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Application
Bhavans College OR Bhartiya Vidya Bhavans M. M. College of Arts, N.M. Institute of Science and H.R.J. No :
College of Commerce (115)
Munshi Nagar.Andheri
Academic Year: 2019-2020
1117746
Regular

Course Applied for : B.Sc. Biotechnology(with Credits) - Regular - Rev16 - F.Y. B.Sc. (Biotechnology) Sem
PRN:
I (-)

Application Date : 11/06/2019

1.Personal Information
Candidate's Name(Regional) : खेडेकर ऋतुजा राज

KHEDEKAR RUTUJA RAJENDRA

Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : RAJENDRA KHEDEKAR Mother's Name : NEHA
Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : KHED Gender : Female Date of Birth (DD/MM/YYYY) : 01/02/2002
Blood Group : Religion : Hindu Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Kurla
Suburban MUMBAI Semiurban
Address (House
no,street/area/suburb A/2 ASALPHA NIWARA HOU.SOC. GHATKOPAR ASALPHA VILLAGE Pin Code : 400084
etc.) :
Permanent Address :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Kurla
Suburban MUMBAI Semiurban
Address : A/2 ASALPHA NIWARA HOU.SOC. GHATKOPAR ASALPHA VILLAGE Pin Code : 400084
Contact details
Mobile
9892090544 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type : Reserved Category : NT-1 (NT-B)
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem I
USBT107 - Societal Awareness USBT101 - Basic Chemistry I
 USBT102 - Basic Chemistry II USBTP101 - Practicals of USBT101 and USBT102
USBT103 - Basic Life Sciences I: Biodiversity and Cell Biology USBT104 - Basic Life Sciences II: Microbial Techniques
USBTP102 - Practicals of USBT103 and USBT104 USBT105 - Basic Biotechnology I: Introduction to
USBT106 - Basic Biotechnology II: Molecular Biology Biotechnology
USBTP103 - Practicals of USBT105 and USBT106

Sem II

USBT207 - Globalization, Ecology and Sustainable USBT201 - Chemistry I: Bioorganic Chemistry

Development USBT202 - Chemistry II: Physical Chemistry
USBT203 - Life Sciences I: Physiology and Ecology USBTP201 - Practicals of USBT201 and USBT202
USBTP202 - Practicals of USBT203 and USBT204 USBT204 - Life Sciences II: Genetics
USBT206 - Biotechnology II: Enzymology, Immunology and USBT205 - Biotechnology I: Tissue Culture & Scientific
Biostatistics Writing and Communication Skills
USBTP203 - Practicals of USBT205 and USBT206

Medium of Instruction : English

Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th.
Passing Certificate of Std 10th.
Leaving Certificate.
Certificate of Caste with Category.
Non Creamy Layer Certificate.
Domicile Certificate.
Birth Certificate.
Passing Certificate of Std. 10th.
Passing Certificate of Std. 12th/Statement of Marks of std.12th.
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 600000
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 BOARD
ST. MARY'S
OF SECONDARY AND HIGHER March
Std 10th MALANKARA A331374 -- 402.00 500.00 -- - -- 80.40
SECONDARY 2017
HIGH SCHOOL
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER BHAVAN'S February
M068340 -- 412.00 650.00 -- - -- 63.38
Science SECONDARY COLLEGE 2019
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Science]
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 Application No :1117746
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: Rs. Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Tue Jun 11 2019 23:23:46 GMT+0530 (IST)