Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 0 views

    aaman

    Uploaded by

    aamanjswr
    College

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    aaman

    Uploaded by

    aamanjswr
    0 views2 pages
    College

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    College

    Copyright:

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

    aaman

    Uploaded by

    aamanjswr
    College

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    JUNIOR COLLEGE ACADEMIC YEAR ( 2024-25 FORM / APPL NO

    SUBJECT:
    (JUNIOR) ) :26119
    MAHARSHI DAYANAND EDUCATION SOCIETY'S
    MAHARSHI DAYANAND COLLEGE OF ARTS, SCIENCE & COMMERCE
    SHRI MANGALDAS VERMA CHOWK, 25 DR. S. S. RAO ROAD, PATEL, MUMBAI-400012

    ESTD. 1962 NAAC RE-ACCCRDITED "A" GRADE

    PROVISIONAL ADMISSION / REGISTRATION FORM

    JAISWAR AAMAN RAMESH


    COURSE / CLASS ROLL NO. DIV. G.R. NO.
    SCIENCE-UNAIDED / XII-SYJC-SCI-PCMB-UA 204660
    FEES PAID RECEIPT NO. RECEIPT DATE ENROL. / PRN NO.:
    13,635.00 RS. 113327462295 12/06/2024 19:27:13

    PERSONAL INFORMATION
    NAME AS PER MARK SHEET (SSC OR HSC): JAISWAR AAMAN
    GENDER: MALE
    RAMESH SANGEETA
    NAME IN DEVNAGRI: जयसवार अमान रमेश NATIONALITY: INDIAN
    DATE OF BIRTH: 2007-05-10 PLACE OF BIRTH: MUMBAI RELIGION: HINDU
    CASTE CATEGORY: GENERAL / OPEN CASTE: SC MOTHE TONGUE: HINDI
    OTHER RESERVATION: NONE MARITAL STATUS: UN MARRIED
    ADDRESS FOR CORRESPONDENCE: 00 NO
    41/2-18 DIVYANG:
    HANDICAPPED
    SHIV SHAKTI NAGAR SANT KAKKAYA MARG
    BLOOD GROUP: O+
    MUMBAI , MAHARASHTRA - 400017
    STUDENT'S CONTACT NO.: 9892935103
    PARENT'S/GUARDIAN'S
    9892935103
    CONTACT NO:
    HEIGHT (CM): 127
    WEIGHT (KG): 50
    EMAIL ID: ADHAR CARD NO.: 9401
    AAMANJSWR@GMAIL.COM 7638 7717
    SUBJECTS
    ENGLISH (01) MATHS & STATS (40) PHYSICS (54)
    CHEMISTRY (55) BIOLOGY (56) HEALTH & PHYSICAL EDUCATION (30)
    ENVIRONMENTAL EDUCATION (31) HINDI (04)
    PARENT / GUARDIAN INFORMATION
    NAME: RAMESH JAISWAR RELATION WITH STUDENT: FATHER
    OCCUPATION: HALPER ANNUAL INCOME: 1,20000

    EDUCATIONAL DETAILS:
    MONTH & CLASS /
    COLLEGE EXAM BOARD / TOTAL OUT PERCENTAGE NO. OF
    CLASS STREAM YEAR OF GRADE
    TYPE SEAT NO UNIVERSITY MARKS OF / SGPA ATTEMPT
    PASSING OBTAINING
    MAHARASHTRA
    JR SSC NA A238987 STATE BOARD 06/2023 219 500 43.80% C 1
    PUNE
    SCIENCE-
    JR XI 1768 MUMBAI 04/2024 215 600 PROMOTED 1
    UNAIDED
    DETAILS FOR REIMBURSEMENT OF FEES TO STUDENTS
    BANK NAME & BRANCH DETAILS: SBI
    ACCOUNT NO. OF STUDENT / PARENT: 30518997613 IFSC CODE:
    ACCOUNT HOLDER: FATHER MICR CODE:
    ATTACHED DOCUMENTS:
    SSC MARKSHEET, 10TH LEAVING CERTIFICATE, 11TH CENTRALIZED ONLINE ADMISSION FORM, ADHAR CARD, 11TH
    MARKSHEET,
    I, THE UNDERSIGNED MR./ MS. AAMAN JAISWAR RAMESH , HEREBY DECLARE THAT, I HAVE READ THE RULES RELATED
    TO ADMISSION AND THE INFORMATION FILLED IN BY ME IN THIS FORM IS ACCURATE AND TRUE TO THE BEST OF MY
    KNOWLEDGE. I WILL BE RESPONSIBLE FOR ANY DISCREPANCY IN THE FORM SIGNED BY ME AND THAT IF I DO NOT
    SUBMIT REQUIRED DOCUMENTS IN STIPULATED TIME MY ADMISSION WILL STAND CANCELLED. I WILL ABIDE BY ALL
    THE RULES AND REGULATIONS LAID DOWN BY THE COLLEGE AND GOVERNMENT. I AM AWARE THAT 75% ATTENDANCE
    IS COMPULSORY WITHOUT WHICH I WILL NOT BE PERMITTED TO APPEAR FOR THE EXAMINATION. I HEREWITH ACCEPT
    TO PAY FULL FEES, IF I DO NOT SUBMIT ALL THE DOCUMENTS REQUIRED FOR SCHOLARSHIP / FREESHIP WITHIN
    STIPULATED TIME.

    I WILL SUBMIT ALL MY ORIGINAL DOCUMENTS TO THE COLLEGE WHENEVER REQUIRED TO DO SO. I AM AWARE THAT IF
    ANY INFORMATION IN MY ADMISION FORM IS FOUND TO BE INCORRECT AND IF IT IS FOUND THAT I HAVE SUBMITTED
    MY ORIGINAL DOCUMENT TO ANY OTHER COLLEGE, MY ADMISSION WILL BE TREATED AS CANCELLED.

    I HEREBY UNDERTAKE THAT I WILL SUBMIT ALL THE REQUIRED SUBJECT PROJECTS AND APPEAR FOR ALL THE
    PRACTICALS, ORAL EXAMINATIONS AND APPLICATION BASED INTERNAL TESTS AS PER HSC BOARD NORMS. IF I FAIL TO
    DO SO, THE COLLEGE WILL NOT BE HELD LIABLE FOR THE SAME.

    PLACE: MUMBAI - 400017

    DATE: 12/06/2024 19:27:13 SIGNATURE OF THE STUDENT SIGNATURE OF THE PARENT / GUARDIAN

    You might also like