Application For Admission To BMS - 5 Session 2020-2021 Application No.: 2530341 Kishinchand Chellaram College

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Session 2020-2021

KISHINCHAND CHELLARAM Application for


COLLEGE Admission to BMS -
5
Session 2020-2021
VIDYASAGAR PRINCIPAL K.M. Application No. :
KUNDNANI CHOWK 124, DINSHAW 2530341
WACHHA ROAD, CHURCHGATE

Applicant's Personal Details

Name of the Student Last Name/Surname First Name Middle Name

MISS PODDAR RIYA

Father's Name GANESH KUMAR PODDAR

Mother's Name SHASHI PODDAR

Gender FEMALE Mobile 9987651510

Email Id riyapoddr321@gmail.com

Date of Birth 19/09/2000 Place Of Birth RAMGARH

Marital Status Mother Tongue HINDI

Blood Group Caste Category OPEN

Caste Sub Caste

Religion HINDU Nationality Indian

Handicap NA Handicap Percentage 0.00

Aadhaar card Number 533199085790 PRN Number 2018016402636936

Family Income 0

Municipal Ward

Local Guardian's Name

Local Guardian's Contact No. 9851038232 Parent's Contact No.


Parent's Email ID

Student Phone

Address of Correspondence

Address flat no. 82 bharat apartment,Rohini Sector 13, North west ,chhetrapati,dhalko
kathmandu,new dehli,110085

State NEW DELHI District NORTH WEST

City/Town/Village NEW DEHLI Pincode 110085

Permanent/Native Address

Address flat no. 82 bharat apartment,Rohini Sector 13, North west ,delhi 110085

State NEW DELHI District NORTH WEST


City/Town/Village NEW DEHLI Pincode 110085

Transaction ID Amount Resp. no. Transaction Date

845618 100.00 RPVISD9430809235 05/09/2020


Preferenace : 1 Group Name : FINANCE
BMS FINANCE P1
BMS FINANCE P2
BMS FINANCE P3
BMS FINANCE P4
BMS FINANCE P5
BMS FINANCE P6

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 : 05/09/2020 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 : 05/09/2020 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

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