Shreya Wilson

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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Wilson College (369)
At Post Girgaon, Chowpatty Seaface Road. Mumbai Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2521600
Academic Year: 2021-2022 Regular
APPLICATION FORM

Course Applied for : B.Com.(with Credits) - Regular - Rev16 - F.Y. B.Com. Sem I  (22300001) PRN:
Application Date : 02/09/2021 Payment Category :
1.Personal Information
Candidate's Name(Regional) : ेया संतोष बाली

SHREYA SANTOSH BALI


Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : SANTOSH BALI Mother's Name : SIMRAN
Marital Status : UnMarried Mother Tongue : Punjabi
Place Of Birth : Mumbai Gender : Female Date of Birth (DD/MM/YYYY) : 09/06/2004
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Mumbai
Address (House
no,street/area/suburb A-404, Shakuntala Apartment, Uttan Road Bhayandar West Pin Code : 401101
etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Mumbai
Address : A-404, Shakuntala Apartment, Uttan Road Bhayandar West Pin Code : 401101
Contact details
Mobile
8286666349 Email ID: balishreya72@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:


Sem I
UBCOMFSI.1 - Accountancy and Financial Management I UBCOMFSI.2 - Commerce I
UBCOMFSI.3 - Business Economics I UBCOMFSI.4 - Business Communication I
UBCOMFSI.5 - Environmental Studies I UBCOMFSI.7 - Mathematical and Statistical Techniques I
UBCOMFSI.6.1 - Foundation Course I
Sem II

UBCOMFSII.1 - Accountancy and Financial Management II UBCOMFSII.2 - Commerce II


UBCOMFSII.3 - Business Economics II UBCOMFSII.4 - Business Communication II
UBCOMFSII.5 - Environmental Studies II UBCOMFSII.7 - Mathematical and Statistical Techniques II
UBCOMFSII.6.1 - Foundation Course II
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 100000
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE SMT T.S.BAFNA
Std 12th BOARD OF SECONDARY AND JUNIOR COLLEGE August
m251226 -- 508.00 600.00 -- - -- 84.67
Commerce HIGHER SECONDARY OF ARTS AND 2021
EDUCATION,Maharashtra COMMERCE
MAHARASHTRA STATE
BOARD OF SECONDARY AND ST.XAVIERS HIGH March
Std 10th a109693 -- 317.00 500.00 -- - -- 63.40
HIGHER SECONDARY SCHOOL 2019
EDUCATION,Maharashtra
MAHARASHTRA STATE
BOARD OF SECONDARY AND ST.XAVIERS HIGH March
Std 10th a109693 -- 317.00 500.00 -- - -- 63.40
HIGHER SECONDARY SCHOOL 2019
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
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.

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 :2521600
(SHREYA SANTOSH BALI) 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 Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Sep 02 2021 22:13:20 GMT+0530 (India Standard Time)

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