STUDENT COPY

PREETAM PRAKASH COLLEGE (ARTS AND COMMERCE) (62471)

Yashwantrao Chavan Maharashtra Open University Application No :

Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
Academic Year: 2023-2024
320510
Distance Education
YCMOU Study Center Submission Slip
ADMISSION FORM
Instruction:
Please submit copy of this submission slip with following list of document to Study Center for Recommendation of
Program for Admission and/or Recommendation of Scholarship.
Please note that application shall be considered for admission only after recommendation by study center
If recommendation by study center not completed before last date of admission your application will be automatically
cancelled. Please note that university will not refund the fees in case of rejection by study center for want of Eligibility.

Course Applied for : B.Com (Marathi Medium)(with Credits) - PRN:2020017001045813

Distance Education - 2007 Pattern - T.Y.B.Com (Marathi Medium) (G02)

Application Date : 31/07/2023 Payment Category : 8

Exam Center Name [Code] : - [-]
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed
WAGHMARE KUMAR SANJIV
on School leaving/Passing
[*This name will appear on all University records/documents]
Certificate :
Mother's
Father's/Husband's Name : SANJIV VANITA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : CHINCHWAD
Gender : Male Date of Birth (DD/MM/YYYY) : 01/02/1991
HAWELI PUN
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Pune Tehsil : Haveli City/Town/Village :
Available
Address (House
no,street/area/suburb SAI KUNJ BUILDING KHARALWADI Pin Code : 411018
etc.) :
Contact details
Mobile Primary Email ID:
8329459069
Number kumarwaghmare125@gmail.com
2.Legal Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
T.Y.B.Com (Marathi Medium)
COM 209 - Accountancy Part-II COM 220 - Indian Economic Enviornment
COM 221 - Costing, Auditing & Taxation COM 222 - Human Resource Management
COM 306 - Banking & Finance-I COM 307 - Banking & Finance-II
Medium of Instruction : Marathi
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 0
Identity Card Fees(N) - 0 E-Suvidha / E-Services Fees(N) - 60
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 10 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 350 Student Insurance Fees(N) - 10
Tuition Fees(N) - 1600 Adm Examination Fees(N) - 780
Prospectus Fees(N) - 50 Tuition Fees(LSC - 3rd Year)(N) - 800
Total : 4038
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
4038 Paid 03/08/2023 08:04:40 477241691093080452 Online Payment
4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 0
5.Educational Details
Name of Month
Exam
Name of Board/University Name of and Year Certificate Mark Out
Seat CGPA %
Examination and State of School/College of No. Obtained Of
No.
University Passing
PIMPARI
Certificate : NINTH
CHINCHWAD June 2005 -- -- 165.00 750.00 -- - -- 22.00
STANDARD Certificate
MAHANAGR PALIKA
Degree : Preparatory
(Mar. Med.)(With -- -
April 2021 -- -- 97.00 100.00 97.00
Credits)-Distance First
Education-June 1992
PIMPARI
Certificate : NINTH
CHINCHWAD June 2005 -- -- 165.00 750.00 -- - -- 22.00
STANDARD Certificate
MAHANAGR PALIKA
Degree : Preparatory
(Mar. Med.)(With -- -
April 2021 -- -- 97.00 100.00 97.00
Credits)-Distance First
Education-June 1992
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)

Statement of Marks of First Year/ Semester

Statement of Marks of Second Year/ Semester

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 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 )
[STUDY CENTER COPY]

PREETAM PRAKASH COLLEGE (ARTS AND COMMERCE) (62471)

Yashwantrao Chavan Maharashtra Open University Application No :

Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
Academic Year: 2023-2024
320510
Distance Education
YCMOU Study Center Submission Slip
ADMISSION FORM
Instruction:
Please submit copy of this submission slip with following list of document to Study Center for Recommendation of
Program for Admission and/or Recommendation of Scholarship.
Please note that application shall be considered for admission only after recommendation by study center
If recommendation by study center not completed before last date of admission your application will be automatically
cancelled. Please note that university will not refund the fees in case of rejection by study center for want of Eligibility.

Course Applied for : B.Com (Marathi Medium)(with Credits) -

Distance Education - 2007 Pattern - T.Y.B.Com (Marathi Medium) (G02)
PRN:2020017001045813

Application Date : 31/07/2023 Payment Category : 8

Exam Center Name [Code] : - [-]
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed
WAGHMARE KUMAR SANJIV
on School leaving/Passing
[*This name will appear on all University records/documents]
Certificate :
Mother's
Father's/Husband's Name : SANJIV VANITA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : CHINCHWAD
Gender : Male Date of Birth (DD/MM/YYYY) : 01/02/1991
HAWELI PUN
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Pune Tehsil : Haveli City/Town/Village :
Available
Address (House
no,street/area/suburb SAI KUNJ BUILDING KHARALWADI Pin Code : 411018
etc.) :
Contact details
Mobile Primary Email ID:
8329459069
Number kumarwaghmare125@gmail.com
2.Legal Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
T.Y.B.Com (Marathi Medium)
COM 209 - Accountancy Part-II COM 220 - Indian Economic Enviornment
COM 221 - Costing, Auditing & Taxation COM 222 - Human Resource Management
COM 306 - Banking & Finance-I COM 307 - Banking & Finance-II
Medium of Instruction : Marathi
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 0
Identity Card Fees(N) - 0 E-Suvidha / E-Services Fees(N) - 60
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 10 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 350 Student Insurance Fees(N) - 10
Tuition Fees(N) - 1600 Adm Examination Fees(N) - 780
Prospectus Fees(N) - 50 Tuition Fees(LSC - 3rd Year)(N) - 800
Total : 4038
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
4038 Paid 03/08/2023 08:04:40 477241691093080452 Online Payment
4.Guardian Information
Occupation of Guardian : Farmer Annual Income of Guardian : 0
5.Educational Details
Name of Month
Exam
Name of Board/University Name of and Year Certificate Mark Out
Seat CGPA %
Examination and State of School/College of No. Obtained Of
No.
University Passing
PIMPARI
Certificate : NINTH
CHINCHWAD June 2005 -- -- 165.00 750.00 -- - -- 22.00
STANDARD Certificate
MAHANAGR PALIKA
Degree : Preparatory
(Mar. Med.)(With -- -
April 2021 -- -- 97.00 100.00 97.00
Credits)-Distance First
Education-June 1992
PIMPARI
Certificate : NINTH
CHINCHWAD June 2005 -- -- 165.00 750.00 -- - -- 22.00
STANDARD Certificate
MAHANAGR PALIKA
Degree : Preparatory
(Mar. Med.)(With -- -
April 2021 -- -- 97.00 100.00 97.00
Credits)-Distance First
Education-June 1992
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)

Statement of Marks of First Year/ Semester

Statement of Marks of Second Year/ Semester

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 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 )
Document printed on Thu Aug 03 2023 20:12:46 GMT+0530 (India Standard Time)