8/20/2021

For Office Use

Batch: Scrutiny Payment: Online/DD PI

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

St. Dominic Road. Mumbai Application No :
University of Mumbai 1993300
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2021-2022
Regular
APPLICATION FORM

Course Applied for : B.Com. (A.and F.)(with Credits) - Regular - Rev16 - F.Y. B.Com. (A. and F.) Sem I (22300002) 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
UA_FFSI.1 - Financial Accounting (Elements of Financial Accounting) I UA_FFSI.2 - Cost Accounting (Introduction and Element of Cost) I
UA_FFSI.3 - Financial Management (Introduction to Financial UA_FFSI.5.1 - Foundation Course I
Management) I UA_FFSI.4 - Business Communication I
UA_FFSI.7 - Business Economics I UA_FFSI.6 - Commerce (Business Environment) I
Sem II

UA_FFSII.1 - Financial Accounting (Special Accounting Areas) II UA_FFSII.2 - Auditing (Introduction and Planning) I
UA_FFSII.3 - Innovative Financial Services UA_FFSII.5.1 - Foundation Course II
UA_FFSII.4 - Business Communication II UA_FFSII.6 - Business Law (Business Regulatory Framework) I
UA_FFSII.7 - Business Mathematics

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 :1993300 (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 13:57:47 GMT+0530 (India Standard Time)

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