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Application Form Sem 5

This document is an application for admission to the TYBMS Sem 5 program at Rishi Dayaram and Seth National College for the 2021-2022 session. It contains personal details of the applicant, Shubham Kogta, including his name, date of birth, address, family details, educational qualifications and exam results. It also lists the marketing elective subjects he has selected. Declarations are provided by the student and his parent confirming the accuracy of the information. The admission committee will review and provide remarks on whether to admit the applicant.

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SHUBHAM KOGTA
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0% found this document useful (0 votes)
87 views

Application Form Sem 5

This document is an application for admission to the TYBMS Sem 5 program at Rishi Dayaram and Seth National College for the 2021-2022 session. It contains personal details of the applicant, Shubham Kogta, including his name, date of birth, address, family details, educational qualifications and exam results. It also lists the marketing elective subjects he has selected. Declarations are provided by the student and his parent confirming the accuracy of the information. The admission committee will review and provide remarks on whether to admit the applicant.

Uploaded by

SHUBHAM KOGTA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Session 2021-2022

RISHI DAYARAM AND SETH Application for


HASSARAM NATIONAL COLLEGE Admission to TYBMS
AND SETH WASSIAMULL SEM 5
ASSOMULL SCIENCE COLLEGE Session 2021-2022
SMT. JOTU KUNDNANI CHOWK, OFF Application No. :10
LINKING ROAD, BANDRA - WEST,
MUMBAI, MAHARASHTRA, INDIA
POSTAL CODE 400 050 TEL. NOS. (91 -
22) 2648 3544 / 2604 1777 FAX NO.
Applicant's Personal Details

Name of the Student Surname First name Father's name

KOGTA SHUBHAM RAJKUMAR

Mother's Name SARIKA KOGTA

Student Name(MARATHI) शशभम


Date of Birth 15/12/2001 Place Of Birth JALGAON

Birth State Blood Group O+

Birth Tehsil Gender MALE

Marital Status UNMARRIED Aadhaar card Number 944172016965

Religion HINDU PRN Number 2019016401888064

Nationality INDIAN Enrollment Number

Mother Tongue HINDI Employment Status Unemployed

NCC/NSS NO Caste Category OPEN

Handicap NA

Student has a Desktop/ YES Student has internet YES


Laptop/ Smart phone connectivity

Municipal Ward

Father's/Husband's Name RAJKUMAR KOGTA

Occupation Gross Annual Income 200,000


Mobile 9422296810

Address of Correspondence

Address 17/301 manas aastha heights mayadevi nagar near rotary club , jalgaon

State Maharashtra District Jalgaon

Pincode 425001 City/Town/Village JALGAON

Permanent/Native Address

Address 17/301 manas aastha heights mayadevi nagar near rotary club , jalgaon

State Maharashtra District Jalgaon

Pincode 425001 City/Town/Village JALGAON


Contact Details

Student Phone 9511765153 Parent's Phone

Mobile 9511765153

Email Id [email protected]

Payment mode Offline

Last Exam Details


Exam Name

Name of Board/
University

Month Year

Roll Number Division

Marks Obtained Maximum Marks

Percentage Result

Exam Details

Sr.No. Course Name SGPA CGPA


1 FYBMS SEM 1 8.15 8.15
2 FYBMS SEM 2 8.15 7.48
3 SYBMS SEM 3 9.85 9.85
4 SYBMS SEM 4 9.70 8.72

Sr.No. Subject Name Subject Type

Group Name : GROUP B - MARKETING ELECTIVES

1 CORE COURSE - LOGISTICS & SUPPLY CHAIN MANAGEMENT COMPULSORY

2 ABILITY ENHANCEMENT COURSE - CORPORATE COMMUNICATION & PUBLIC COMPULSORY


RELATIONS

3 SERVICES MARKETING OPTIONAL

4 E-COMMERCE & DIGITAL MARKETING OPTIONAL

5 SALES & DISTRIBUTION MANAGEMENT OPTIONAL

6 STRATEGIC MARKETING MANAGEMENT OPTIONAL

Declaration by Student

I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate
and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and I undertake
that, in absence of any document the final admission will not be granted and / or admission will stand cancel.

Date : 05/06/2021 Signature of the Student

Declaration by Guardian / Parent

I have permitted my son / daughter / ward to join your college.The information supplied by him / her is correct to the best of
my knowledge. I have acquainted myself with the rules and fees, dues to my son / daughter / ward and see that he / she observes.

Date : 05/06/2021 Signature of the Guardian/Parent


For College / Institute Use Only

Designation Remarks / Particulars /Recommendations Signature and Date

Admission Clerk

Admission Committee

Accountant / cashier

Registrar/Office
superintendent

REMARK OF THE ADMISSION COMMITTEE

May be admitted to Class ____________________________________________________ Section ________________


May be Rejected __________________________________________________________________________________
Last date of payment of fees _________________________________________________________________________
Admission may be cancelled if the fees are not paid by this date.

Principal Signature of Admission Committee

Other Details

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