8/20/2021

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Versova Education Trusts Smt. Kamala Mehta V. W. A. College of Commerce (554) Application No
Shri. Jitendra Mafatlal Educational Complex, Sqdn. Leader Harminder Singh Road 7, Bunglows
(Garden), Versova, Andheri (W) Andheri :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1990672
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 : 20/08/2021 Payment Category :
1.Personal Information

Candidate's Name(Regional) : रॉयां

Candidate's Name as printed on Mark SRAMPIKAL ROYAN ROBERT
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : ROBERT SRAMPIKAL Mother's Name : ALICE

Marital Status : UnMarried Mother Tongue : Malayalee

Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 04/06/2003
Blood Group : BPositive Religion : Christian Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
State : Maharashtra District : Mumbai City Tehsil : Mumbai City/Town/Village : Mumbai Location Area : Rural
Address (House
ROOM NO. 135 JUHU, RUIA PARK, JR MAHATRE RD MOROGAON, JUHU Pin Code : 400049
no,street/area/suburb etc.) :
Permanent Address :
State : Maharashtra District : Mumbai City Tehsil : Mumbai City/Town/Village : Mumbai Location Area : Rural
Address : ROOM NO. 135 JUHU, RUIA PARK, JR MAHATRE RD MOROGAON, JUHU Pin Code : 400049
Contact details
Mobile Number 9920104187 Email ID: royansrampikal@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 : Service Annual Income of Guardian : 30000
5.Educational Details
Month
Name of Name of Board/University and State of Name of Exam Certificate Mark
and Year Out of CGPA %
Examination University School/College Seat No. No. Obtained
of Passing
MAHARASHTRA STATE BOARD OF
ST. JOSEPH HIGH
Std 10th SECONDARY AND HIGHER June 2019 A259099 269253 281.00 500.00 -- - -- 56.20
SCHOOL
SECONDARY EDUCATION,Maharashtra

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Month
Name of Name of Board/University and State of Name of Exam Certificate Mark
and Year Out of CGPA %
Examination University School/College Seat No. No. Obtained
of Passing
MAHARASHTRA STATE BOARD OF VIDYANIDHI
Std 12th August
SECONDARY AND HIGHER JUNIOR COLLEGE M241994 -- 271.00 600.00 -- - -- 45.17
Commerce 2021
SECONDARY EDUCATION,Maharashtra OF COMMERCE
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 :1990672 (SRAMPIKAL ROYAN ROBERT) 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 Fri Aug 20 2021 13:55:11 GMT+0530 (India Standard Time)

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