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Nirmal Degree College of Commerce (826)

Municipal School Bldg.,4th Floor,Near Vora Colony M. G. Road Boriwali Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2301168
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.Sc. (I.T.)(with Credits) - Regular - Rev16 - F.Y. ABC ID: 832-494-437-835 PRN:
B.Sc. (I.T.) Sem I  (42300003)

Application Date : 14/07/2023 Payment Category :

1.Personal Information
Candidate's Name(Regional) : खेरवार करण प्रदीप
Candidate's Name as printed KHAIRWAR KARAN PRADEEP
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : PRADEEP LAXMI
Name :
Mother
Marital Status : UnMarried Hindi
Tongue :
Place Of Birth : Uttar Pradesh Gender : Male Date of Birth (DD/MM/YYYY) : 20/08/2003
Blood Group : BPositive 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 : Boriwali Location Area : Rural
Suburban Mumbai
Address (House
no,street/area/suburb Room No8 2Nd Lane Kd Compound Gandhi Nagar, Gandhi Nagar Pin Code : 400067
etc.) :
Permanent Address :
District : Mumbai City/Town/Village :
State : Maharashtra Tehsil : Boriwali Location Area : Rural
Suburban Mumbai
Address : Room No8 2Nd Lane Kd Compound Gandhi Nagar, Gandhi Nagar Pin Code : 400067
Contact details
Mobile
8104399217 Email ID: karanbhai214k@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
USIT101 - Programming Principles with C USIT102 - Digital Logic and Applications
USIT103 - Fundamentals of Database Management Systems USIT104 - Computational Logic and Discrete Structure
USIT105 - Technical Communication Skills USIT1P1 - Programming Principles with C Practical
USIT1P2 - Digital Logic and applications Practical USIT1P3 - Fundamentals of Database Management Systems
USIT1P4 - Computational Logic and Discrete structure Practical
Practical USIT1P5 - Technical Communication Skills Practical
 Sem II

USIT201 - Object Oriented Programming with C++
USIT203 - Web Applications Development
USIT205 - Green IT
USIT2P2 - Fundamentals of Micro Processor and
Microcontrollers Practical
USIT2P4 - Numerical Methods Practical
USIT202 - Fundamentals of Micro Processor and
Microcontrollers
USIT204 - Numerical Methods
USIT2P1 - Object Oriented Programming with C++ Practical
USIT2P3 - Web Applications Development Practical
USIT2P5 - PL/SQL Practical

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 240000
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
S. V. N.
BOARD OF SECONDARY AND April
Std 10th ENGLISH A295807 -- 387.00 500.00 -- - -- 77.40
HIGHER SECONDARY 2021
SCHOOL
EDUCATION,Maharashtra
MAHARASHTRA STATE
TP BHATIA
Std 12th BOARD OF SECONDARY AND February
COLLEGE OF M088836 -- 253.00 600.00 -- - -- 42.17
Science HIGHER SECONDARY 2023
SCIENCE
EDUCATION,Maharashtra
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.

Passing Certificate 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 :2301168
(KHAIRWAR KARAN PRADEEP) 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 Fri Jul 14 2023 11:36:17 GMT+0530 (India Standard Time)