Session 2024-2025
SAINT FRANCIS DE SALES Application for
COLLEGE Admission to B.SC
(BIO) SEM 3
Session 2024-2025
SEMINARY HILL, Application No.
NAGPUR,MAHARASHTRA,INDIA :B.SC(BIO)/23-24/2
6
Applicant's Personal Details
Name of the Student Surname First name Father's name
ANSARI AYESHA MUNAWWARA
Mother's Name RUMANA
Student Name(HINDI) AYESHA MUNAWWARA ANSARI
Date of Birth 01/09/2005 Place Of Birth NAGPUR
Birth State MAHARAHSTRA Birth District NAGPUR
Birth Tehsil NAGPUR Voter Id
Marital Status UNMARRIED Blood Group
Religion MUSLIM Gender FEMALE
Nationality INDIAN Aadhaar card Number 352399972990
Mother Tongue URDU Passport Number
EID Number Employment Status Unemployed
NCC/NSS NO Eligibility No.
Caste Category OBC Sub Caste JULLAHA
Enrollment Number PRN Number
Handicap Is Orphan NO
Saral No. Udise No.
Student has a Desktop/ NO Student has internet NO
Laptop/ Smart phone connectivity
Municipal Ward
Father's/Husband's Name MOHAMMAD SAJID
Occupation Businessman Gross Annual Income 60,000
Mobile 7559359534
Office Address
Address of Correspondence
Address NEAR ABDUL MAJID LEADER URDU PRIMARY SCHOOL HOUSE NO 269/A NOORI HOUSE
BHANKHEDA MOMINPURA
State MAHARAHSTRA District
Tehsil City/Town/Village
Pincode 440018
Permanent/Native Address
Address NEAR ABDUL MAJID LEADER URDU PRIMARY SCHOOL HOUSE NO 269/A NOORI HOUSE
BHANKHEDA MOMINPURA
State MAHARAHSTRA District NAGPUR
Tehsil NAGPUR City/Town/Village NAGPUR
Pincode 440018
Contact Details
Student Phone 9028835221 Parent's Phone
Mobile 9028835221
Email Id [email protected]
Payment mode Online
Transaction ID Amount Resp. no. Transaction Date
7816414 200.00 FUUPIU69E0E3E949B 16/07/2024
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 B.SC (BIO) SEM 1
2 B.SC (BIO) SEM 2
Sr.No. Subject Name Subject Type
Group Name :
1 CHEMISTRY COMPULSORY
2 ZOOLOGY OPTIONAL
3 BIO-TECHNOLOGY 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 : 16/07/2024 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 : 16/07/2024 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
