University of Mumbai

UG-ADMISSION 2024-25
Bachelor of Science (Autonomous)
Form Number: MU2424012605
College/Institute/Department:St Xaviers College,
City: Mumbai (MU-0231)
Transaction Details
Payment/Submission Status : Submitted Payment/Submission Date : 2024-05-26 22:00:48
Transaction ID : FEE EXEMPTED Amount: 0

Personal Details
Full Name of the Applicant : LENA FATHIMA Gender : Female
Category : Other Backward Class (OBC)
Date of Birth : 19 April 2006 Certificate Number : 85299171
Age as on : Jul 1, 2024: 18 Years 2 Month 13 Days Certificate Issuing Date : 2024-05-18
Sub Category: NA
Blood Group : A+ Religion : Islam
Nationality: Indian
Registered Email : LENAFATEMA46@GMAIL.COM Registered Mobile Number : 9645017302
Alternate Email : LENAFATEMA302@GMAIL.COM Alternate Mobile : 9048317074
Permanent Address : kandoth ellath, kuttiadi,kozhikode, Kozhikode, Kerala, KOZHIKODE -673508, Correspondence Address : kandoth ellath, kuttiadi,kozhikode, Kozhikode,
India Kerala, KOZHIKODE -673508, India

Place of Birth Details

Village/Town/City : kuttiady Country : India
State : Kerala District : Kozhikode

Family Details
First name of Mother as given in Class XII marksheet/certificate : saleena Father's First Name : ali
Emergency Contact Number : 9048317074
Combined Family Income : Less than 1,00,000

Other Category/Quota
Person with Benchmark Disabilities (PwBD) Category : Not Applicable
Kashmiri Migrant : Not Applicable
Prime Minister's Special Scholarship Scheme for J&K Students : Not Applicable
Children/ Widows of Armed Forces Personnel : Not Applicable
Do you belong to wards to Ex-service Man? : No
Single Girl Child Quota : No
Widow/Divorcee : No
Child of Central/Govt transferred employee : No
Are you a member of dependent freedom fighter? : No
Cultural Activities Quota(CCA Quota) : Not Applicable
Sports Quota No
Do you have any illness which requires
No
continuous or emergency medical attention?
Do you have NCC Certificate? No
Have you participated in National Service
No
Scheme (NSS) Camp?
Are you ward of University Employee (Father /
No
Mother working in University of Mumbai)?
Language Proficiency (Reading/Writing/Speaking)
Marathi Reading Writing
Hindi Reading Writing Speaking
English Reading Writing Speaking
malayalam Reading Writing Speaking

Academic Details

Qualification Details - X or Equivalent

Class X Result Status Passed
Class X Year of Passing 2022
Class X Percentage (If your mark is in CGPA, please convert to
99.90
equivalent percentage as per your CGPA score and CGPA Scale)
Class X Name of the School GHSS KUTTIADI
Class X Board/University KERALA BOARD OF HIGHER SECONDARY EDUCATION
ENGLISH , PHYSICS, CHEMISTRY, MATHEMATICS, BIOLOGY, SOCIAL SCIENCE , FIRST LANGUAGE -
Class X Subject Combination
PAPER 2, FIRST LANGUAGE -PAPER 1, HINDI, INFORMATION TECHNOLOGY,
Class X Division First
Class X Roll/Registration Number 180538
Qualification Details - XII or Equivalent
Class XII Qualification Status Passed
XII Year of Passing Final Examination 2024
Class XII Percentage (If your mark is in CGPA, please convert to
equivalent percentage as per your CGPA score and CGPA Scale) 99.75
(Over all percentage)
Class XII Name of the School KPES HSS KAYAKKODI
Class XII Board/University KERALA BOARD OF HIGHER SECONDARY EDUCATION
MATHEMATICS, PHYSICS, CHEMISTRY, COMPUTER SCIENCE, SECOND LANGUAGE, FIRST
Class XII Subject Combination
LANGUAGE
Class XII Division First
Class XII Roll/Registration Number 23271451
Stream Science
Have you Passed Class XII With Mathematics Yes
XII Maths Marks Obtained 200
XII Maths Maximum Marks 200

Uploads
Document Upload Status
Photo Uploaded
Signature Uploaded
OBC Category Certificate Uploaded
Class X (Scan both marksheet and certificate in a single file and upload)] Uploaded
Class XII (Scan both marksheet and certificate in a single file and upload) Uploaded
"I do hereby declare that all the statement made in the application are true, complete and correct to the best of my knowledge and belief. I am duly aware that in the event of any particulars
or information furnished by me is found to be false/incorrect/incomplete or if i am found indulging in some unlawful act at any time during the course period, my candidature is liable to be
summarily rejected/cancelled."Additionally undertaking for students whose results are awaited: "I, having been permitted to be provisionally admitted to University hereby undertake to
produce the proof of having successfully qualified in the final qualifying examination with requisite percentage of marks if failing, I shall forthwith vacate the seat and shall have no claim for
refund of fees already paid."

Candidate's Signature