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Application051020241002076081715358727608.4855 4772658

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64 views3 pages

Application051020241002076081715358727608.4855 4772658

Uploaded by

aamanjswr
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 2024-2025

RD AND SH NATIONAL COLLEGE Application for


AND SWA SCIENCE JUNIOR Admission to SYJC
COLLEGE SCIENCE AIDED - 1
Session 2024-2025
SMT JOTU KUNDNANI CHOWK, OFF Application No. :0
LINKING RD, BANDRA WEST, W,
MAHARASHTRA 400050

Applicant's Personal Details

Name of the Student Surname First name Father's name

JAISWAR ANJALI RAKESH

Mother's Name SHANTI

Student Name(HINDI)

Date of Birth 21/04/2008 Place Of Birth UTTAR PRADESH

Birth State Please Select Birth District Please Select

Birth Tehsil Voter Id

Marital Status UNMARRIED Blood Group O+

Religion HINDU Gender FEMALE

Nationality INDIAN Aadhaar card Number 871590470962

Mother Tongue HINDI Passport Number

EID Number Employment Status Unemployed

NCC/NSS NO Eligibility No.


Caste Category OPEN Sub Caste

Enrollment Number PRN Number 0


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 RAKESH

Occupation SELF EMPLOYED Gross Annual Income 120,000


Mobile 9920211036

Office Address

Address of Correspondence

Address ROOM NO 2/18 41, SHIV SHAKTI NAGAR SANT KAKKYA MARG DHARAVI MUMBAI

State Maharashtra District MAHARASHTRA

Tehsil City/Town/Village Mumbai

Pincode 400017
Permanent/Native Address

Address ROOM NO 2/18 41, SHIV SHAKTI NAGAR SANT KAKKYA MARG DHARAVI MUMBAI

State Maharashtra District MAHARASHTRA

Tehsil City/Town/Village Mumbai

Pincode 400017

Contact Details

Student Phone 9920211036 Parent's Phone

Mobile 9082122487

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 FYJC SCIENCE AIDED - 1

Sr.No. Subject Name Subject Type

Group Name : HINDI - PCMB

1 ENGLISH COMPULSORY

2 HEALTH & PHYSICAL EDUCATION COMPULSORY

3 ENVIRONMENT EDUCATION COMPULSORY

4 PHYSICS COMPULSORY

5 CHEMISTRY COMPULSORY

6 HINDI OPTIONAL

7 MATHEMATICS OPTIONAL

8 BIOLOGY 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 : 10/05/2024 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 : 10/05/2024 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

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