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Vidyavardhinis A. V. College of Arts, K. M. College of Commerce and E.S.A. College of Science, Vasai Application No
Road (361)
:
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
1865102
Academic Year: 2021-2022 Regular
APPLICATION FORM

Course Applied for : B.Sc. (I.T.)(with Credits) - Regular - Rev16 - S.Y. B.Sc. (I.T.) Sem III  (42300003) PRN:2020016401695091
Application Date : 18/08/2021 Payment Category : 25
1.Personal Information
Candidate's Name(Regional) :
YADAV MANGESH KAILASH
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : KAILASH YADAV Mother's Name : SAVITA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 09/11/2001
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 : Palghar Tehsil : Vasai City/Town/Village :
Available
Address (House
no,street/area/suburb SUNIL KISAN NAGAR ROOM NO C/7 Tulinj Road Nallasopara ,{East} Pin Code : 401209
etc.) :
Contact details
Mobile
919594857396 Email ID: kailashyadav@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : OBC
Reserved
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem III
USIT301 - Python Programming. USIT302 - Data Structures
USIT303 - Computer Networks USIT304 - Database Management Systems
USIT305 - Applied Mathematics USIT3P1 - Python Programming Practical
USIT3P2 - Data Structures Practical USIT3P3 - Computer Networks Practical
USIT3P4 - Database Management Systems Practical USIT3P5 - Mobile Programming Practical
Sem IV

USIT401 - Core Java USIT402 - Introduction to Embedded Systems

USIT403 - Computer Oriented Statistical Techniques USIT404 - Software Engineering
USIT405 - Computer Graphics and Animation USIT4P1 - Core Java Practical
USIT4P2 - Introduction to Embedded Systems Practical USIT4P3 - Computer Oriented Statistical Techniques
USIT4P4 - Software Engineering Practical Practical
USIT4P5 - Computer Graphics and Animation Practical

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 240000
5.Educational Details
Month Exam
Name of Name of Board/University and Name of Certificate Mark Out
and Year Seat CGPA %
Examination State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE BOARD
Std 10th OF SECONDARY AND HIGHER June 2018 -- -- 393.00 500.00 -- - -- 78.60
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th
OF SECONDARY AND HIGHER July 2020 -- -- 355.00 650.00 -- - -- 54.62
(Science)
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 Tue Aug 24 2021 20:18:26 GMT+0530 (India Standard Time)