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    1. This document is an application form for admission to the B.Com program at Birla College of Arts, Science and Commerce. 2. The applicant is Sanjana Malkar, an 18-year-old Marathi Hindu female from Kalyan, Maharashtra. 3. She is applying as a regular student for the Autonomous B.Com program and has selected her papers for Semester 1 and 2.

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    Application No: Regular

    Uploaded by

    Bussiness Empire
    30 views2 pages
    1. This document is an application form for admission to the B.Com program at Birla College of Arts, Science and Commerce. 2. The applicant is Sanjana Malkar, an 18-year-old Marathi Hindu female from Kalyan, Maharashtra. 3. She is applying as a regular student for the Autonomous B.Com program and has selected her papers for Semester 1 and 2.

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    1. This document is an application form for admission to the B.Com program at Birla College of Arts, Science and Commerce. 2. The applicant is Sanjana Malkar, an 18-year-old Marathi Hindu female from Kalyan, Maharashtra. 3. She is applying as a regular student for the Autonomous B.Com program and has selected her papers for Semester 1 and 2.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views2 pages

    Application No: Regular

    Uploaded by

    Bussiness Empire
    1. This document is an application form for admission to the B.Com program at Birla College of Arts, Science and Commerce. 2. The applicant is Sanjana Malkar, an 18-year-old Marathi Hindu female from Kalyan, Maharashtra. 3. She is applying as a regular student for the Autonomous B.Com program and has selected her papers for Semester 1 and 2.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    For Office Use

    Batch: Scrutiny Payment: Online/DD PI

    Serial:
    Only

    Birla College of Arts, Science and Commerce (23)

    Birla College Road.


    Kalyan
    Application No :

    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

    128354

    Academic Year: 2022-2023 Regular


    APPLICATION FORM

    Course Applied for : B.Com. (A.and F.)(Autonomous)(with Credits) - Regular - CBCS - F.Y. B.Com. (A. PRN:
    and F.)(Autonomous) Sem I 
    (-)

    Application Date : 12/06/2022 Payment Category :


    1.Personal Information
    Candidate's Name(Regional) : मालकर संजना संजय
    MALKAR SANJANA SANJAY
    Candidate's Name as printed on
    [*This name will appear on all University

    Mark sheet :
    records/documents]

    Father's/Husband's Name : SANJAY Mother's Name : SAMITA


    Marital Status : UnMarried Mother Tongue : Marathi
    Place Of Birth : Savantwadi Gender : Female Date of Birth (DD/MM/YYYY) : 24/08/2004
    Blood Group : Religion : Hindu Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    City/Town/Village :
    State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
    KALYAN
    Address (House
    SHRIRAM COLONY MILIND NAGAR CHAWL NO 1 ROOM NO 05 KALYAN
    no,street/area/suburb Pin Code : 421301
    WEST
    etc.) :
    Permanent Address :
    City/Town/Village :
    State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
    KALYAN
    SHRIRAM COLONY MILIND NAGAR CHAWL NO 1 ROOM NO 05 KALYAN
    Address : Pin Code : 421301
    WEST
    Contact details
    Mobile
    9321700746 Email ID: [email protected]
    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 I
    AF1001 - Paper 1 AF1002 - Paper 2
    AF1003 - Paper 3 AF1004 - Paper 4
    Sem II

    AF2001 - Paper 1 AF2002 - Paper 2


    AF2003 - Paper 3 AF2004 - Paper 4
    Medium of Instruction : English
    4.Guardian Information
    Occupation of Guardian : Laborer Annual Income of Guardian : 0
    5.Educational Details
    Month
    Name of Name of Board/University Name of and Exam Certificate Mark Out
    CGPA %
    Examination and State of University School/College Year of Seat No. No. Obtained of
    Passing
    MAHARASHTRA STATE
    BOARD OF SECONDARY AND LATE BHAURAO
    Std 10th July 2020 A066357 -- 421.00 500.00 --
    -
    -- 84.20
    HIGHER SECONDARY POTE VIDYALAYA
    EDUCATION,Maharashtra
    MAHARASHTRA STATE BK BIRLA
    Std 12th BOARD OF SECONDARY AND COLLEGE OF June
    M171690 -- 395.00 600.00 --
    -
    -- 65.83
    Commerce HIGHER SECONDARY ARTS COMMERCE 2022
    EDUCATION,Maharashtra AND SCIENCE
    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 :128354
    (MALKAR SANJANA SANJAY)
    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: INR Receipt No.: Date:
    Registrar/Office
    Superintendent
    Document printed on Sun Jun 12 2022 12:57:53 GMT+0530 (India Standard Time)

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