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    Application No: Regular

    Uploaded by

    Shubham Bangar
    This document is an application form for admission to the B.Com program at G. R. Patil College of Arts, Science and Commerce. The summary is: 1. The application is for Abhishek Bibishan Pawar to enroll in the B.Com program for the academic year 2023-2024. 2. Biographical and contact information is provided for Abhishek, including his address, date of birth, family details, and academic qualifications. 3. Details of the B.Com course and subjects applied for are listed, along with a declaration by Abhishek that the application information is true and complete.

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    Application No: Regular

    Uploaded by

    Shubham Bangar
    56 views2 pages
    This document is an application form for admission to the B.Com program at G. R. Patil College of Arts, Science and Commerce. The summary is: 1. The application is for Abhishek Bibishan Pawar to enroll in the B.Com program for the academic year 2023-2024. 2. Biographical and contact information is provided for Abhishek, including his address, date of birth, family details, and academic qualifications. 3. Details of the B.Com course and subjects applied for are listed, along with a declaration by Abhishek that the application information is true and complete.

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    This document is an application form for admission to the B.Com program at G. R. Patil College of Arts, Science and Commerce. The summary is: 1. The application is for Abhishek Bibishan Pawar to enroll in the B.Com program for the academic year 2023-2024. 2. Biographical and contact information is provided for Abhishek, including his address, date of birth, family details, and academic qualifications. 3. Details of the B.Com course and subjects applied for are listed, along with a declaration by Abhishek that the application information is true and complete.

    Copyright:

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

    Application No: Regular

    Uploaded by

    Shubham Bangar
    This document is an application form for admission to the B.Com program at G. R. Patil College of Arts, Science and Commerce. The summary is: 1. The application is for Abhishek Bibishan Pawar to enroll in the B.Com program for the academic year 2023-2024. 2. Biographical and contact information is provided for Abhishek, including his address, date of birth, family details, and academic qualifications. 3. Details of the B.Com course and subjects applied for are listed, along with a declaration by Abhishek that the application information is true and complete.

    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

    G. R. Patil College of Arts, Science and Commerce (727)


    Near DNS Bank, Kalyan- Shil Road, Sonarpada. Kalyan Application No :
    University of Mumbai 1790602
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    Academic Year: 2023-2024 Regular
    APPLICATION FORM

    Course Applied for : B.Com.(with Credits) - Regular - Rev16 - F.Y.


    PRN:
    B.Com. Sem I  (22300001)

    Application Date : 21/06/2023 Payment Category :


    1.Personal Information
    Candidate's Name(Regional) : अभिषेक बिबिषण पवार
    Candidate's Name as printed PAWAR ABHISHEK BIBISHAN
    on Mark sheet : [*This name will appear on all University records/documents]
    Mother's
    Father's/Husband's Name : BIBISHAN JAISHI
    Name :
    Mother
    Marital Status : UnMarried Marathi
    Tongue :
    Place Of Birth : Sundarwadi Gender : Male Date of Birth (DD/MM/YYYY) : 23/09/2005
    Blood Group : Religion : Hindu Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    City/Town/Village : Location Area :
    State : Maharashtra District : Thane Tehsil : Kalyan
    Dombivali Semiurban
    Address (House
    no,street/area/suburb Room No. 103 Kalyan Shil Road Pin Code : 421204
    etc.) :
    Permanent Address :
    City/Town/Village : Location Area :
    State : Maharashtra District : Thane Tehsil : Kalyan
    Dombivali Semiurban
    Address : Room No. 103 Kalyan Shil Road Pin Code : 421204
    Contact details
    Mobile
    8097153367 Email ID: shubhambangar569@gmail.com
    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
    UBCOMFSI.1 - Accountancy and Financial Management I UBCOMFSI.2 - Commerce I
    UBCOMFSI.3 - Business Economics I UBCOMFSI.4 - Business Communication I
    UBCOMFSI.5 - Environmental Studies I UBCOMFSI.7 - Mathematical and Statistical Techniques I
    UBCOMFSI.6.1 - Foundation Course I
    Sem II

    UBCOMFSII.1 - Accountancy and Financial Management II UBCOMFSII.2 - Commerce II


    UBCOMFSII.3 - Business Economics II UBCOMFSII.4 - Business Communication II
    UBCOMFSII.5 - Environmental Studies II UBCOMFSII.7 - Mathematical and Statistical Techniques II
    UBCOMFSII.6.1 - Foundation Course II

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Service Annual Income of Guardian : 89000
    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 CHANAGULE June
    Std 10th A047735 S214101153 328.00 500.00 -- - -- 65.60
    HIGHER SECONDARY VIDYALAYA 2021
    EDUCATION,Maharashtra
    MAHARASHTRA STATE
    Std 12th BOARD OF SECONDARY AND May
    KR KOTKAR M179568 H1234072671 407.00 600.00 -- - -- 67.83
    Commerce HIGHER SECONDARY 2023
    EDUCATION,Maharashtra
    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.

    Birth Certificate.

    Father’s Income certificate from Tahsildar.

    Passing Certificate of Std. 10th.

    Passing Certificate of Std. 12th/Statement of Marks of std.12th.

    School/College 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 :1790602
    (PAWAR ABHISHEK BIBISHAN) 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 Mon Aug 07 2023 11:23:54 GMT+0530 (India Standard Time)

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