11/25/2020

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Dhirajlal Talakchand Sankalchand Shah College of Commerce (40)

Kurar Village. Boriwali
Application No :
University of Mumbai 3403691
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2020-2021
Regular
APPLICATION FORM

Course Applied for : M.Com.(with Credits) - Regular - Rev16 - M.Com. Part I Sem I [2C00531] (-) PRN:2017016400250907
Application Date : 25/11/2020 Payment Category :

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on Mark SHIVGAN ANIKET LAXMAN
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : LAXMAN SHIVGAN Mother's Name : SUHASINI

Marital Status : UnMarried Mother Tongue :

Place Of Birth : RAJAPUR Gender : Male Date of Birth (DD/MM/YYYY) : 25/12/1998
Blood Group : Religion : Country of Citizenship : India
Height : Not Available Weight : Not Available Hemoglobin : Not Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Mumbai Suburban Tehsil : Boriwali City/Town/Village :
Available
Address (House BALU NAIK CHAWL, SAIBAI NAGAR, APPAPADA, KURAR VILLEGE, MALAD
Pin Code : 400097
no,street/area/suburb etc.) : EAST
Contact details
Mobile Number 918412016814 Email ID: RLSHIVGAN@GMAIL.COM
2.Legal Reservation Information
Category Type :
Category : OBC
Reserved
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem I [2C00531]
71801 - Strategic Management 71802 - Econonic For Business Decision
71803 - Cost And Management Accounting 71804 - Business Ethics And Corporate Social Responsibility
Sem II [2C00532]

66701 - Research Methodology For Business 66702 - Macro Economics Concepts And Application
66703 - Corporate Finance 66704 - E-Commerce

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 84000
5.Educational Details
Month and Exam
Name of Board/University and State of Name of Certificate Mark
Name of Examination Year of Seat Out of CGPA %
University School/College No. Obtained
Passing No.

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Month and Exam

Name of Board/University and State of Name of Certificate Mark
Name of Examination Year of Seat Out of CGPA %
University School/College No. Obtained
Passing No.
MAHARASHTRA STATE BOARD OF
March
Std 10th SECONDARY AND HIGHER -- -- 357.00 500.00 -- - -- 71.40
2015
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th February
SECONDARY AND HIGHER -- -- 445.00 650.00 -- - -- 68.46
(Commerce) 2017
SECONDARY EDUCATION,
Degree : B.Com.
(A.And F.)(With Passed -- -- - - -- - -- -
Credits)-Regular-Rev16
Your Last Qualifying Exam: B.Com. (A.And F.)(With Credits)-Regular-Rev16
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 :3403691 (SHIVGAN ANIKET LAXMAN) 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 Nov 25 2020 19:29:55 GMT+0530 (India Standard Time)

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