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

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St. Andrews College of Arts, Science And Commerce. (229)

Application No :

St. Dominic Road.

Mumbai

University of Mumbai 306646

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

Academic Year: 2021-2022

Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - F.Y. B.M.S. Sem I 
(22300005) PRN:

Application Date : 08/08/2021 Payment Category : Candidate Photo

1.Personal Information
Candidate Signature
Candidate's Name(Regional) : संयु

DSOUZA SANYU JEEVAN

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

Father's/Husband's Name : JEEVAN DSOUZA Mother's Name : SUMITHA

Marital Status : UnMarried Mother Tongue :
Place Of Birth : Karnataka Gender : Male Date of Birth (DD/MM/YYYY) : 23/01/2004
Blood Group : BPositive Religion : Christian 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 : Navi Mumbai Location Area : Metropolitan
Address (House no,street/area/suburb etc.) : G-18/03 SHREE GANESH CHS, Gharonda BLD Ghansoli Pin Code : 400701
Permanent Address :
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village : Navi Mumbai Location Area : Metropolitan
Address : G-18/03 SHREE GANESH CHS, Gharonda BLD Ghansoli Pin Code : 400701
Contact details
Mobile Number 8591063761 Email ID: sanyudsouza@gmail.com
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem I
UBMSFSI.1 - Introduction to Financial Accounts UBMSFSI.2 - Business Law
UBMSFSI.3 - Business Statistics UBMSFSI.5.1 - Foundation Course I
UBMSFSI.4 - Business Communication I UBMSFSI.6 - Foundation of Human Skills
UBMSFSI.7 - Business Economics I
Sem II

UBMSFSII.1 - Principles of Marketing UBMSFSII.2 - Industrial Law

UBMSFSII.3 - Business Mathematics UBMSFSII.5.1 - Foundation Course II
UBMSFSII.4 - Business Communication II UBMSFSII.6 - Business Environment
UBMSFSII.7 - Principles of Management

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 0
5.Educational Details
Name of Month and Year of Exam Seat Certificate Mark
Name of Board/University and State of University Name of School/College Out of CGPA %
Examination Passing No. No. Obtained

Std 10th CENTRAL BOARD OF SECONDARY EDUCATION,Maharashtra D.A.V PUBLIC SCHOOL AIROLI June 2019 4157145 1162895 463.00 500.00 --
-
-- 92.60
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY FR AGNELS MULTIPURPOSE SCHOOL AND JR
Std 12th Science August 2021 m007728 -- 509.00 600.00 --
-
-- 84.83
EDUCATION,Maharashtra COLLEGE
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.

Statement of Marks of Std 10th.

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 :306646 (DSOUZA SANYU
JEEVAN)
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 Aug 11 2021 12:35:19 GMT+0530 (India Standard Time)

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