College Code:

PARLE TILAK VIDYALAYA ASSOCIATION'S

MCC
MULUND COLLEGE OF COMMERCE (AUTONOMOUS)
Application No.:

(Affiliated to the UNIVERSITY OF MUMBAI)

Mulund Vanijya
FYBMS/2022-
Mahavidyalaya Marg,Mulund (West),Mumbai-400080.

23/911
Tel. 2560 0017, 2565 0257, 2568 5550

NAAC ACCREDIATED GRADE "A"

(Cycle-I 2004, Cycle-II 2011, Cycle-III 2016)

Email: mccmulund@gmail.com Website: www.mccmulund.ac.in

For College use Course Applied For: BACHELOR OF MANAGEMENT STUDIES - 1 Registration No.

only 1702772
Medium: ENGLISH

Registration Date: 19/06/2022

1. Personal information section

Last Name First Name Middle Name

Name of Student RAGHATWAN PAWAN ASHOK

Name of Student(In रघतवान पवन अशोक

Devanagari)

Mother's Name: ALKA In-House Student: NO

Marital Status: UNMARRIED

Date of Birth: 08/07/2004 Gender: MALE

Place of Birth: AMBERNATH Blood Group: A+

Native Place: KALYAN

Bank Name: Account No.: Transaction Type: ONLINE

Religion: HINDU Nationality: INDIAN

Aadhaar card No.: 925782547119 Driving Licence No.:

2. Address Details

Address of Correspondence: ROOM NO 2 B-7 EVEREST NAGAR BETURKAR PADA KALYAN Pin Code: 421301
WEST 421301

State: MAHARASHTRA District: THANE City: KALYAN

Permanent Address: ROOM NO 2 B-7 EVEREST NAGAR BETURKAR PADA KALYAN Pin Code: 421301
WEST 421301

State: MAHARASHTRA District: THANE City: KALYAN

3. Contact Details

Student Mobile No.: 9987231501 Alternate Contact Number: 9987323894

Student Email Id: PAWAN.RAGHATWAN2004@GMAIL.COM

Mother Contact No.: Guardian Contact No.: 9987323894

4. Legal Reservation Information Section

Domicile state: MAHARASHTRA Admission Category: ST Caste Category: ST

Caste: KOLI MAHADEV Phy. Handicapped:

Learning Disability No.:

 5. Social Reservation (Special Category) Information Section

SR No. SOCIAL RESERVATION NAME

1 EX-SERVICEMAN/WARD OF SERVICEMAN

6. Questions Details Section

Q. Cultural Activities (State/National)

A. NA (NOT APPLICABLE)

Q. Please Enter Your Whatsapp Number (kindly enter 10 digits only)

A. 9987231501

Q. Have you Enrolled for Voter List?

A. NO

7. Education Details Section

Name of Examination Seat Grade/Total Obt.
Name of Board %
Examination Number Marks Marks
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER
SSC A064883 500 375 75
SECONDARY EDUCAT
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER
HSC M171127 600 336 56
SECONDARY EDUCAT

8. Qualifying Exam Details Section

QUALIFYING EXAM NAME: HSC

College/School Admission Passing Marks Total Education

Board/university Percentage Place Arts/Com/Sci
Attended Year Year Obt. Marks Gap
MAHARASHTRA STATE BOARD OF
B K BIRLA COLLEGE SECONDARY AND HIGHER SECONDARY 2021 2022 336 600 56 KALYAN COMMERECE NO
EDUCAT

9. Subject Details Section

Group
Sr. No. Subject Name
Name

BUSINESS COMMUNICATION-I,BUSINESS ECONOMICS I,BUSINESS LAW,BUSINESS STATISTICS,FOUNDATION COURSE-I,FOUNDATION

1 NA
OF HUMAN SKILLS,INTRODUCTION TO FINANCIAL ACCOUNTS

10. Attached Documents

Sr No. Name of Documents/Certificate

1 HSC MARKSHEET

2 SSC MARKSHEET

3 FYBMS UNIVERSITY PRE-REGISTRATION FORM

4 CASTE CERTIFICATE

5 AADHAR CARD

11. Guardian / Parent Information Section

Guardian's/ Parent's Name:

Occupation of the Guardian/Parent: Annual Income of the guardian/Parent:

400000.00

Relationship of Guardian with applicant: FATHER Guardian/Parent Phone No.: 9987323894

 e at o s p o Gua d a t app ca t:
Gua d a / a e t o e o.:
998 3 389

12. Other Information Section

Mother Tongue:
MARATHI Employment Status:
NO Do you wish to join NCC / NSS:
NO

Would you like to apply for Hostel:

NO

Hobbies, Proficiency and Other interests:

NA

Games and sports participation:

Identification Mark 1:
-- Identification Mark 2:
--

13. Declaration by Student

1. I hereby declare that, I have read the rules related to admission and the information filled in by me in this
form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy arising out
of the form signed by me and I under take that, in absence of any document the Final Admission will not be
granted and/or the admission will stand cancelled.

2. I have read all the rules and regulations at present in force, and hereby agree, if admitted shall keep myself
update and will confirm to them and to such other rules as may be made hereafter.

3. I promise that, while I am a student of the College, I shall do nothing to obstruct or interfere in any way
with its discipline, and that I shall devote my entire attention to the furtherance of my studies.

4. I also promise that I shall inform the Principal in writing in case I decide to discontinue my education or
change the College in the middle of the year.

5.I assure that I shall take all sincere efforts and complete the assignments for Internal Examinations on
time as suggested by the Faculties. In case of any default, I shall be responsible for the same with no further
grievances.

6. If admission is granted to me, I shall pay the fees as per the rules/revised rules by concerned authorities.

7. I hereby undertake that, out of the academic days of working. I will remain present for at least 75% in the
class. If I fail to comply the above conditions of attendance, I know, I am not entitled to appear for
College/University Examinations. In such a case, I shall be personally responsible for my academic loss.

8. I have read all the rules and regulations mentioned in the Prospectus and I shall follow all these rules and
regulations.

9. I also know that attendance at lectures, tutorials and performance at the Semester Examination will be
taken into account before sending the Examination Form to the ensuing University/College Examination.

10. Non-fulfilment of aforesaid conditions would lead to withdrawal of the permission to appear at the
University/College Semester Examination.

11. If University/State Education Board finds that I am not eligible for the Course to which I have been
provisionally admitted, then I know that my admission will be cancelled.

12.I WILL DISPLAY MY IDENTITY CARD PROMINENTLY WHILE IN THE COLLEGE PREMISES.

Name of Student: RAGHATWAN

PAWAN
ASHOK

Student's Signature Place: Date: 19/06/2022

14. Declaration by Guardian

1. The applicant 
RAGHATWAN
PAWAN
ASHOK
is my Son / Daughter / Ward. I have permitted him/her to
join your College.
I endorse the application and the declaration made therein. The information supplied by
him/her is correct to the best of my knowledge.
I have acquainted myself with the rules of the College and
the fees due to him/her and shall see that he/she observes the rules.

2. I am aware that it is my responsibility to check the attendance position, academic progress of my Son /
Daughter / Ward periodically.
I hereby allow my Son / Daughter / Ward to work on various on-going
Corporate Projects assigned by placement cell of Mulund college of commerce.

Place:

Date: 19/06/2022
Signature of the Guardian/Parent:
15. REFUND RULES:

As per Circular No. UG/412 og 2008(dated 11th September 2008) of University of Mumbai. If Students fail to
fulfil the passing criteria prescibed by university of mumbai, they will be discontinued from attending college
till the time they fulfil the same. Fees paid by such student can be carried forward or refunded. In this
connection, student must contact College Office.

16. NOTE:

Student belonging to EBC / Students seeking admission under Reserved Category mentioned against their
name are instructed to fill in the Freeship / Scholership Forms immediately after college reopens along with
Income Certificate (from Tehsildar's Office), Domicile Certificates (from Tehsildar's Office) and other
necessary documents failing which they will have to pay full fees (that are applicable for General Category).

Place:

Date: 19/06/2022

Signature of the
Guardian/Parent:
Signature of Student:

17. For College / Institute Use Only

Designation Remarks / Particular / Recommendation Signature and Date

Admission Clerk

Admission Committee

Accountant / cashier

Registrar/Office
superintendent

Transaction Details Payment Mode:

ONLINE Cash Received:
100 Transaction ID.:
PUVISD3441593562

REMARK OF THE ADMISSION COMMITTEE

May be admitted to Class__________________________________________________________________

Section___________________________

May be

Rejected_______________________________________________________________________________________________________________

Last date of payment of

fees___________________________________________________________________________________________________

Admission may be cancelled if the fees are not paid by this date.

Principal
Signature of Admission Committee

Date:

Print Date : 19/06/2022