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Batch: Scrutiny Payment: Online/DD PI

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Lords Universal College (Day College) (647)


Topiwala Marg Off station Road N.R Railway Stn Goregaon W Boriwali Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2149670
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.Sc. Computer Science(with Credits) - Regular - PRN:


Rev16 - F.Y. B.Sc. CS Sem I  (-)

Application Date : 08/07/2023 Payment Category :


1.Personal Information
Candidate's Name(Regional) : गुप्ता आदित्य रामशंकर
Candidate's Name as printed GUPTA ADITYA RAMASHANKAR
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : RAMASHANKAR RANI DEVI
Name :
Mother
Marital Status : UnMarried Hindi
Tongue :
Place Of Birth : UTTARPRADESH Gender : Male Date of Birth (DD/MM/YYYY) : 03/03/2006
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village :
State : Maharashtra Tehsil : Boriwali Location Area : Urban
Suburban MUMBAI
Address (House
LALJI PADA KESHARIA HANUMAN MANDIR SANJA NAGAR LAL TIWARI
no,street/area/suburb Pin Code : 400067
ROAD
etc.) :
Permanent Address :
District : Mumbai City/Town/Village :
State : Maharashtra Tehsil : Boriwali Location Area : Urban
Suburban MUMBAI
LALJI PADA KESHARIA HANUMAN MANDIR SANJA NAGAR LAL TIWARI
Address : Pin Code : 400067
ROAD
Contact details
Mobile
9326015975 Email ID: ag0692549@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
USCS101 - Digital Systems and Architecture USCS102 - Introduction to Programming with Python
USCS103 - LINUX Operating System USCS104 - Open Source Technologies
USCS107 - Soft Skills USCSP101 - Digital Systems & Architecture – Practical
USCSP102 - Introduction to Programming with Python – USCSP103 - LINUX Operating System – Practical
Practical USCSP104 - Open Source Technologies – Practical
USCSP106 - Descriptive Statistics – Practical
Sem II

USCS201 - Design and Analysis of Algorithms USCS202 - Advanced Python Programming


USCS203 - Introduction to OOPs using C USCS204 - Database Systems
USCS207 - E-Commerce and Digital Marketing USCSP201 - Design & Analysis of Algorithms – Practical
USCSP202 - Advanced Python Programming – Practical USCSP203 - Introduction to OOPs using C++ – Practical
USCSP204 - Database Systems – Practical USCSP206 - Statistical Methods – Practical

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 0
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY AND HOLY INFANT July
Std 10th A292813 -- 311.00 500.00 -- - -- 62.20
HIGHER SECONDARY HIGH SCHOOL 2021
EDUCATION,Maharashtra
MAHARASHTRA STATE NIRMAL JUNIOR
Std 12th BOARD OF SECONDARY AND COLLEGE OF May
M088272 -- 252.00 600.00 -- - -- 42.00
Science HIGHER SECONDARY COMMERCE AND 2023
EDUCATION,Maharashtra SCIENCE
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.

Passing Certificate of Std 10th.

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 :2149670
(GUPTA ADITYA RAMASHANKAR) 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 Sat Jul 08 2023 09:38:38 GMT+0530 (India Standard Time)

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