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Birla College of Arts, Science and Commerce (23)

Birla College Road. Kalyan Application No :
University of Mumbai 1886763
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : M.Com.(Autonomous)(with Credits) - Regular - CBCS - Business Management - M.Com.
PRN:2019016402263195
(Autonomous) Part I Sem I (-)

Application Date : 22/07/2022 Payment Category :

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on Mark SAWANT ADITYA JATENDRA
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : JITENDRA Mother's Name : CHHAYA

Marital Status : UnMarried Mother Tongue :

Place Of Birth : Gender : Male Date of Birth (DD/MM/YYYY) : 21/06/1998
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Kalyan City/Town/Village :
Available
Address (House
a/8 yogidham anupam nagar murbad road Pin Code : 421301
no,street/area/suburb etc.) :
Contact details
Mobile Number 918369092275 Email ID: adi98sawant98@gmail.com
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
MCOMBMA101 - Paper 1 MCOMBMA102 - Paper 2
MCOMBMA103 - Paper 3 MCOMBMA104 - Paper 4
Sem II

MCOMBMA201 - Paper 1 MCOMBMA202 - Paper 2

MCOMBMA203 - Paper 3 MCOMBMA204 - Paper 4

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 369115
5.Educational Details
Month
Name of Board/University Name of Exam Certificate Mark Out
Name of Examination and Year CGPA %
and State of University School/College Seat No. No. Obtained of
of Passing
Std 10th MAHARASHTRA STATE March -- -- 347.00 500.00 -- - -- 69.40
 Month
Name of Board/University Name of Exam Certificate Mark
Name of Examination and Year Out of CGPA %
and State of University School/College Seat No. No. Obtained
of Passing
BOARD OF SECONDARY
AND HIGHER 2014
SECONDARY EDUCATION,
MAHARASHTRA STATE
BOARD OF SECONDARY February
Std 12th 12Th (Commerce) -- -- 328.00 650.00 -- - -- 50.46
AND HIGHER 2019
SECONDARY EDUCATION,
Degree : BACHELOR OF
University of JSSP 8.23 -
MANAGEMENT May 2022 1168189 -- - - -
Mumbai,Maharashtra COLLEGE A+
STUDIES(MARKETING)
Your Last Qualifying Exam: BACHELOR OF MANAGEMENT STUDIES
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
• Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like
degree,diploma,etc.

• Passing Certificate of Std 10th.

• Leaving Certificate.

DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do
understand that I need to obtain and produce all the required documents. I Application No :1886763 (SAWANT ADITYA JATENDRA) admit to having
understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if found guilty of ragging
or sexual harassment I am liable for punishment according to the university regulations.

Place : Date :
( Signature of the Candidate )
For College/Institute/Study Center Use Only
Designation Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Fri Jul 22 2022 14:18:27 GMT+0530 (India Standard Time)