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Hindi Vidya Prachar Samitis Ramniranjan Jhunjhunwala College Of Arts, Science And

Commerce (171)
Application No :
Opp. Ghatkopar Railway Station, Ghatkopar
Kurla

University of Mumbai 525519

M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

Regular
Academic Year: 2022-2023
APPLICATION FORM

Course Applied for : B.Com. (Autonomous)(with Credits) - Regular - CBCS - F.Y. B.Com.(Autonomous) PRN:
Sem I 
(-)

Application Date : 16/06/2022 Payment Category :

1.Personal Information
Candidate's Name(Regional) : शिवानी पांडे
SHIVANI PANDEY
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

OM PRAKASH INDU DEVI

Father's/Husband's Name : Mother's Name :
PANDEY PANDEY
Marital Status : UnMarried Mother Tongue : Hindi
Place Of Birth : Gender : Female Date of Birth (DD/MM/YYYY) : 12/10/2004
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village :
State : Maharashtra Tehsil : Kurla Location Area : Urban
Suburban Mumbai
Address (House
Room No 7, Ram Ganesh Yadav Chawl Farid Nagar , Pratap Nagar Road
no,street/area/suburb Pin Code : 400078
Bhandup West
etc.) :
Permanent Address :
District : Mumbai City/Town/Village :
State : Maharashtra Tehsil : Kurla Location Area : Urban
Suburban Mumbai
Room No 7, Ram Ganesh Yadav Chawl Farid Nagar , Pratap Nagar Road
Address : Pin Code : 400078
Bhandup West
Contact details
Mobile
9136313198 Email ID: sanjanapandey200704@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
BCOM1001 - Paper 1 BCOM1002 - Paper 2
BCOM1003 - Paper 3 BCOM1004 - Paper 4
Sem II

BCOM2001 - Paper 1 BCOM2002 - Paper 2

BCOM2003 - Paper 3 BCOM2004 - Paper 4
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Laborer Annual Income of Guardian : 0
5.Educational Details
Month
Name of Name of Board/University Name of and Year Exam Certificate Mark Out
CGPA %
Examination and State of University School/College of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE BOARD POWAI
OF SECONDARY AND HIGHER MUNCIPAL March
Std 10th A383910 -- 318.00 500.00 --
-
-- 63.60
SECONDARY ENGLISH HIGH 2020
EDUCATION,Maharashtra SCHOOL
MAHARASHTRA STATE BOARD POWAI
Std 12th OF SECONDARY AND HIGHER MUNCIPAL June
M313136 -- 319.00 600.00 --
-
-- 53.17
Commerce SECONDARY ENGLISH HIGH 2022
EDUCATION,Maharashtra SCHOOL
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
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 :525519
(SHIVANI PANDEY)
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 Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Jun 16 2022 13:51:50 GMT+0530 (India Standard Time)