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Vivekanand Education Societys College of Arts, Science and Commerce (345)

Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2719286
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.Com. (B.and I.)(Autonomous)(with Credits) - PRN:2021016401314005

Regular - CBCS - T.Y. B.Com. (B. and I.)(Autonomous) Sem V (-)

Application Date : 22/08/2023 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed ANSARI MURSHID AHMED MUJAMMIL
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : MUJAMMIL SHABANA PARVEEN
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : BIHAR Gender : Male Date of Birth (DD/MM/YYYY) : 26/09/2003
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Kurla City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb ROOM NO 120 SHARAD NAGAR VASHI NAKA MAHUL ROAD MUMBAI Pin Code : 400074
etc.) :
Contact details
Mobile
919967242363 Email ID: sajiyaansari073@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 V
BBI001 - PAPER I BBI002 - PAPER II
BBI003 - PAPER III BBI004 - PAPER IV
Sem VI

BBI005 - PAPER V BBI006 - PAPER VI

BBI007 - PAPER VII BBI008 - PAPER VIII

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 0
5.Educational Details
 Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY March
Std 10th -- -- 208.00 500.00 -- - -- 41.60
AND HIGHER SECONDARY 2019
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY August
-- -- 433.00 600.00 -- - -- 72.17
(Commerce) AND HIGHER SECONDARY 2021
EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
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 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 )
Document printed on Fri Aug 25 2023 11:09:15 GMT+0530 (India Standard Time)