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J.S.M.College OR Janata Shikshan Mandal Smt. Indirabai G. Kulkarni Arts, J. B. Sawant Science and Sau. Application
Jankibai Dhondo Kunte Commerce College (707)
No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
323138
Academic Year: 2024-2025 Regular
APPLICATION FORM

Course Applied for : B.Sc. Computer Science(with Credits) - Regular - PRN:2023016400040953

Rev21 - S.Y. B.Sc. CS Sem III (-)

Application Date : 12/08/2024 Payment Category : 25

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed BHANDVILKAR MANN TEJAS
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : TEJAS SAKSHI
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : ALIBAG Gender : Male Date of Birth (DD/MM/YYYY) : 13/06/2005
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Raigad Tehsil : Alibag City/Town/Village :
Available
Address (House
no,street/area/suburb AT POST CHONDHI KIHIM TAL ALIBAG DIST RAIGAD Pin Code : 402201
etc.) :
Contact details
Mobile
919011566454 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
USCS301 - Principles of Operating Systems USCS302 - Linear Algebra
USCS303 - Data Structures USCS304 - Advanced Database Concepts
USCSP301 - Principles of Operating Systems – Practical USCSP302 - Linear Algebra – Practical
USCSP303 - Data Structures – Practical USCSP304 - Advanced Database Concepts – Practical
USCS305 - Java based Application Development USCS306 - Web Technologies
USCSP305 - Java based Application Development – Practical USCSP306 - Web Technologies – Practical
USCS3071 - Creative Content Writing
Sem IV

USCS401 - Theory of Computation USCS402 - Computer Networks

USCS403 - Software Engineering USCS404 - IoT Technologies
 USCSP401 - Theory of Computation – Practical USCSP402 - Computer Networks – Practical
USCSP403 - Software Engineering – Practical USCSP404 - IoT Technologies – Practical
USCS405 - Android Application Development USCS406 - Advanced Application Development
USCSP405 - Android Application Development – Practical USCSP406 - Advanced Application Development – Practical
USCS4072 - Management & Entrepreneurship

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Laborer Annual Income of Guardian : 0
5.Educational Details
Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY March
Std 10th -- -- 316.00 500.00 -- - -- 63.20
AND HIGHER SECONDARY 2021
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY
May 2023 -- -- 378.00 600.00 -- - -- 63.00
(Science) AND HIGHER SECONDARY
EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents. I admit to having
understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if
found guilty of ragging or sexual harassment I am liable for punishment according to the university regulations.

Place : Date :
( Signature of the Candidate )
Document printed on Mon Aug 12 2024 10:36:24 GMT+0530 (India Standard Time)