7/30/2020 KESSC-Application Form

For Office Use Only

Payment Ref.
Amount: 100.00 2070269568 Receiver's Sign: Date:
No:
Open Category-
Receipt No.: 2070269568 Quota.: Subject Combination:
Non- Gujarati

APPLICATION FORM FOR ADMISSION TO: FY BSc Data Science( Bachelor of

Science in Data Science)-Science
Academic Year 2020-2021

Date: 30-07-2020

The Principal,

I am applying for Admission to FY BSc Data Science( Bachelor of

Science in Data Science) Open Category-Non- Gujarati General for the
academic year 2020-2021 and I promise to remit the applicable fees. I
give below all the particulars required.

I am aware that –

I will not be allowed to appear for Exam if my attendance is less than 75% of lectures delivered in each
semester.
I am taking admission in an Autonomous College and ready to follow all the norms of the college laid
under autonomy.
I am ready to earn additional credits as per norms of the college to complete my degree by taking some
certificate courses (one per year) offered by the college.
Wearing of Identity card is compulsory throughout the stay in campus.
Use of mobile phone is strictly prohibited in the College campus and if found using it, will lead to
confiscation of the same for a year.
I will follow the dress code specified by the College.
If I damage the college property than disciplinary action will be taken against me.

I further declare that I will abide by all the rules and the regulations of College/University of Mumbai.

Name: SIGNATURE OF THE STUDENT

PERMISSION FROM PARENT/GUARDIAN

I have noted the above statements and I will ensure that my son/daughter/ward will observe the rules and
regulations and discipline of the college/ University of Mumbai.

SIGNATURE OF THE PARENT/GUARDIAN

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Personal Details
Student's Name: YAVAR ALI SHAIKH
Date of Birth: 13th August 02
Mother Tongue: Urdu
Gender: Male
Nationality: Indian
Domicile: Maharashtra
Native Place: Hyderabad
Marital Status: UnMarried
Blood Group: B+
Email ID: yawarcool20@gmail.com
Mobile No.: 9082003500
City: Mumbai
Pincode: 401107
Nearest Station from Residence: Mira road
Aadhar Card Number: 719796548475
Religion: muslim
Category: General
E-SUVIDHA Verification Code.: 4756
E-SUVIDA NAME: D20CQ0112793
E-SUVIDA PASSWORD: 138200yawar
Maths Marks: 35
Selected Stream: Commerce

Parent's Details
Mother's Mother's Mobile
Anjum 9082003500
Name: No.:
Father's
Yasin Father's Mobile No.: 7738710203
Name:
Guardian's Guardian's Mobile
Ismail 9004901436
Name: No.:
C-104,SITA PARK,NAYA Permanent C-104,SITA PARK,NAYA
Local
NAGAR,MIRA ROAD EAST Address/Native NAGAR,MIRA ROAD EAST
Address:
Address:

Academic Details
Total Exam
Year of Maximum
Exam Board/University Marks Seat School/ College Name
Passing Marks
Obtained: No.
Maharashtra Board of N.H ENGLISH
SSC 2018 A121011 292 500
Sec. & Higher Sec. Edu. ACADEMY
A.P COLLEGE OF
Maharashtra Board of
12th 2020 M198477 347 650 COMMERCE AND
Sec. & Higher Sec. Edu.
SCIENCE
Ordinance 6086 of University of Mumbai : Attendance for Learners
Every bonafide learner shall ordinarily be allowed to keep terms for the given semester in a program of his
enrollment, only if he fulfills at least 75% of the attendance taken as an average of the total number of lectures,
practicals, tutorials etc. conducted.

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7/30/2020 KESSC-Application Form

Those who are claiming for scholarship fees, are required to fill the government scholarship forms on the
government website https.mahadbt.maharashtra.gov.in. (OBC, SBC,VJNT,SC) & national portal scholarship
(Jain Minority).

SIGNATURE OF THE STUDENT SIGNATURE OF THE PARENT/GUARDIAN

Attachments to be submitted Along with the Application

Pre-enrollment form of University of Mumbai of all the programmes you have selected

HSC MarkSheet/Digital Result

Minority Certificate (if you have selected Minority Quota)

Certificate of Reservation (if you have claimed admission under reservation category)

Caste Certificate (if you are claiming admission on Caste basis)

Student's / Parent's Account Detail

CORPORATION
BANK NAME: BRANCH: MIRA ROAD
BANK
ACCOUNT ACCOUNT HOLDER'S ANJUM FATIMA
47400101014448
NUMBER: NAME: SHAIKH
IFSC CODE: CORP0000474 ACCOUNT TYPE: Saving Account

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