Addmission Form BFC

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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

The Bombay Flying Club`s, College of Aviation (985)

Juhu Aerodrome, Juhu Tara Road


Andheri
Application No :

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

1747774

Academic Year: 2022-2023 Regular


APPLICATION FORM

Course Applied for : B.Sc. (Aviation)(with Credits) - Regular - Rev16 - F.Y. B.Sc. (Aviation) Sem I  PRN:
(42300004)

Application Date : 17/07/2022 Payment Category :


1.Personal Information
Candidate's Name(Regional) : डायस जोएल अँथनी
DIAS JOEL ANTHONY
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : ANTHONY Mother's Name : MERELINA


Marital Status : UnMarried Mother Tongue :
Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 23/09/2004
Blood Group : OPositive Religion : Christian Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Andheri
Suburban Mumbai Semiurban
Address (House
no,street/area/suburb 1608 Lumbini CHS 20Th Road/ St.Elias Road Khar West Pin Code : 400052
etc.) :
Permanent Address :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Andheri
Suburban Mumbai Semiurban
Address : 1608 Lumbini CHS 20Th Road/ St.Elias Road Khar West Pin Code : 400052
Contact details
Mobile
9324013713 Email ID: joeldias23904@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
USAV 101 - Air Navigation I USAV 102 - Air Regulation I
USAV 103 - Meteorology I USAV 104 - Aircraft & Engine I
USAV 105 - Flying
Sem II

USAV 201 - Air Navigation II USAV 202 - Air Regulation II


USAV 203 - Meteorology II USAV 204 - Aircraft & Engine II
USAV 205 - Flying
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 ST.STANISLAUS
Std 10th July 2020 A271025 268970 413.00 500.00 --
-
-- 82.60
SECONDARY HIGH SCHOOL
EDUCATION,Maharashtra
MAHARASHTRA STATE BOARD
Std 12th OF SECONDARY AND HIGHER R.D. NATIONAL June
M067518 223117 335.00 600.00 --
-
-- 55.83
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.

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 :1747774
(DIAS JOEL ANTHONY)
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 Sun Jul 17 2022 12:50:50 GMT+0530 (India Standard Time)

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