumbai
Address : 4A 505 MANASAROVAR COMPLEX KAMOTHE NAVI MUMBAI KAMOTHE Pin Code : 410209
Contact details
Mobile
9004630562 Email ID: niranjanbalaram6@gmail.com
Number
2.Legal Reservation Information
Category Type : Reserved Category : SC
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

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


Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Passing Certificate of Std 10th.
Leaving Certificate.
Certificate of Caste with Category.
Domicile Certificate.
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 600000
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
S P VIDYALAYA
OF SECONDARY AND HIGHER June
Std 10th AND JR E190507 131755 314.00 500.00 -- - -- 62.80
SECONDARY 2017
COLLAGE
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER DPVN
May 2019 M010180 -- 327.00 650.00 -- - -- 50.31
Science SECONDARY COLLAGE
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Science]
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 Application No :703843
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: Rs. Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Sun Jun 09 2019 09:08:19 GMT+0530 (India Standard Time)

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