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Shri Narsee Monjee College of Commerce and Economics (205)

Application
Narsee Monjee College of Commerce & Economics.
New Shri Bhagubhai Mafatlal Polytechnic (SBMP) Building, Bhakti
Vedanta Marg,Vile Parle (West), Mumbai
Andheri
No :

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

18337

Academic Year: 2022-2023 Regular

APPLICATION FORM

Course Applied for : B.Com. (Autonomous)(with Credits) - Regular - CBCS - F.Y. B.Com.(Autonomous) PRN:
Sem I 
(-)

Application Date : 10/06/2022 Payment Category :

1.Personal Information
Candidate's Name(Regional) : दुबे सिद्धार्थ अखिलेश
DUBEY SIDDHARTH AKHILESH
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : AKHILESH Mother's Name : SADHNA

Marital Status : UnMarried Mother Tongue : Hindi
Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 06/12/2003
Blood Group : BPositive Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Location Area :
State : Maharashtra District : Palghar Tehsil : Vasai
Nallasopara East Semiurban
Address (House
no,street/area/suburb B/111,Durgamata Apt. Virar Road,Laxmi Nagar Pin Code : 401209
etc.) :
Permanent Address :
City/Town/Village : Location Area :
State : Maharashtra District : Palghar Tehsil : Vasai
Nallasopara East Semiurban
Address : B/111,Durgamata Apt. Virar Road,Laxmi Nagar Pin Code : 401209
Contact details
Mobile
8080507595 Email ID: subbudubey22012000@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
BCOM1001 - Paper 1 BCOM1002 - Paper 2
BCOM1003 - Paper 3 BCOM1004 - Paper 4
Sem II

BCOM2001 - Paper 1 BCOM2002 - Paper 2

BCOM2003 - Paper 3 BCOM2004 - Paper 4

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 100000
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 INFANT JESUS March
Std 10th A173380 198889 469.00 500.00 --
-
-- 93.80
SECONDARY HIGH SCHOOL 2020
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER MITHIBAI March
M263481 -- 553.00 600.00 --
-
-- 92.17
Commerce SECONDARY COLLEGE 2022
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.

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 :18337
(DUBEY SIDDHARTH AKHILESH)
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 Fri Jun 10 2022 10:23:21 GMT+0530 (India Standard Time)