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K. M. Agrawal College of Arts, Commerce and Science (435)

Gandhare Village, New Padgha Road, Adharwadi, Kalyan (W).

Kalyan
Application No :

University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

1285544

Academic Year: 2022-2023 Regular

APPLICATION FORM

Course Applied for : B.Sc. Computer Science(with Credits) - Regular - Rev16 - F.Y. B.Sc. CS Sem I 
(-) PRN:
Application Date : 21/06/2022 Payment Category :
1.Personal Information
Candidate's Name(Regional) : जाधव प्रज्योत सुरेश
JADHAV PRAJYOT SURESH
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : SURESH Mother's Name : JAYSHREE

Marital Status : UnMarried Mother Tongue : Marathi
Place Of Birth : KALYAN Gender : Male Date of Birth (DD/MM/YYYY) : 15/09/2004
Blood Group : Religion : Buddhist Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
KALYAN
Address (House
no,street/area/suburb ROOM NO 1 CHAWL NO 1 SHREE COLONY Pin Code : 421301
etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Kalyan Location Area : Urban
KALYAN
Address : ROOM NO 1 CHAWL NO 1 SHREE COLONY Pin Code : 421301
Contact details
Mobile
9867359837 Email ID: jadhavprajyot875@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
USCS101 - Digital Systems and Architecture USCS102 - Introduction to Programming with Python
USCS103 - LINUX Operating System USCS104 - Open Source Technologies
USCS105 - Discrete Mathematics USCS106 - Descriptive Statistics
USCS107 - Soft Skills USCSP101 - Digital Systems & Architecture – Practical
USCSP102 - Introduction to Programming with Python – USCSP103 - LINUX Operating System – Practical
Practical USCSP104 - Open Source Technologies – Practical
USCSP106 - Descriptive Statistics – Practical USCSP105 - Discrete Mathematics – Practical
Sem II
 USCS201 - Design and Analysis of Algorithms
USCS203 - Introduction to OOPs using C
USCS205 - Calculus
USCS207 - E-Commerce and Digital Marketing
USCSP202 - Advanced Python Programming – Practical
USCSP204 - Database Systems – Practical
USCSP206 - Statistical Methods – Practical
USCS202 - Advanced Python Programming
USCS204 - Database Systems
USCS206 - Statistical Methods
USCSP201 - Design & Analysis of Algorithms – Practical
USCSP203 - Introduction to OOPs using C++ – Practical
USCSP205 - Calculus – Practical

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 0
5.Educational Details
Month
Name of Name of Board/University and Name of and Year Exam Certificate Mark Out
CGPA %
Examination State of University School/College of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER NUTAN March
Std 10th A066700 -- 409.00 500.00 --
-
-- 81.80
SECONDARY VIDYALAY 2020
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER K M AGRAWAL June
M016659 -- 294.00 600.00 --
-
-- 49.00
Science SECONDARY COLLEGE 2022
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Science]
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.

Leaving Certificate.

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 :1285544
(JADHAV PRAJYOT SURESH)
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 Tue Jun 21 2022 17:11:19 GMT+0530 (India Standard Time)