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    Vikas

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    animationgod800
    This document is an application form for a B.Sc. (I.T.) course. It contains information about the applicant Suraj Jadhav such as his personal details, family background, educational qualifications, preferred subjects, and a declaration agreeing to university regulations regarding ragging and sexual harassment. The form requests documents like birth certificate, marksheets, leaving certificates to be submitted. It is filled for the academic year 2022-2023 at Vikas College of Arts, Science and Commerce affiliated to the University of Mumbai.

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    Vikas

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    animationgod800
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    This document is an application form for a B.Sc. (I.T.) course. It contains information about the applicant Suraj Jadhav such as his personal details, family background, educational qualifications, preferred subjects, and a declaration agreeing to university regulations regarding ragging and sexual harassment. The form requests documents like birth certificate, marksheets, leaving certificates to be submitted. It is filled for the academic year 2022-2023 at Vikas College of Arts, Science and Commerce affiliated to the University of Mumbai.

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    Vikas

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    vikas

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    This document is an application form for a B.Sc. (I.T.) course. It contains information about the applicant Suraj Jadhav such as his personal details, family background, educational qualifications, preferred subjects, and a declaration agreeing to university regulations regarding ragging and sexual harassment. The form requests documents like birth certificate, marksheets, leaving certificates to be submitted. It is filled for the academic year 2022-2023 at Vikas College of Arts, Science and Commerce affiliated to the University of Mumbai.

    Copyright:

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

    Vikas

    Uploaded by

    animationgod800
    This document is an application form for a B.Sc. (I.T.) course. It contains information about the applicant Suraj Jadhav such as his personal details, family background, educational qualifications, preferred subjects, and a declaration agreeing to university regulations regarding ragging and sexual harassment. The form requests documents like birth certificate, marksheets, leaving certificates to be submitted. It is filled for the academic year 2022-2023 at Vikas College of Arts, Science and Commerce affiliated to the University of Mumbai.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    For Office Use

    Batch: Scrutiny Payment: Online/DD PI

    Serial:
    Only

    Vikas College of Arts, Science and Commerce (562)


    Kannamwar Nagar-2. Kurla Application No :
    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    1283320
    Academic Year: 2022-2023 Regular
    APPLICATION FORM

    Course Applied for : B.Sc. (I.T.)(with Credits) - Regular - Rev16 - F.Y. B.Sc. (I.T.) Sem I (42300003) PRN:
    Application Date : 21/06/2022 Payment Category :
    1.Personal Information
    Candidate's Name(Regional) : सूरज जाधव
    SURAJ JADHAV
    Candidate's Name as printed on
    [*This name will appear on all University
    Mark sheet :
    records/documents]
    Father's/Husband's Name : PRADIP Mother's Name : SARIKA
    Marital Status : UnMarried Mother Tongue : Marathi
    Place Of Birth : Chakan Pune Gender : Male Date of Birth (DD/MM/YYYY) : 17/04/2005
    Blood Group : BPositive Religion : Hindu Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    City/Town/Village :
    State : Maharashtra District : Mumbai City Tehsil : Mumbai Location Area : Urban
    Ghatkopar
    Address (House
    no,street/area/suburb 06 Golibar Road Mumbai Pin Code : 400086
    etc.) :
    Permanent Address :
    City/Town/Village :
    State : Maharashtra District : Mumbai City Tehsil : Mumbai Location Area : Urban
    Ghatkopar
    Address : 06 Golibar Road Mumbai Pin Code : 400086
    Contact details
    Mobile Number 7718932961 Email ID: surajpjadhav800@gmail.com
    Area STD Code 022 Land Line No 022
    2.Legal Reservation Information
    Category Type :
    Category : GEN Is EWS? : Yes
    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
    USIT101 - Imperative Programming USIT102 - Digital Electronics
    USIT103 - Operating Systems USIT104 - Discrete Mathematics
    USIT105 - Communications Skills USIT1P1 - Imperative Programming Practical
    USIT1P2 - Digital Electronics Practical USIT1P3 - Operating Systeams Practical
    USIT1P4 - Discrete Mathematics Practical USIT1P5 - Communications Skills Practical
    Sem II

    USIT201 - Object oriented programming USIT202 - Microprocessor Architecture


    USIT203 - Web Programming USIT204 - Numerical and Statistical Methods
    USIT205 - Green Computing USIT2P1 - Object Oriented Programming Practical
    USIT2P2 - Microprocessor Architecture Practical USIT2P3 - Web Programming Practical
    USIT2P4 - Numerical and Statistical Methods Practical USIT2P5 - Green Computing Practical

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Business Annual Income of Guardian : 50000
    5.Educational Details
    Month
    Name of Name of Board/University and Name of and Year Exam Certificate Mark Out
    CGPA %
    Examination State of University School/College of Seat No. No. Obtained of
    Passing
    MAHARASHTRA STATE BOARD
    OF SECONDARY AND HIGHER June
    Std 10th RJ COLLEGE A367362 368526 449.00 500.00 -- - -- 89.80
    SECONDARY 2020
    EDUCATION,Maharashtra
    MAHARASHTRA STATE BOARD
    Std 12th OF SECONDARY AND HIGHER June
    RJ COLLEGE M092444 -- 287.00 600.00 -- - -- 47.83
    Science SECONDARY 2022
    EDUCATION,Maharashtra
    Your Last Qualifying Exam: HSC/Std 12th [Science]
    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.

    Statement of Marks of Std 10th.

    Birth Certificate.

    Original Statement of Marks for std. 12th.

    Passing Certificate of Std. 10th.

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

    School/College Leaving Certificate.

    Statement of Marks of Std. 10th.

    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 :1283320
    (SURAJ JADHAV) 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 Fri Jul 01 2022 10:51:18 GMT+0530 (India Standard Time)

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