Session 2022-2023

G S COLLEGE OF COMMERCE, Application for

WARDHA Admission to B.C.C.A
-3
Session 2022-2023
Application No.
:B.C.C.A-(3)206

Applicant's Personal Details

Name of the Student Surname First name Father's name

RANA GURJEET KAUR SATPAL SINGH

Mother's Name HARBINDERKAUR

Student Name(HINDI)

Date of Birth 13/08/2002 Place Of Birth

Birth State Birth District

Birth Tehsil Voter Id

Marital Status Blood Group

Religion SIKH Gender FEMALE

Nationality INDIAN Aadhaar card Number 652509991067

Mother Tongue MARATHI Passport Number

EID Number Employment Status Unemployed

NCC/NSS NO Eligibility No.

Caste Category OPEN Sub Caste RAJPUT

Enrollment Number PRN Number

Handicap NO Is Orphan NO

Saral No. Udise No.

Student has a Desktop/ NO Student has internet NO

Laptop/ Smart phone connectivity

Municipal Ward

Father's/Husband's Name SATPAL SINGH

Occupation Gross Annual Income 0

Mobile 7264825083

Office Address

Address of Correspondence

Address Near Rana Bekery,railway nagar ward,Ballarpur,Chandrapur

State Maharashtra District Chandrapur

Tehsil City/Town/Village BALLARPUR

Pincode 442701
Permanent/Native Address

Address Near Rana Bekery,railway nagar ward,Ballarpur,Chandrapur

State Maharashtra District Chandrapur

Tehsil City/Town/Village BALLARPUR

Pincode 442701

Contact Details

Student Phone Parent's Phone

Mobile 9322395307

Email Id srgurjeetkaur@gmail.com

Payment mode Offline

Last Exam Details

Exam Name

Name of Board/ Rashtrasant tukadoji maharaj nagpur university

University

Month Year 2021

Roll Number Division

Marks Obtained 365 Maximum Marks 500

Percentage 73.00 Result PASS

Exam Details

Sr.No. Course Name SGPA CGPA

1 B.C.C.A - 1
2 B.C.C.A - 2

Sr.No. Subject Name Subject Type

Group Name :

Declaration by Student

I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate
and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and I undertake
that, in absence of any document the final admission will not be granted and / or admission will stand cancel.

Date : 08/09/2022 Signature of the Student

Declaration by Guardian / Parent

I have permitted my son / daughter / ward to join your college.The information supplied by him / her is correct to the best of
my knowledge. I have acquainted myself with the rules and fees, dues to my son / daughter / ward and see that he / she observes.

Date : 08/09/2022 Signature of the Guardian/Parent

 For College / Institute Use Only

Designation Remarks / Particulars /Recommendations Signature and Date

Admission Clerk

Admission Committee

Accountant / cashier

Registrar/Office
superintendent

REMARK OF THE ADMISSION COMMITTEE

May be admitted to Class ____________________________________________________ Section ________________

May be Rejected __________________________________________________________________________________
Last date of payment of fees _________________________________________________________________________
Admission may be cancelled if the fees are not paid by this date.

Principal Signature of Admission Committee

Other Details