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    Krupa

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    Amit Gawli

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    © All Rights Reserved
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    Krupa

    Uploaded by

    Amit Gawli
    5 views2 pages

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    krupa

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    Krupa

    Uploaded by

    Amit Gawli

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    of 2

    12/01/2023, 20:22 about:blank

    For Office Use


    Batch: Scrutiny Payment: Online/DD PI

    Only Serial:

    Janardan Bhagat Shikshan Prasarak Sansthas Bhagubai Changu Thakur College of Application No
    Law, New Panvel (803)
    :
    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    2914146
    Academic Year: 2022-2023 Regular
    APPLICATION FORM

    Course Applied for : L.L.B. 3 Years(with Credits) - Regular - Revised Pattern (L.L.B.) - S.Y. L.L.B. Sem III (-) PRN:2018016401094395

    Application Date : 12/01/2023 Payment Category : 25


    1.Personal Information
    Candidate's Name(Regional) :
    Candidate's Name as printed on Mark CHAVAN KRUPA VISHWAS
    sheet : [*This name will appear on all University records/documents]
    Father's/Husband's Name : VISHWAS Mother's Name : POOJA
    Marital Status : UnMarried Mother Tongue :
    Place Of Birth : Panvel Gender : Female Date of Birth (DD/MM/YYYY) : 14/02/2000
    Blood Group : Religion : Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    Location Area : Not
    State : Maharashtra District : Raigad Tehsil : Panvel City/Town/Village :
    Available
    Address (House
    A/45/3 sector no.13 new panvel Pin Code : 410206
    no,street/area/suburb etc.) :
    Contact details
    Mobile Number 919819600335 Email ID: chavan.krupa15@gmail.com
    2.Legal Reservation Information
    Category Type :
    Category : OBC
    Reserved
    Is Guardian from EBC (Economic Backward
    Is Specially Abled? No
    Class)? No
    3.Social Information(Additional Inforamtion)
    Not Applicable
    Paper Selected for:
    Sem III
    L32001 - Administrative Law_ L32002 - Family Law - II
    L32003 - Transfer of Property Act and Easement Act_ L32004 - Company Law_
    L32005 - Practical Training- II
    Sem IV

    L32005 - Jurisprudence_ L32006 - Contract - II


    L32007 - Land Laws_ L32008 - D.P.C.- II
    L32009.2 - Criminology and Correctional Administration

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Retired Annual Income of Guardian : 60000
    5.Educational Details

    about:blank 1/2
    12/01/2023, 20:22 about:blank

    Month and Exam


    Name of Name of Board/University and State of Name of Certificate Mark
    Year of Seat Out of CGPA %
    Examination University School/College No. Obtained
    Passing No.
    MAHARASHTRA STATE BOARD OF
    Std 10th SECONDARY AND HIGHER March 2016 -- -- 313.00 500.00 -- - -- 62.60
    SECONDARY EDUCATION,
    MAHARASHTRA STATE BOARD OF
    Std 12th 12Th
    SECONDARY AND HIGHER May 2018 -- -- 416.00 650.00 -- - -- 64.00
    (Arts)
    SECONDARY EDUCATION,
    Your Last Qualifying Exam:
    7.Other Information
    Would you like to apply for Hostel accommodation required NA
    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 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 )
    Document printed on Thu Jan 12 2023 20:22:40 GMT+0530 (India Standard Time)

    about:blank 2/2

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