Zeal Education Society's

Zeal Institutes of Business Administration,Computer Application &

Research

Survey No. 39, Dhayari Narhe Road, Narhe, Pune – 411041 (Mh)

ADMISSION FORM FOR ACADEMIC YEAR -

2021-22

Program Master of Computer Application

Year FY

For Office Use Only Photo

PRN 521C10060

Admission Type ACAP

TFWS Yes/No

EWS Yes/No

Form Checked By :

Personal Details

Name of Candidate First Name Middle Name Last Name

KANGANA SANJAY DUDHATRA

Name of Candidate as per SSC Marksheet DUDHATRA KANGANA SANJAY

Name of Candidate as per Aadhaar

Gender Female Nationality India

Date of Birth 16-Aug-2001 Birth Place GUJARAT

Mother tongue Caste Category

Religion Admission Category DT/VJ NT(A)

Caste Hindu Sub Caste PATEL

Aadhaar No. 507051020499 Domicile State Gujarat

Mobile No. 8793302700 PAN No.

Blood Group A Positive

Email (Official) kangana.dudhatra21@zealeducation.com

Email (Primary) kangana.dudhatra21@zealeducation.com

Permanent Address

B705, SAI VISHWA, NEAR NARHE

Village/Landmark City Pune
BRIDGE, AMBEGAON BK, PUNE

Taluka AMBEGAON District Pune

State Maharashtra Pin Code 411041

Current Address

B705, SAI VISHWA, NEAR NARHE

Village/Landmark City Pune
BRIDGE, AMBEGAON BK, PUNE

Taluka AMBEGAON District Pune

State Maharashtra Pin Code 411041

Emergency Contact

Name MR SANJAY

Address AMBEGAON
Mobile No. 8600002700

Local Guardian

Name

Address

Mobile No. 8600002700

Hostel Information

Hostel Name Hostel Address

Parents/Guardian Information

Full Name of Father SANJAY DUDHATRA

Emial Id sanjaypatel6704@gmail.com

Mobile No. 8600002700

Occupation Name of Organization

Office Address

Full Name of Mother NAYNA

Emial Id

Mobile No. 8888639789

Education Details

SSC

Exam Seat No. C048595 Year of Passing 2016

Maharashtra State Board of

Board Secondary and Higher Secondary Total Marks 500.0
Education

Percentage 65.6 Marks Obtained 65.6

HSC/12th

Exam Seat No. Year of Passing

Board Total Marks

Percentage Marks Obtained

Physics Mathematics

Chemistry/Bio/IT/Vocational PCM Total