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    Course Applied For: Admission Date:: Bhavan'S College

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    Durgesh
    1) The document is an application for admission to Bhavan's College for an M.Sc in Physics program by Pradeep Giridhar Padmukhi. 2) It contains personal details of the applicant like name, date of birth, address, contact details, family details, educational qualifications and documents submitted. 3) The applicant's father's name is Padmukhi Giridhar, mother's name is Vithabai. He is an in-house student from Mumbai seeking admission under the open category.

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    Course Applied For: Admission Date:: Bhavan'S College

    Uploaded by

    Durgesh
    63 views3 pages
    1) The document is an application for admission to Bhavan's College for an M.Sc in Physics program by Pradeep Giridhar Padmukhi. 2) It contains personal details of the applicant like name, date of birth, address, contact details, family details, educational qualifications and documents submitted. 3) The applicant's father's name is Padmukhi Giridhar, mother's name is Vithabai. He is an in-house student from Mumbai seeking admission under the open category.

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    admission for msc

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    1) The document is an application for admission to Bhavan's College for an M.Sc in Physics program by Pradeep Giridhar Padmukhi. 2) It contains personal details of the applicant like name, date of birth, address, contact details, family details, educational qualifications and documents submitted. 3) The applicant's father's name is Padmukhi Giridhar, mother's name is Vithabai. He is an in-house student from Mumbai seeking admission under the open category.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views3 pages

    Course Applied For: Admission Date:: Bhavan'S College

    Uploaded by

    Durgesh
    1) The document is an application for admission to Bhavan's College for an M.Sc in Physics program by Pradeep Giridhar Padmukhi. 2) It contains personal details of the applicant like name, date of birth, address, contact details, family details, educational qualifications and documents submitted. 3) The applicant's father's name is Padmukhi Giridhar, mother's name is Vithabai. He is an in-house student from Mumbai seeking admission under the open category.

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    Session 2019-2020

    BHAVAN'S COLLEGE College Code


    :BCM

    Munshi Nagar,Andheri (West), Mumbai - 400058

    For College Course Applied For : M.SC PHYSICS - 1 Registration No.

    use only 437459


    Admission Date :

    01. Personal Information Section


    LAST NAME FIRST NAME MIDDLE NAME

    Name of the Student PADMUKHI PRADEEP GIRIDHAR

    Father's Name PADMUKHI GIRIDHAR

    Mother's Name : VITHABAI In-House Student : Yes

    Marital Status : UnMarried Saral No. :


    Date of Birth : 19/10/1994 Gender : Male

    Place of Birth : GOGI Blood Group : AB+

    Grandfather Name : Native Place : Gogi

    Voter ID Card No. : Organ Donor : NO

    Bank Name : Account No. : Transaction Type : ONLINE

    Religion : HINDU Nationality Indian UDISE No. :

    Aadhar Card No. : 563182226484 Driving Licence No. :

    University Pre-Registration No. :

    02. Address Details

    Address for Correspondence: New India welfare society, Gilbert hill road, Andheri west, Mumbai
    Pin Code : 400058

    State : MAHARAHSTRA District : MUMBAI Tehsil : City : ANDHERI


    New India welfare society, Gilbert hill road, Andheri west, Mumbai
    Permanent Address Pin Code : 400058

    State : MAHARAHSTRA District : MUMBAI Tehsil : City : ANDHERI

    03. Contact Details

    Student Phone : Parent Phone :

    Student Mobile No.: 8356881415 Student Email Id: ppadmukhi28@gmail.com

    04. Legal Reservation Information Section

    Domicile State : Admission Category : Caste Category : OPEN


    Caste : Phy. Handicapped : NO

    Caste Certificate No. : Learning Disability No. :


    05. Social Reservation (Special Category) Information Section

    SR NO. SOCIAL RESERVATION NAME

    06. Education Details Section


    Name of Name of School Date of Examination Passing Grade / Obt CGPA
    Name of
    Board / College Passing Seat No. Certificate No. Total Marks %
    Examination
    Marks

    07. Qualifying Exam Details Section


    Qualifying Exam Name : TYBSC
    College/School Board/ Admission Passing Marks Total Percentage Place Arts/Com Education
    Attended University Year Year Obt Marks /Sci Gap

    Bhavans college University of 2013 2016 546 800 68.25 Mumbai Science YES
    Mumbai

    Qualifying Exam Subject Details

    Sr.No. Subject Name Total Marks Obtained Marks


    1

    08. Subject Details Section

    Sr.No. Subject Name Subject Type

    Group Name :

    09. Attached Documents

    Sr No. Name of Documents/Certificates

    10. Guardian / Parent Information Section


    Guardian's/ Parent's Name :

    Occupation of the Guardian/Parent : Annual Income of the guardian/Parent : 120,000.00

    Relationship of Guardian with applicant : -- Guardian/Parent Phone No. :

    11. Other Information Section


    Mother Tongue : MARATHI Employment Status : NO Do you wish to join NCC / NSS: NO

    Would you like to apply for Hostel : NO

    Hobbies, Proficiency and Other interests : NA

    Games and sports participation :

    Personal Identification Marks : --


    12. 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.

    Place :

    Date :
    Signature of the Student:

    13. 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.

    Place :

    Date :
    Signature of the Guardian/Parent:
    14. For College / Institute Use Only
    Designation Remarks / Particulars /Recommendations Signature and Date

    Admission Clerk
    Admission Committee
    Accountant / cashier

    Registrar/Office Cash Received : Rs 100.00


    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

    ACKNOWLEDGMENT Registration No. :437,459

    BHAVAN'S COLLEGE
    Munshi Nagar,Andheri (West), Mumbai - 400058

    Received Data-Sheet for admission to M.SC PHYSICS - 1 class for Academic Year 2019-2020 of

    MR. PRADEEP GIRIDHAR PADMUKHI

    Receiver's Name Date Signature

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