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    Admission Form Academic Year: 2019-20: Graduation

    Uploaded by

    Mahesh Chaurasia
    1. Sarita Vijaybhan Rajbhar is applying for admission to the TY BMS program for the 2019-2020 academic year under the open category as an in-house student. 2. She has completed her first, second, and third semesters of her BMS degree at Siddharth College of Commerce and Economics, obtaining grades of C and percentages between 4.45-4.85. 3. Her personal information, family details, academic performance, extracurricular activities, and declarations are provided.

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    Admission Form Academic Year: 2019-20: Graduation

    Uploaded by

    Mahesh Chaurasia
    86 views3 pages
    1. Sarita Vijaybhan Rajbhar is applying for admission to the TY BMS program for the 2019-2020 academic year under the open category as an in-house student. 2. She has completed her first, second, and third semesters of her BMS degree at Siddharth College of Commerce and Economics, obtaining grades of C and percentages between 4.45-4.85. 3. Her personal information, family details, academic performance, extracurricular activities, and declarations are provided.

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    1. Sarita Vijaybhan Rajbhar is applying for admission to the TY BMS program for the 2019-2020 academic year under the open category as an in-house student. 2. She has completed her first, second, and third semesters of her BMS degree at Siddharth College of Commerce and Economics, obtaining grades of C and percentages between 4.45-4.85. 3. Her personal information, family details, academic performance, extracurricular activities, and declarations are provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    86 views3 pages

    Admission Form Academic Year: 2019-20: Graduation

    Uploaded by

    Mahesh Chaurasia
    1. Sarita Vijaybhan Rajbhar is applying for admission to the TY BMS program for the 2019-2020 academic year under the open category as an in-house student. 2. She has completed her first, second, and third semesters of her BMS degree at Siddharth College of Commerce and Economics, obtaining grades of C and percentages between 4.45-4.85. 3. Her personal information, family details, academic performance, extracurricular activities, and declarations are provided.

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    © All Rights Reserved
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    ADMISSION FORM Academic Year : 2019-20

    Date : 04, Jul 2019 Form No. :3350

    Course & Category


    Course Name : TY BMS Applying Category : OPEN Inhouse Student : yes

    For Office Use Only


    Subject Combination Alloted Signature Of Admitting Authority with date

    Personal Information
    Name as per SSC/HSC board : SARITA VIJAYBHAN RAJBHAR

    First Name Middle Name Last Name Mother Name


    SARITA VIJAYBHAN RAJBHAR MEENADEEVI

    Gender : Female Date of Birth : 16, Oct 1998

    Nationality : Indian Marital Status : Unmarried

    Religion : HINDU Sub-Caste : HINDU

    Domicile (State) : Maharashtra

    Permanent Address Address for Correspondence

    ROHIDAS RAHIVASHI SANGH ROOM NO. ROHIDAS RAHIVASHI SANGH ROOM NO.
    B-147BM MARG ELEPHISTION ROAD B-147BM MARG ELEPHISTION ROAD
    DELISLE ROAD MUMBAI DELISLE ROAD MUMBAI
    Mumbai-400013, Maharashtra Mumbai-400013, Maharashtra

    Mother T ongue : HIND Aadhar No : 811291208744

    Mobile No. : 8291217706 Email Id : saritavrajbhar@gmail.com

    Blood Group : A+ Place of Birth : Mumbai, Maharashtra, India

    ACADEMIC PERFORMANCE

    GRADUATION :
    Degree : Percentage/CGPA : Grade :
    Completed
    Marks Month &
    Percentage / Board /
    Semester Out Grade Year of Name of College
    obtained SGPA University
    Of Passing
    SIDDHARTH COLLAGE
    SEM I 0 0 4.85 C Oct-2017 MUMBAI
    OF COM & ECO.
    SIDDHARTH COLLAGE
    SEM II 0 0 4.45 C Apr-2018 MUMBAI OF COM & ECO.
    SIDDHARTH COLLAGE
    SEM III 0 0 4.60 C Oct-2018 MUMBAI
    OF COM & ECO.
    SIDDHARTH COLLAGE
    SEM IV 0 0 0.00 Apr-2019 MUMBAI
    OF COM & ECO.

    EXTRA CURRICULAR ACTIVITIES


    SPORT S :
    Extra Curriculular Activity :
    OT HER ACT IVIT IES : N.S.S.

    INFORMATION TO BE FILLED BY PARENTS


    Father Mother
    MEENADEEVI VIJAYBHAN
    Name VIJAYBHAN RAJBHAR
    RAJBHAR
    Qualification 10TH 0
    Occupation CONSTUCTION HOUSE WIFE
    Name of
    LODHA
    Organisation
    Designation WORKER
    LODHA THE PARK PB MARG WORLI 400013 Mumbai
    Office Address
    Maharashtra
    Office T el. No.
    Gross Annual
    Income
    Mobile No. 9619343150 9619343150
    T el. No. (Resi.)
    Email ID

    Declaration of the Applicant


    I do understand that I will not be eligible to appear for any semester-end examination if my attendance is less
    than 75% of the working days in each of the two academic semesters as specified by the university Rules
    It will be my duty to produce my identity card whenever I am asked to do so by the college authorities in the
    college premises.
    I will not destroy, damage or misuse any property of the college. However, if I happen to do so, I shall be
    personally liable to the college authorities for any such damage.
    I have carefully read all the rules and regulations of the college as set forth in the college prospectus; and I
    fully and completely agree to abide by them.
    I shall always make it a point to read carefully, the college notice boards everyday.
    As soon as I complete 18 years. I will enrol myself in the voters list.
    I am aware that ragging is banned and shall be considered as serious offence which will attract severe
    punishment according to the UGC Regulation on Curbing the Menace of Ragging in Higher Educational
    Institution 2009
    All the above furnished information is true to the best of my knowledge. If found otherwise, appropriate action
    can be taken.

    Date ______________________________
    04, Jul 2019 Applicant's Signature
    Declaration of the Guardian
    I, the undersigned, Mr./Mrs. VIJAYBHAN RAJBHAR
    Parent/ Guardian of SARITA VIJAYBHAN RAJBHAR
    I have Permitted my ward who is my ................................. to join the college.
    I have carefully read the rules and regulations set forth in the college prospectus; and I am pleased to give my
    assurance that my ward will always strictly abide by them.
    I fully endorse his application and the solemn declaration he has made.
    ______________________________ ______________________________
    Date Parents/Guardian's Signature

    ACKNWLEDGMENT SLIP

    Form No :T YBMS/19-20/3350
    Name : SARIT A VIJAYBHAN RAJBHAR
    Applying Category : OPEN
    Documents Enclosed:
    1. Xerox copy of Marks List
    2. Xerox Copy of Leaving Certificate
    3. Xerox copy of Caste Certificate (If applicable)
    4. Xerox copy of Eligibility Certificate (If applicable)
    ____________
    College Seal

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