BHARATI VIDYAPEETH

(DEEMED To Be UNIVERSITY), PUNE (INDIA)

CENTRE FOR DISTANCE AND ONLINE EDUCATION
L.B.S. Marg, Pune - 411030

APPLICATION FORM 2021-22

Course: M.Com.- Master of Commerce
Learner Support Center: 2. New Delhi
Application Form Number: BVP-9298

PERSONAL DETAILS

Full Name: Email: Mobile:

Narendra Na narendarsharma509@gmail.com 917838754946

Date Of Birth(DD-MM-YYYY): 1-7-1998 Gender: Male

Nationality: Indian Area: Urban

Category: General Please Specify:

Minority: Yes Marital Status: Single

P.W.D (Person with Disabilities ): No E.W.S (Economically Weaker Section): No

Alternate Mobile: 8447951958 Alternate Email:

Aadhar Card Number: 359672712643 Employment Status: No

EMPLOYMENT STATUS TABLE

:

PERMANENT ADDRESS DETAILS

State: Delhi City: New Delhi

Address: House no 103 Block B-5 sultan puri near state bank
Please Specify:
of India

Pincode: 110086

ADDRESS FOR CORRESPONDENCE

State: Delhi City: New Delhi

Address: House no 103 Block B-5 sultan puri near state bank
Please Specify:
of India

Pincode: 110086

PARENT DETAILS

FATHER DETAILS
Father's Name: Om Prakash Father's Number:

MOTHER DETAILS
Mother's Name: Kesar Mother's Number:
EDUCATIONAL DETAILS

YEAR DETAILS
Choose Year: 1st Semester Grades/Marks:

2nd Semester Grades/Marks: 1 st Semester Marksheet:

2 nd Semester Marksheet: 1st Semester Grades/Marks:

2nd Semester Grades/Marks: 3rd Semester Grades/Marks:

4th Semester Grades/Marks: 1st Semester Marksheet:

2nd Semester Marksheet: 3rd Semester Marksheet:

4th Semester Marksheet:

10TH EXAM DETAILS

Board / University: CENTRAL BOARD OF SECONDARY
School Name: Govt boys sr sec school B-C blook Sultanpuri
EDUCATION.

Please Specify: SULATAN PURI Year of Passing: 2013

Marking Scheme: CGPA Obtained Percentage/CGPA/Grade: 7

12TH EXAM DETAILS

College / School Name: GOVT SARVODAYA BAL VIDYALAYA
Stream: Commerce
NO 1 K BLK MANGOLPURI

Please Specify: Board: CENTRAL BOARD OF SECONDARY EDUCATION.

Name of Other Board: Year of Passing: 2015

What is status of your 12th results?: Declared Marking Scheme: Percentage

Obtained Percentage/CGPA/Grade: 64

DIPLOMA DETAILS
College / School Name: JAMIA HUMDARD Board: DELHI STATE OPEN SCHOOL.

Please Specify: Year of Passing: 2020

What is status of your Diploma results?: Declared Marking Scheme: Percentage

Obtained Percentage/CGPA/Grade: 56

GRADUATION DETAILS
Have You Pursued Graduation?: Yes Degree Name: BECHELOR OF BUSINESS ADMINISTRATION

University Name: JAMIA HUMDARD Year of Passing: 2019

What is the status of your Graduation results?: Declared Marking Scheme: Percentage

Obtained Percentage/CGPA/Grade: 56
DOCUMENTS

DOCUMENTS
Signature: SIGN.jpeg SSC Marksheet: 12TH_MARK_SHEET.jpeg

HSC / Diploma Marksheet: Graduation Certificate: BBA.jpeg

Transfer Certificate: Migration Certificate:

Undertaking for Non-Submission of Transfer & Migration

Caste Certificate (If Applicable ):
Certificate:

Gazette Certificate(In case of Change in Name): Gap Certificate:

Aadhar Card: FRONT__1_.jpeg

APPLICATION PAYMENT DETAILS

Applied For : M.Com.- Master of Commerce Payment Status : Payment Not Done

COURSE PAYMENT DETAILS

PaymentCourse_Details

DECLARATION:

I hereby declared that information provided above is true and complete to the best of my knowledge, belief and my admission
may be cancelled at any stage if any information is found to be incorrect. I also undertake to abide by all the rules and regulations
of the BVDU Centre for Distance and Online Education from time to time.

Signature