Lalit
Lalit
Lalit
Only Serial:
Chikitsak Samuhas S.S. And L.S.Patkar College of Arts And Science, V.P. Varde College of Commerce Application No
and Economics (156)
S. V. Road. Boriwali :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1778833
Academic Year: 2023-2024 Regular
APPLICATION FORM
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 :1778833
(GUPTA ADITYA RAMASHANKAR) 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 Wed Jun 21 2023 16:44:02 GMT+0530 (India Standard Time)