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Application051120250950169851746937216985.4855 5353705

The document is an admission application for a student named Ankita Ramcharitra Yadav for the XII Science program at Vidyavardhini's Annasaheb Vartak College for the academic year 2025-2026. It includes personal details, contact information, last exam results, and attached documents. The application also contains declarations from both the student and the guardian confirming the accuracy of the information provided.

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0% found this document useful (0 votes)
66 views3 pages

Application051120250950169851746937216985.4855 5353705

The document is an admission application for a student named Ankita Ramcharitra Yadav for the XII Science program at Vidyavardhini's Annasaheb Vartak College for the academic year 2025-2026. It includes personal details, contact information, last exam results, and attached documents. The application also contains declarations from both the student and the guardian confirming the accuracy of the information provided.

Uploaded by

ay1881137
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ACADEMIC YEAR 2025-2026 Student Id : 5353705

VIDYAVARDHINI’S
ANNASAHEB VARTAK COLLEGE OF ARTS, KEDARNATH
MALHOTRA COLLEGE OF COMMERCE, E. S. ANDRADES
COLLEGE OF SCIENCE
JUNIOR COLLEGE.
Index No.: KT MARG, BESIDE VASAI ROAD RAILWAY STATION, VASAI (W),
J 1808001 DIST. PALGHAR 401202
UDISE NO: Application for Admission to XII SCIENCE
27361713805 Academic Year - 2025-2026
Application Number - 275

Applicant's Personal Details

Surname First name Father's name


Name of the Student YADAV ANKITA RAMCHARITRA

Mother's Name REKHA YADAV

Student Name(MARATHI) ANKITA RAMCHARITRA YADAV


Student Name (As per YADAV ANKITA RAMCHARITRA
10th Marksheet)

Date of Birth 02/06/2009 Place Of Birth NALLASOPARA

Birth State Maharashtra Blood Group

Religion HINDU Gender FEMALE

Nationality INDIAN Aadhaar card Number 946366477630

Mother Tongue HINDI Sub Caste

Caste Category OPEN Is Orphan NO

Handicap NA Udise No. of FYJC 27361715414

Medium ENGLISH Saral No. 2011273617154140002

Father's/Husband's Name RAMCHARITRA YADAV

Occupation OTHER Gross Annual Income 100,000


Mobile 7414945689

Address of Correspondence

Address JAY MAA DURGA SOCEITY

State Maharashtra District Palghar

Taluka City/Town/Village Nalasopara (E)

Pincode 401209
Permanent/Native Address

Address JAY MAA DURGA SOCEITY

State Maharashtra District Palghar

Taluka City/Town/Village Nalasopara (E)

Pincode 401209

Contact Details

Student Phone 8828082226 Parent's Mobile Number

Mobile Number 8828082226

Email Id [email protected]

Last Exam Details


Exam Name 11 science

Name of Board/ MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER EDUCATION


University

Month April Year 2025


Roll Number 91 Division A
Marks Obtained 502 Maximum Marks 600

Percentage 83.67 Result Passed

Sr.No. Subject Name Subject Type

Group Name : BIOLOGY / HINDI/ MATHS

1 ENGLISH COMPULSORY

2 PHYSICS COMPULSORY

3 CHEMISTRY COMPULSORY

4 ENVIRONMENT EDUCATION COMPULSORY

5 HEALTH & PHYSICAL EDUCATION COMPULSORY

6 HINDI OPTIONAL

7 MATHEMATICS OPTIONAL

8 BIOLOGY OPTIONAL

Sr. No. Attached Documents and Certificates Original/Attested True Copy Yes/No

1 10TH MARKSHEET 1 Attested copies YES

2 AADHAR CARD 1 Attested copies YES

3 LEAVING CERTIFICATE (XI) 1 Attested copies YES

4 XI MARKSHEET 1 Attested copies YES


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 : 11/05/2025 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 : 11/05/2025 Signature of the Guardian/Parent

For College / Institute Use Only

Designation Remarks / Particulars /Recommendations Signature and Date


Admission Committee

Accountant / cashier

REMARK OF THE ADMISSION COMMITTEE

May be admitted to Class ____________________________________________________ Section ________________


May be Rejected __________________________________________________________________________________

Principal Signature of Admission Committee

Other Details

2011273617154140002

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