6/19/22, 12:25 AM Profile

Student Profile Form

Faculty of Commerce

Application No:
562874080420

The Maharaja Sayajirao

University of Baroda

Fatehgunj, Vadodara-390 002,

Gujarat (India)

Academic Year: 2022-2023

APPLICATION
FORM
Course Applied for : Bachelor of Commerce - Bachelor of Commerce-I - First Semester of BCOM-I - No Branch
Application Date : 14-06-2022 Payment Category : General

1. Personal Information

Last Name : Singh First Name : Neel Middle Name : Ajit Kumar

Gender : Male Religion : Hindu Marital Status : Unmarried

Name as per Marksheet : Singh Neel Date of Birth (DD/MM/YYYY) :

Mother Tongue : Hindi

Ajit Kumar 01-03-2004

Blood Group : -- Height : 0 Weight : 0 Major Thalassemia Status : No Thalassemia

Is Student NRI/ Foreign
Country Of Citizenship : India
National : No
Passport No : -- Aadhar No : 3072-8706-4855 Name of Aadhar : Neel Singh
Permanent Address : 24, Korari, Semara-Singarpur
District : City/Town/Village :
Country : India State : Uttarpradesh Pin Code : 233221
Ghazipur Semara
Current Address : B-104, Balaji Residency Nr.Ramakaka Dairy
District : City/Town/Village :
Country : India State : Gujarat Pin Code : 391740
Vadodara Chhani
Father's/Husband's Name : Ajit Kumar Singh Mother's Name : Kiran Singh
Social Category Name : Guardian Social Category :
Guardian Name : -- Guardian Contact No : -- Family Annual Income : 500000
Father Occupation : Service Mother Occupation : House Work Guardian Occupation :
Is Gardian EBC : No Guardian Annual Income : 0
CONTACT DETAILS
Email ID: neelsingh363@gmail.com Mobile Number : 6352130141 Optional Mobile Number : --
Is Sms PermissionGiven : Yes Is Local To Vadodara : No
Is EWS : No EWS Doc : Not Applicable

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2.Legal Reservation Information

Reservation Category : General

Is Physically Challenged : No Is Self Emp : No
Disability Percentage : 0 Disability Type : --

3.Education Details

Education Name of School/ Month & Year of

Board/ University Class CGPA Percentage
Level College Passing

HSC / 12th / Gujarat secondary and Higher Secondary Education New Sarwamangal Second
Mar 2022 0 55.43
Intermediate Board School Class
Gujarat secondary and Higher Secondary Education Second
SSC / 10th Shri Vidhya Niketan Mar 2020 0 54.67
Board Class

School Leaving Certificate (LC)/Passing certificate/Transfer Certificate (TC)/Birth certificate (Any one)
Attempt certificate/Mark-sheet of SSC-Standard 10th (Attempt certificate preferred)
Statement of Marks/Mark-sheet of Last qualifying examination (On the basis of which you are claiming the present admission)
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
that I need
to obtain and produce all the required
documents.
I herewith declare that after passing qualifying examination, I have
not secure admission elsewhere.
I Application No :29531 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. "I hereby confirm that I
will

SUBMIT SYSTEM
GENERATED APPLICATION-FORM along with necessary enclosures required to verify the Academic
credentials and Personal details
(Like

Mark-sheets, Degree Certificates, Caste Certificates-if applicable...etc.)

to the concerned Faculty/College under which I have applied through this
application,
at the time of
"Merit-
based Admission Schedule/Spot Admission Schedule" as available under the Prospectus/Published on the
University website
as notified

by the concerned Dean of the Faculty/Principal of the College."

I will undergo Thalassemia Test before the First Semester Examination.
I hereby declare that I shall refrain from
engaging in any behavior or activity
that is

prohibited as per the university regulations.

Note:Candidate must carry two copies of above
printout of his/her “Application Form” at the time of entrance
test/merit based admissions, along
with the

copies of all required documents, as mentioned in the
respective prospectus and identical photograph pasted at the appropriate
self-attested
place.On one

copy of the application

form , Candidate signs partially on the photograph and partially out side at the time of handing over the form.
Completing the online application form does not guarantee admission in that particular course/program. All
admissions are through entrance

test/merit as

per the requirement of the program and faculty norms. See Faculty
Prospectus for Details.

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/
Registrar/
Amount Received: Rs. 300.00/- Date: 14-06-2022

Office Superintendent

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