5 |scrus Inet of opens Scene tema! (853) Applicaton No cc university of Mumba 873731 won, oe Le Srennd 473731 APPLICATION FORE TUN Application Date: 09/0672023 [Payment Category : Perso information ‘Candidate's Name(Regionad) an age eer ‘Candidate's Name as printed on Mark sheet: [GUPTA RAHUL NANDLAL This name wil appear on all University recrds!documents] ES Father'sHtusband’s Name [NANDLAL ‘Mother's Name: [REKHA Marital Status: UnMaried [Mother Tongue : [Hindi Place OF Birth : Kalva [Gender : Male [Date of Birth (DDIMMIYYYY) : 240472005 Blood Group : ABNegative Religion : Hind [Country of itizenship + India mal: No Ts Student NRU Foreiga N [Domicile State: Maharashira ‘Address For Correspondence State : Maharashtra District Thane -Tehsit: Bhiwandi ty/Town/Village = Bhiwandi Location Area : Urban ‘Address (House no,street/area/suburb ete) 1273,Padmanagar Near Gots Mandir Padmangar Pin Code : 421305 Permanent Address State : Maharashtra District : Than Tehsil : Bhiwani Location Area : Urban ‘Address [273,Padmanagar Near Geeta Mandir Padmangat [Pin Code : 421305 Contact details “Mobile Number [74276 7 [Email ID: rahulgupt2005@gmail com Legal Reservation Information Category Type Open [Category : GEN 1sGu Ts Specally Abled? No Caae xe rom EBC (Economic Backward 3 Social Inform: ion(Additional Taforamtion) Not Applicable Paper Selected for: mi USESIOI - Basics of Forensic Science USESIOG - Basies of Forensie Physics USESIOS - Basics of Forensic Psychology USESIO7- Foundation Course LUSFSIP2 - Forensic Physies and Forensi Biology LUSPS102- Basics of Forensic Chemistry USESIO4 - Basies of Forensic Biology USFS106 Basics of Digital and Cyber Forensics USESIPI - Forensic Science and Forensic Chemistry USESIPS - Forensic Psychology and Digital and Cyber Forensies Sem USPS201 - Basics of Forensic Science LUSES203 - Basics of Forensic Physics LUSFS205 - Basics of Forensic Paychology USPS207 “Law Il LUSFS2P2-- Forensic Physics and Forensic Biology LUSES202 - Basics of Forensic Chemistry LUSES204 - Basies of Forensic Biology USE USES2PI - Forensic Sience and Forensic Chemistry USES2PS - Forensic Psychology and Digital and Cyber Forensics about blank 12619723, 1149 AM aboutblank [Medium of fastruction : English 4 ardian Information ‘Occupation of Guardian Service [Annual Tncome of Guardian 5.Educational Details Nameot | Nameot Hoard University andstate | Sameot | MT eam stark Juror buamation orate sermatCatege [and Yee | cern, [Nos | obtain MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SODAR ENGEL: SECONDARY PODARENGLISH |otay 2021 |aoons2 | - 83.00 |s00.00)----- |76.60 EDUCATION Mabsrashira [MAHARASHTRA STATE BOARD OF sud 12 -CONDARY AND HIGHER BN.N COLLAGE . . 560. « Science CONDARY BRIWANDL May 2023 | Mo3032s |-- 360,00 |600,00]---.- |60.00 EDUCATION Maharashira Your Last Qualifying Exam: HSCIStd 12th [Sciene 7.Other Information| ‘Would you ike to apply for Hostel accommodation required NA Required Documents and Certificates Section: + Passing Certfeate of Std 12th / Statement of Marks of Sid 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam lke degree diplomat. + Passing Crtficate of Stl 10th + Leaving Criicate, + Truc copy of Migration Certiate. + Mark/Grade Statement of Semester IX + Markl le Statement of Semester-X + Scan copy of Academic Bank of Credit ID (ABC ID) DECLARATION hereby declare that ll the information furnished by me inthis application form is tue, complete and correct to the best of my knowledge and belief Ido ‘understand thet I need to obtain and produce all the required documents | Application No :¥73731 (GUPTA RAHUL NANDLAL) admit to having ‘understood what constitutes ragaing and sexval harassmemt Ihave read the guide! ereby alfa that if found guilty of rapging or sexual harassment | am lable for punishment according to the university regulations. Place: Date : (Sigoature of the Candidate) For Collegelinntiute/Study Genter Use Only Designation Remarks / Particulars / Recommendations Signature and Dave ‘Admission Clerk “Admission | Committee “AccountantiCashier | Cash Received: INR Receipt Now Date Registrar/Office Superintendent Document printed on Fri Fun 09 2023 114929 GMT=OS30 (indi about blank 22