THE SOUTH INDIAN EDUCATION SOCIETY

SIES Nerul College of Arts Science and Commerce

Sri Chandrasekarendra Saraswati Vidyapuram,
Plot I-C, Sector V, Nerul, Navi Mumbai- 400706

APPLICATION FORM (Application Form F.Y.B.Com Acc. Fin.(2021) (R2))

2021 - 22
Form No. B.Com(A&F)-42

Personal Information
Full Name AYAAN ABBAS AKHIL
ABBAS SAIYED
Name as per HSC AYAAN ABBAS A SAIYED
Marksheet
DOB Mar 24,2003 Gender MALE
Email Id ayaansaiyed2003@gma Mother's Name(As per RIZWANA SAIYED
il.com the Xth/ XIIth
Marksheet)
State of Domicile MAHARASHTRA Phone No -
Applicant Registered 7208492755 Religion ISLAM
Mobile Number
Mother Tongue HINDI Admission Quota OPEN
Type:
Reserve Category: OPEN Blood group B+
Residence Address Details
Residence Address 61,LUCKY APARTMENT,ASTHA SOCIETY,PLOT-91,SECTOR-15,KOPER KHAIRANE,
Country INDIA State MAHARASHTRA
City Pin 400709
THANE
Taluka District THANE
-
Permanent Address Details
Permanent Address 61,LUCKY APARTMENT,ASTHA SOCIETY,PLOT-91,SECTOR-15,KOPER KHAIRANE,
Country INDIA State MAHARASHTRA
City Pin 400709
THANE
Taluka District THANE
-
Std.X
Total Marks Obtained / 523 / 600 Percentage ( % ) 87.17
Out of
Roll No./ Seat Number 6825154 Year of Passing 2019
Board of Examination ICSE
Std.XII
Total Marks Obtained / 436 / 500 Percentage ( % ) 87.2
Out of
Year of Passing 2021 Stream COMMERCE
HSC roll no./ Seat No. 6825154 Board of Examination ICSE
Form fee details
Payment Mode Online Payment
Transaction No. WMVEGO0CMNQKTMK
Amount ( In Rs.) 100.0
Documents attached
1 XII/HSC Marksheet
2 Declaration/Undertaking from the student by the University of Mumbai
3 Xth/SSC Marksheet
4 Pre Registration Form of University of Mumbai
Declaration to be signed by the Applicant:
I Ayaan Abbas Akhil Abbas Saiyed declare that the information given by me in the application is true to the best of my
knowledge and belief.I have filled this application form for the course

Place :

SRI CHANDRASEKARENDRA SARASWATI VIDYAPURAM, Page 1

PLOT I-C, SECTOR V, NERUL, NAVI MUMBAI- 400706
 THE SOUTH INDIAN EDUCATION SOCIETY

SIES Nerul College of Arts Science and Commerce

Sri Chandrasekarendra Saraswati Vidyapuram,
Plot I-C, Sector V, Nerul, Navi Mumbai- 400706

Date : Aug 07, 2021 04:43 PM

Signature of Candidate

SRI CHANDRASEKARENDRA SARASWATI VIDYAPURAM, Page 2

PLOT I-C, SECTOR V, NERUL, NAVI MUMBAI- 400706