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Batch: Scrutiny Payment: Online/DD PI
Serial:
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Wilson College (369)
At Post Girgaon, Chowpatty Seaface Road.
Mumbai
Application No :
University of Mumbai
[Link], Fort, Mumbai-400032, Maharashtra(India)
951772
Academic Year: 2022-2023 Regular
APPLICATION FORM
Course Applied for : B.M.S.(Autonomous)(with Credits) - Regular - CBCS - F.Y. B.M.S.(Autonomous) PRN:
Sem I
(-)
Application Date : 19/06/2022 Payment Category :
[Link] Information
Candidate's Name(Regional) : रघतवान पवन अशोक
RAGHATWAN PAWAN ASHOK
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : ASHOK Mother's Name : ALKA
Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : AMBERNATH Gender : Male Date of Birth (DD/MM/YYYY) : 08/07/2004
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
no,street/area/suburb ROOM NO 2 B -7 EVEREST NAGAR BETURKAR PADA KALYAN WEST Pin Code : 421301
etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
KALYAN
Address : ROOM NO 2 B -7 EVEREST NAGAR BETURKAR PADA KALYAN WEST Pin Code : 421301
Contact details
Mobile
9987231501 Email ID: pawan.raghatwan2004@[Link]
Number
[Link] Reservation Information
Category Type :
Category : ST Sub Category : KOLI MAHADEV
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
[Link] Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
BMS1001 - Paper 1 BMS1002 - Paper 2
BMS1003 - Paper 3 BMS1004 - Paper 4
Sem II
BMS2001 - Paper 1 BMS2002 - Paper 2
BMS2003 - Paper 3 BMS2004 - Paper 4
Medium of Instruction : English
[Link] Information
Occupation of Guardian : Service Annual Income of Guardian : 400000
[Link] 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 MOHINDAR
BOARD OF SECONDARY AND SINGH KABAL March
Std 10th A064883 -- 375.00 500.00 --
-
-- 75.00
HIGHER SECONDARY SINGH SCHOOL 2020
EDUCATION,Maharashtra KALYAN
MAHARASHTRA STATE
B K BIRLA
Std 12th BOARD OF SECONDARY AND March
COLLEGE M171127 -- 336.00 600.00 --
-
-- 56.00
Commerce HIGHER SECONDARY 2022
KALYAN WEST
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
[Link] 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.
Certificate of Caste with Category.
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 :951772
(RAGHATWAN PAWAN ASHOK)
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 19 2022 20:33:41 GMT+0530 (India Standard Time)