Non-Teaching Staff: Student ID: 18400042 Roll No: Course Fees :

16020

LATE SHRI VISHNU WAMAN THAKUR CHARITABLE TRUST'S

Bhaskar Waman Thakur College of Science,
Yashvant Keshav Patil College of Commerce,
Vidya Dayanand Patil College of Arts,
(Affliated to University of Mumbai)
(NAAC ACCREDITED-'B' Grade, CGPA 2.69)
Viva College Road,Virar(West),Pin:401303,Tel No:02502515276/78

ADMISSION FORM FOR   M.Com Part II(ACC)     2019-2020         Student ID: 18400042

Full Name: JADHAV AKSHAY KASHINATH GEETA

Address: 47 RURUL VAJRESHWARI VIRAR 401303
Mobile No: 7798533091 Phone No:
Email ID: akshay123456in68@gmail.com Date of Birth: November 27, 1996
Birth Place: KARJON Bloodgroup: -
Category: ST Caste: NULL
Bank Account No: 625502010002239 IFSC No: UBIN0562556
Nationality: Domicile:
Religion: HINDU Gender: Male
Married/Unmarried: Unmarried Physically Challanged: -
Aadhar No: 963306828272 Voter ID: RBG5500061
Father Occupation: LABORER Tel No: 8830956302
Business/Service
Address:
Mother Occupation: HOUSE WIFE Tel No: 9766720474
Business/Service 47 RURUL VAJRESHWARI VIRAR 401303
Address:
No.of Persons in Family: Annual income of the 32000
family:
Earning: 1 Non-Earning: 2
Have You Applied for Yes Whether a Member of No
Scholarship/Freeship: NCC/NSS:
Proficiency acquired in Extra curricular Activities: -
SEM I CE: - SEM II CE: - SEM III CE: - SEM IV CE: -
Declaration by Student:I hereby declare that, I have read the rules related to admission and the information filled by me in this form is accurate and true to the best of
my knowledge. I will be responsible for any discrepency, arising out of the form signed by me and I undertake that, without necessary documents the final admission
will not be granted and/or admission will stand cancelled. will not be granted and/or admission will stand cancelled.
Note: In case of backward class, Freeship/Scholarship subject to sanction by Govt.
They will not be allowed change of stream.
Students writing any negative and offensive remark about any staff member or institution on any social networking website may be booked under cyber crime law,
Indian I.T Act 2000.

Student's Signature Parent's Signature

LATE SHRI VISHNU WAMAN THAKUR CHARITABLE TRUST'S

Viva College Virar(W)

Name of Applicant: JADHAV AKSHAY KASHINATH GEETA

Admission Couse: M.Com Part II(ACC) Student ID: 18400042
Academic Year: 2019-2020 Form Fees: ₹ 100/-