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[STUDENT COPY]

Application form Printout

Viva College of Arts, Commerce and Science

Ram Mandir Road, M. B. Estate., Virar (W)

B.Com.(with Credits) - Regular - CGPA 2011 - F.Y.B.Com. F.Y. B.Com. Sem. I (Medium - English)
1. Personal Information Name of Applicant: Father's/Husband's Name (Middle Name): Date of Birth: Place of Birth: Address for Correspondence: Contact Number: Social Reservation Information of Applicant: 2. Papers Selected for : F.Y.B.Com. [ UBCOMFSI.1 ] Accountancy and Financial Management - I [ UBCOMFSI.4 ] Business Communication - I [ UBCOMFSI.7 ] Social Awareness, Personality Development & Current Affairs - I (F.C.-I) 3. Educational Details Section Name of Examination 10th Name of Board/University MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION School Name M.G.M HIGH SCHOOL SADAPHULE MRUDULA MARUTI MARUTI 04 Aug 1995 MUMBAI Gender:

Application Form 322981

Mother's First name: Female Marital Status: Mobile Numbers: 8655883427

SHARMILA UnMarried

101/102 A WING, NAV NISHIGANDHA APT. MANVEL PADA RD, VIRAR EAST, City: VIRAR, Taluka: Vasai, District: Thane, State: Maharashtra, Country: India, Pin: 401305 Not Available Email-Id: [email protected]

[ UBCOMFSI.2 ] Commerce - I (Business Development) [ UBCOMFSI.5 ] Environmental Studies - I

[ UBCOMFSI.3 ] Business Economics - I [ UBCOMFSI.6 ] Mathematical and Statistical Techniques -I

Date of Passing Mar 2011

Grade/Total Marks Seat Number Obtained 415/550 E124179

Qualifying Exam

12th

VIVA COLLEGE

May 2013

406/600

M155109

4. Required Documents and Certificates Section (Please tick mark the document that you have attached to this form) Passing Certificate of Std 10th. Leaving Certificate. 5. Declaration by Applicant
I hereby declare and agree that, 1. This Application mostly include all the major Courses and Colleges of the University. However, if the Courses and Colleges of the University are not listed in the application, then it is my responsibility to contact the College separately for applying for the Courses that are not listed. 2. I know, University may add affiliation to new Colleges or affiliate new Course to existing Colleges after my application. It will be notified through a Corrigendum on portal. It is my responsibility to check the same regularly and apply for the newly added Course/College, if interested. 3. I have read the rules related to admission and the information filled in by me in this form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and understand that, in the absence of any document, the final admission will not be granted and/or admission will stand cancelled.

Passing Certificate of Std 12th / Statement of Marks of Std 12th.

6. Declaration by Applicant
I SADAPHULE MRUDULA MARUTI:Application Form 322981hereby declare and agree that, 1. The information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. 2. I have read the rules related to the admission and will be responsible for any discrepancy arising out of the form signed by me and understand that, in absence of any document, the final admission will not be granted and /or admission will stand cancelled. 3. I am aware of the Anti Ragging Act and Guidelines Against Sexual Harassment. If found guilty of ragging and/or sexual harassment, I shall be liable for punishment according to the University regulations. 4. I shall refrain from engaging in any behavior or activity that is prohibited as per the University regulations. 5. I also understand that the applicable reservation rules for eligibility of admission in any course/ program shall be as per the prevailing guidelines of the Government of Gujarat. 6. I will undergo Thalassemia Test before the First Semester Examination.

I am aware of the Anti Ragging Act and I state that I will abide by all the rules and regulation of the said Act. Place : Date : 6. Declaration by Guardian I have permitted my son/daughter/ward to apply for your college. The information supplied by him/her is correct to the best of my knowledge.I have acquainted myself with the rules and fees, dues to my son/daughter/ward and to see that he/she observes. Place : Date : Signature of the Guardian: Special Instructions to the Candidate:
CA NDIDA TE MUST CA RRY TWO COPIES OF THIS PRINTOUT OF HIS/HER 'A PPLICA TION FORM' A T THE TIME OF ENTRA NCE TEST/MERIT BA SED A DMISSION, WITH IDENTICA L PHOTOGRA PH PA STED A T THE A PPROPRIA TE PLA CE ON ONE COPY, A LONG WITH SELF-A TTESTED COPIES OF A LL REQUIRED DOCUMENTS. CA NDIDA TE MUST SIGN A CROSS THE PHOTOGRA PH, PA RTLY ON THE PHOTOGRA PH A ND PA RTLY OUTSIDE, A T THE TIME OF HA NDING OVER THE FORM. Completing the online application form does not guarantee admission into that particular Course/Program.A ll admissions are through Entrance Test/Merit as per the requirement of the program and Faculty norms. See Faculty Prospectus for the same.

Signature of the Applicant:

mum.digitaluniversity.ac/OnlineAdmissions/PrintApplication.html?isIDOL=ONLINEADMISSION&isMSUB=NotMSUB&isExtMoLrn=1&CollegeName=Viva

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7. For College/Institute Use Only Designation Admission Clerk Admission Committee Accountant/Cashier Cash Received: Rs. Registrar/Office Superintendent

Application form Printout

Receipt No.:

mum.digitaluniversity.ac/OnlineAdmissions/PrintApplication.html?isIDOL=ONLINEADMISSION&isMSUB=NotMSUB&isExtMoLrn=1&CollegeName=Viva

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[SUBMISSION COPY]

Application form Printout

Viva College of Arts, Commerce and Science

Ram Mandir Road, M. B. Estate., Virar (W)

B.Com.(with Credits) - Regular - CGPA 2011 - F.Y.B.Com. F.Y. B.Com. Sem. I (Medium - English)
1. Personal Information Name of Applicant: Father's/Husband's Name (Middle Name): Date of Birth: Place of Birth: Address for Correspondence: Contact Number: Social Reservation Information of Applicant: 2. Papers Selected for : F.Y.B.Com. [ UBCOMFSI.1 ] Accountancy and Financial Management - I [ UBCOMFSI.4 ] Business Communication - I [ UBCOMFSI.7 ] Social Awareness, Personality Development & Current Affairs - I (F.C.-I) 3. Educational Details Section Name of Examination 10th Name of Board/University MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION School Name M.G.M HIGH SCHOOL SADAPHULE MRUDULA MARUTI MARUTI 04 Aug 1995 MUMBAI Gender:

Application Form 322981

Mother's First name: Female Marital Status: Mobile Numbers: 8655883427

SHARMILA UnMarried

101/102 A WING, NAV NISHIGANDHA APT. MANVEL PADA RD, VIRAR EAST, City: VIRAR, Taluka: Vasai, District: Thane, State: Maharashtra, Country: India, Pin: 401305 Not Available Email-Id: [email protected]

[ UBCOMFSI.2 ] Commerce - I (Business Development) [ UBCOMFSI.5 ] Environmental Studies - I

[ UBCOMFSI.3 ] Business Economics - I [ UBCOMFSI.6 ] Mathematical and Statistical Techniques -I

Date of Passing Mar 2011

Grade/Total Marks Seat Number Obtained 415/550 E124179

Qualifying Exam

12th

VIVA COLLEGE

May 2013

406/600

M155109

4. Required Documents and Certificates Section (Please tick mark the document that you have attached to this form) Passing Certificate of Std 10th. Leaving Certificate. 5. Declaration by Applicant
I hereby declare and agree that, 1. This Application mostly include all the major Courses and Colleges of the University. However, if the Courses and Colleges of the University are not listed in the application, then it is my responsibility to contact the College separately for applying for the Courses that are not listed. 2. I know, University may add affiliation to new Colleges or affiliate new Course to existing Colleges after my application. It will be notified through a Corrigendum on portal. It is my responsibility to check the same regularly and apply for the newly added Course/College, if interested. 3. I have read the rules related to admission and the information filled in by me in this form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and understand that, in the absence of any document, the final admission will not be granted and/or admission will stand cancelled.

Passing Certificate of Std 12th / Statement of Marks of Std 12th.

6. Declaration by Applicant
I SADAPHULE MRUDULA MARUTI:Application Form 322981hereby declare and agree that, 1. The information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. 2. I have read the rules related to the admission and will be responsible for any discrepancy arising out of the form signed by me and understand that, in absence of any document, the final admission will not be granted and /or admission will stand cancelled. 3. I am aware of the Anti Ragging Act and Guidelines Against Sexual Harassment. If found guilty of ragging and/or sexual harassment, I shall be liable for punishment according to the University regulations. 4. I shall refrain from engaging in any behavior or activity that is prohibited as per the University regulations. 5. I also understand that the applicable reservation rules for eligibility of admission in any course/ program shall be as per the prevailing guidelines of the Government of Gujarat. 6. I will undergo Thalassemia Test before the First Semester Examination.

I am aware of the Anti Ragging Act and I state that I will abide by all the rules and regulation of the said Act. Place : Date : 6. Declaration by Guardian I have permitted my son/daughter/ward to apply for your college. The information supplied by him/her is correct to the best of my knowledge.I have acquainted myself with the rules and fees, dues to my son/daughter/ward and to see that he/she observes. Place : Date : Signature of the Guardian: Special Instructions to the Candidate:
CA NDIDA TE MUST CA RRY TWO COPIES OF THIS PRINTOUT OF HIS/HER 'A PPLICA TION FORM' A T THE TIME OF ENTRA NCE TEST/MERIT BA SED A DMISSION, WITH IDENTICA L PHOTOGRA PH PA STED A T THE A PPROPRIA TE PLA CE ON ONE COPY, A LONG WITH SELF-A TTESTED COPIES OF A LL REQUIRED DOCUMENTS. CA NDIDA TE MUST SIGN A CROSS THE PHOTOGRA PH, PA RTLY ON THE PHOTOGRA PH A ND PA RTLY OUTSIDE, A T THE TIME OF HA NDING OVER THE FORM. Completing the online application form does not guarantee admission into that particular Course/Program.A ll admissions are through Entrance Test/Merit as per the requirement of the program and Faculty norms. See Faculty Prospectus for the same.

Signature of the Applicant:

mum.digitaluniversity.ac/OnlineAdmissions/PrintApplication.html?isIDOL=ONLINEADMISSION&isMSUB=NotMSUB&isExtMoLrn=1&CollegeName=Viva

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7. For College/Institute Use Only Designation Admission Clerk Admission Committee Accountant/Cashier Cash Received: Rs. Registrar/Office Superintendent

Application form Printout

Receipt No.:

Acknowledgement Name of College : Viva College of Arts, Commerce and Science Admission Form Number : 322981 Date : Name of Applicant : SADAPHULE MRUDULA MARUTI Signature of receiving authority :

mum.digitaluniversity.ac/OnlineAdmissions/PrintApplication.html?isIDOL=ONLINEADMISSION&isMSUB=NotMSUB&isExtMoLrn=1&CollegeName=Viva

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