ear0t6 ‘Applioabon form Pretut [STUDENT coPY] Application Form Number : 160694 'S. K. Somaiya College of Arts, Science and Commerce “rd Floor, Aurobindo, Vidyavinar, mumbai, Vidyavihar University of Mumbai B.Com. (F-M.)(with Credits) - Regular - Revi6F.¥.B.Com. “Til Form 160694 (F.M,) F.Y.B.Com, (F.M.) Sem T TIC UTUAAAUAU : (Medium - English) i. Personal Information ‘Name of Applicant [GANDHT DHATRYA DEEPAK Father s/Husbang's Name (Hiddle Name): [DEEPAK Mother's Firstname: Date of Birt [29 Sep 1998 Gender: [Male Nartal Status Place of Birth [MUMBAI [Mobile Numbers: 7045150421, 9322480573 ‘Address for Corespondence IPLOT NO 77, KASTURBA APARTMENT, 2ND FLOOR , ROOM NO 23 IMATUNGA (EAST), Cty: MUMBAI, Taldk>: Mumbal, District: Mumbel City, State: Mah Icountry: Tadla, Pn: 400029 Contact Nomber INot Available [Emaicid: dhairyagandhi996@ gmail.com Social Reservation Termation of Appeae I f.Papers Selected for: F.Y.8.Com. (F.M.) [LuFMFst.1 | Financal Acourting 1 [orwrst.2 | wivodueton wo Financial system [UFWFSH.3 | Business Mathematics [[UFMFSI.5.1} Foundavon Course 1 [CUFWFSI.¢ | Business Communication -1 [CUFMES.6 } Business Environment [CUFHFSI.7 | Business Economics = 3. Educational Details Section ear 6?980770%) sont Jgaannyin estamect | stream |uame of Boare/University| school name | Bats of |*"tarna'” | Seat, |auattying| ‘| obtained ian fe IRATARASTIRA STATE BOARO|AMULARH ANTCRAND [war 2014 JIB/S00 PRESETS SeconDare EDUCATION vIDMHALAYA iar amare IRAHRRASHTRA STATE BOARO)K3. SONATA COLLEGE OF [Fb Te PTOVE5O—[HOSTG oe aenaney ano Hien ats ane Conmence . Secononey vero la: Required Documents and Certificates Section (Please tick mark the document that you have attached to this form) Les Passing Cortiticate of Std 10th Le. Leaving Certificate, [Faith ceruiicate, 5. Declaration by Applicant Ir nerebycecare and sree hat, 5 Ms osatin math nde ale mao Courses nd Ces of the ey, Monee fe Gass 2n eg he Ulett sed nthe 2. Thien, Unversty may 324 afltion to new Colages o fla new Course to existing Calls fer my apoleaton. I wll be netiied trough @ Cerngendum on portal i fr my responsibilty to check the ame regulary and apply for the newly added Course/Coge interest. 3. Thave read the rubs related to azmission andthe Information lee by men this erm is accurate an tue tothe best of my knowledge wl be responsible teay cepa aang ut thetorm sen me ang unatanta the ances ny aan teal arse wi a be gad ser [ram aware of the Anti Ragging Act and I state that I wi ‘abide by all the rules and regulation of the sald Act. loate Signature of the Ape [6 Declaration by Parent/Guardian I have permitted my sor/daughter/ward to apply i your College, The Information supplied by him/her ls correct to the best of my Krowledged have acquainted myself with the rules and fees/dues related to the program. Pace [Date : Signature of the Guardian: [7 For College/Institute Use Only Designation [Remarks / Particulars / Recommendations [Signature and Date ‘Admission Clerk ‘Admission Committee ‘Accountant /Cashler| Cash Received: Rs Receipt Na Registrar/Office Superintendent. Note: After submitting Cllege Copy of Application Farm, please take the Acknowledgement from the callage on Student Copy of Aspication Form: bipsimumacmission eigitalunversity avOnneAdmissionsPrinApplcaion hint 12ear0t6 ‘Applioabon form Pretut [SUBMISSION COPY} Application Form Number : 160694 ‘5. K. Somaiya College of Arts, Science and Commerce ] i 3rd Floor, Aurobindo, Vidyavinar, mumbai, Vidyavihar University of Mumbat B.Com. (F.M.)(with Credits) - Regular - Revi6F.Y.B.Com. (F.M,) F.Y.B.Com. (F.M.) Sem I (Medium ~ English) 1. Personal Information ‘Name of Applicant: [GANDHI DHATRYA DEEPAK Fathers/Husbana's Name (Middle Name): [DEEPAK Mathers Frat nam MADR Date of Birt 2s sep 1996 [Genders [mate Marital Status lUnearried Place of Bir MUMBAI |Nobile Numbers: 7045150034, 9322480575 ‘dress for Coraspondence IPLOT NO 77, KASTURBA APARTMENT , 2ND FLOOR , ROOM NO 2i , BHAUDATI ROAD , IMATUNGA (EAST), Cty: MUMBAI, Taluka: Mumbat, District: Mumbai City, State: Maharashtra, [Country india, Pin: 400039 Contac Number NOE Avallab [Emails dhairyagandnis9s@gmall.com ‘Social Reservation Information of Applicant I l2.Papers Selected for: F.Y.8.Com. (F.M.) [LUFMFSI.1 ] Financial Accounting - 1 [LUFWFSI.2 j triroduction to Financial system [UFMFSI.3 ] Business Mathematics [LUFMFSI.S.1 ] Foundation Course 1 [LUFMFSI.4 ] Business Communication - I | UFMFSI.6 ] Business Environment [[UFHFS7 ] Business Economics ~1 [5 Educational Details Section [Graderrotal Name of is school Name Date of louatitying pieme ct | Stream lame of Board/University| Schoo! Ni Bats ot ait Tor Na INAHARASHTRA STATE BOARD|ANULAKH ANECHAND [war 2014 [425/500 _|A213073} JOF SECONDARY AND HIGHER [BHIMIL VIVIDHLAKSHE * ISECONDARY EDUCATION |VIDHYALAVA Tah [commerce MAHARASHTRA STATE BOARD|K.J. SOWAIYA COMEGE OF [Feb 2016 |a7a7650 _|M257550 JOF SECONDARY AND HIGHER [ARTS AND COMMERCE ’ |SECONDARY EDUCATION la: Required Documents and Certificates Section (Please tick mark the document that you have attached to this form) Le passing Certiticate of Sta 10th Le Leaving certincate [Fic cersficate IS. Declaration by Applicant I nereby ceaare and agree tha, 1. This Anpcation mast inchide al the major Courses and Callgesof the University, However if the Courses and Cotages of the Universty are nt std in the Bplcation, then =i my respons to contact the Coleg separately fr apaying forthe Courses that are not sted 2. Thom, Unwarsty may sed afation to new Colages or afta new Caras to existing Calg after my apotcaton, ft wi be nctiiad trough a Corigendum fn port. I my responsibilty to check the same regulary and apply for the newly added Course/Colge, interest 3. Ihave read tne ruks related to aamision andthe Infomation le in by men this form is accurate ana tue othe best of my kxowedoe. 1 il be responsible fer eny dacrepency, ering cute the frm signed by me end undetstané tnt, nthe absence of sny document, the Anal admlsion wl Rat be rented endfor emission wi sand cancel, [yam aware of the Anti Ragging Act and I state that I will abide by all the rules and regulation of the sald Act. 6. Declaration by Parent/Guardian I have permitted my sor/éaughter/ward to apply in your Callege. The Information supplied by him/her Is correct te the best of my Knowledge.d Ihave acquainted myself with tne rules and fees/dues related to the program. [Date : Signature of the Guardian: I. For College/Institute Use Only Dasignation [Remarks / Particulars / Recommendations [Signature and Date ‘Admission Clerk ‘Admission Committee ‘Accountant/Cashier| Cash Received: Rs Receipt No, Registrar/Office Superintendent. bipsimumacmission eigitalunversity avOnneAdmissionsPrinApplcaion hint 22