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Sy Mu Appli Form

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10/30/24, 2:00 AM about:blank

For Office Use


Batch: Scrutiny Payment: Online/DD PI

Only Serial:

ADV. BALASAHEB APTE COLLEGE OF LAW (977)


Application No :
University of Mumbai 554467
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2024-2025
Regular
APPLICATION FORM

Course Applied for : B.A. LL.B. (5 Years)(with Credits) - Regular - Rev22 (75-25) PRN:2023016402239623
- S.Y. B.A LL.B Sem III (-)

Application Date : 30/10/2024

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on PILLI YADHIDYA P RAJU MOSES
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : RAJU MOSES Mother's Name : P RUTH SHARMILA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Kakinada Gender : Male Date of Birth (DD/MM/YYYY) : 10/01/2005
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 : Mumbai Suburban Tehsil : Kurla City/Town/Village :
Available
Address (House
703, 7Th Flr, Arihant Heights Laxminarayan Mandir Lane Pin Code : 400086
no,street/area/suburb etc.) :
Contact details
Mobile Number 919137142861 Email ID: yadhiop30636@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 III
66831 - Political Science-II - Foundations of Political Obligation 66832 - Sociology
66833 - History of Courts
Sem IV

66851 - English II 66852 - LOGIC – II


66853 - Political Science-III - INTERNATIONAL RELATIONS

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Professional Annual Income of Guardian : 1000000
5.Educational Details
Month and Exam
Name of Name of Board/University and State Name of Certificate Mark
Year of Seat Out of CGPA %
Examination of University School/College No. Obtained
Passing No.
Std 10th COUNCIL FOR THE INDIAN May 2021 -- -- 542.00 600.00 -- - -- 90.33
SCHOOL CERTIFICATE
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Month and Exam


Name of Name of Board/University and State Name of Certificate Mark
Year of Seat Out of CGPA %
Examination of University School/College No. Obtained
Passing No.
EXAMINATIONS,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th February
SECONDARY AND HIGHER -- -- 501.00 600.00 -- - -- 83.50
(Commerce) 2023
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 Wed Oct 30 2024 01:59:45 GMT+0530 (India Standard Time)

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