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  • AVESH

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    AVESH

    Uploaded by

    nishaya

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    © All Rights Reserved
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    of 2

    13/09/2023, 10:22 about:blank

    For Office Use


    Batch: Scrutiny Payment: Online/DD PI

    Only Serial:

    St. JOHN COLLEGE OF HUMANITIES AND SCIENCES (1055) Application No


    ST JOHN TECHNICAL COMPLEX, VEVOOR, MANOR ROAD, PALGHAR (E), DIST. PALGHAR, MAHARASHTRA
    -401404. Palghar :
    University of Mumbai
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    2857750
    Academic Year: 2023-2024 Regular
    APPLICATION FORM

    Course Applied for : B.Sc. Computer Science(with Credits) - Regular - Rev21 -


    F.Y. B.Sc. CS Sem I (-)
    ABC ID: 449-763-482-405 PRN:

    Application Date : 13/09/2023 Payment Category :


    1.Personal Information

    Candidate's Name(Regional) : पटेल मोहम्मद आवेश सईद


    Candidate's Name as printed on PATEL MOHAMMAD AVESH SAEED
    Mark sheet : [*This name will appear on all University records/documents]
    Father's/Husband's Name : SAEED Mother's Name : FOUZIYA
    Marital Status : UnMarried Mother Tongue : Hindi
    Place Of Birth : DAHANU Gender : Male Date of Birth (DD/MM/YYYY) : 06/09/2005
    Blood Group : Religion : Muslim Country of Citizenship : India
    Is Student NRI/ Foreign National : No Domicile State: Maharashtra
    Address For Correspondence :
    State : Maharashtra District : Palghar Tehsil : Dahanu City/Town/Village : Dahanu Location Area : Semiurban
    Address (House
    Dahanu Gaon Bandar Road Dahanu Pin Code : 401601
    no,street/area/suburb etc.) :
    Permanent Address :
    State : Maharashtra District : Palghar Tehsil : Dahanu City/Town/Village : Dahanu Location Area : Semiurban
    Address : Dahanu Gaon Bandar Road Dahanu Pin Code : 401601
    Contact details
    Mobile Number 7378638606 Email ID: aveshpatel83@gmail.com
    2.Legal Reservation Information
    Category Type : Open Category : GEN
    Is Guardian from EBC (Economic Backward
    Is Specially Abled? No
    Class)? No
    3.Social Information(Additional Inforamtion)
    Not Applicable
    Paper Selected for:
    Sem I
    USCS101 - Digital Systems & Architecture USCS102 - Introduction to Programming with Python
    USCS103 - LINUX Operating System USCS104 - Open Source Technologies
    USCS105 - Discrete Mathematics USCS106 - Descriptive Statistics
    USCSP101 - Digital Systems & Architecture – Practical USCSP102 - Introduction to Programming with Python – Practical
    USCSP103 - LINUX Operating System – Practical USCSP104 - Open Source Technologies – Practical
    USCSP105 - Discrete Mathematics – Practical USCSP106 - Descriptive Statistics – Practical
    USCS107 - Soft Skills
    Sem II

    USCS201 - Design & Analysis of Algorithms USCS202 - Advanced Python Programming


    USCS203 - Introduction to OOPs using C++ USCS204 - Database Systems
    USCS205 - Calculus USCS206 - Statistical Methods
    USCSP201 - Design & Analysis of Algorithms – Practical USCSP202 - Advanced Python Programming – Practical
    USCSP203 - Introduction to OOPs using C++ – Practical USCSP204 - Database Systems – Practical
    USCSP205 - Calculus – Practical USCSP206 - Statistical Methods – Practical
    USCS207 - E-Commerce & Digital Marketing

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Business Annual Income of Guardian : 160000

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    13/09/2023, 10:22 about:blank

    5.Educational Details
    Month and
    Name of Name of Board/University and State of Name of Exam Certificate Mark
    Year of Out of CGPA %
    Examination University School/College Seat No. No. Obtained
    Passing
    MAHARASHTRA STATE BOARD OF
    SECONDARY AND HIGHER ST MARYS
    Std 10th July 2021 A133736 176627 282.00 500.00 -- - -- 56.40
    SECONDARY HIGH SCHOOL
    EDUCATION,Maharashtra
    MAHARASHTRA STATE BOARD OF
    Std 12th SECONDARY AND HIGHER ST JOHN JR February
    M040530 152793 311.00 600.00 -- - -- 51.83
    Science SECONDARY COLLEGE 2023
    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.

    Original Statement of Marks for std. 12th.

    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 :2857750 (PATEL MOHAMMAD AVESH SAEED) 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 Remarks / Particulars / Recommendations Signature and Date
    Admission Clerk
    Admission
    Committee
    Accountant/Cashier Cash Received: INR Receipt No.: Date:
    Registrar/Office
    Superintendent
    Document printed on Wed Sep 13 2023 10:22:55 GMT+0530 (India Standard Time)

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