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Institute of Forensic Science, Mumbai (853)

15, Madam Cama Road.

Mumbai
Application No :

University of Mumbai 408792

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

Academic Year: 2022-2023

Regular
APPLICATION FORM

Course Applied for : B.Sc. (Forensic Science)(with Credits) - Regular - Rev16 - F.Y. B.Sc. (Forensic Science) Sem I 
(-) PRN:
Application Date : 15/06/2022 Payment Category :
1.Personal Information

Candidate's Name(Regional) : नितिन

Candidate's Name as printed on Mark BARAI NITIN OMPRAKASH
sheet : [*This name will appear on all University records/documents]

Father's/Husband's Name : OMPRAKASH Mother's Name : NEETA

Marital Status : UnMarried Mother Tongue : Hindi

Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 03/08/2003
Blood Group : APositive Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village : Mumbai Location Area : Urban
Address (House
340/1001 Kalpataru Srishti Sector 3 Mira Road (E) Pin Code : 401107
no,street/area/suburb etc.) :
Permanent Address :
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village : Mumbai Location Area : Urban
Address : 340/1001 Kalpataru Srishti Sector 3 Mira Road (E) Pin Code : 401107
Contact details
Mobile Number 7045208173 Email ID: 003nitinbarai@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
USFS101 - Basics of Forensic Science USFS102 - Basics of Forensic Chemistry
USFS103 - Basics of Forensic Physics USFS104 - Basics of Forensic Biology
USFS105 - Basics of Forensic Psychology USFS106 - Basics of Digital and Cyber Forensics
USFS107 - Foundation Course USFS1P1 - Forensic Science and Forensic Chemistry
USFS1P2 - Forensic Physics and Forensic Biology USFS1P3 - Forensic Psychology and Digital and Cyber Forensics
Sem II

USFS201 - Basics of Forensic Science USFS202 - Basics of Forensic Chemistry

USFS203 - Basics of Forensic Physics USFS204 - Basics of Forensic Biology
USFS205 - Basics of Forensic Psychology USFS206 - Basics of Digital and Cyber Forensics
USFS2P1 - Forensic Science and Forensic Chemistry USFS2P2 - Forensic Physics and Forensic Biology
USFS2P3 - Forensic Psychology and Digital and Cyber Forensics

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 0
5.Educational Details
Month
Name of Name of Board/University and State Name of Exam Certificate Mark
and Year Out of CGPA %
Examination of University School/College Seat No. No. Obtained
of Passing
 Month
Name of Name of Board/University and State Name of Exam Certificate Mark
and Year Out of CGPA %
Examination of University School/College Seat No. No. Obtained
of Passing
MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER ST XAVIERS HIGH March
Std 10th A113916 072701 425.00 500.00 --
-
-- 85.00
SECONDARY SCHOOL MIRA ROAD 2019
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD OF SHRI TIKAMDAS
Std 12th SECONDARY AND HIGHER PURSHOTAM August
M064781 248516 553.00 600.00 --
-
-- 92.17
Science SECONDARY BHATIA COLLEGE OF 2021
EDUCATION,Maharashtra SCIENCE
Your Last Qualifying Exam: HSC/Std 12th [Science]
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.

Leaving Certificate.

Statement of Marks of Std 10th.

Birth Certificate.

Original Statement of Marks for std. 12th.

Residence Proof (Any) – Copy of Voter ID/ Driving License/Telephone Bill /Electricity Bill /Ration Card/ Society Letter/ Agreement.

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 :408792 (BARAI NITIN OMPRAKASH)
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 Wed Jun 15 2022 14:09:12 GMT+0530 (India Standard Time)