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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

N. R. Swamy College of Commerce and Economics and Smt. Thirumalai College of Science (311)
Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
37663
Academic Year: 2024-2025 Regular
APPLICATION FORM

Course Applied for : B.Sc. (I.T.) (Autonomous)(with Credits) - Regular PRN:2022016400815391


- CBCS - T.Y.B.Sc. (I.T.) (Autonomous) Sem V (-)

Application Date : 18/07/2024 Payment Category : 13


1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed NADAR SURESH KUMAR DHARAMARAJ
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : DHARAMARAJ LILAVATI
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 17/01/2005
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 : Mumbai City Tehsil : Mumbai City/Town/Village :
Available
Address (House
no,street/area/suburb A-318 , 6/18 SAIBABA NAGAR , 90 FEET ROAD DHARAVI Pin Code : 400017
etc.) :
Contact details
Mobile
9136879131 Email ID: sureshkumarnadar1701@gmail.com
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 V
BSCIT001 - PAPER I BSCIT002 - PAPER II
BSCIT003 - PAPER III BSCIT004 - PAPER IV
Sem VI

BSCIT005 - PAPER V BSCIT006 - PAPER VI


BSCIT007 - PAPER VII BSCIT008 - PAPER VIII

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 100000
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
Std 10th June 2020 -- -- 424.00 500.00 -- - -- 84.80
AND HIGHER SECONDARY
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY
June 2022 -- -- 346.00 600.00 -- - -- 57.67
(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 Wed Aug 28 2024 17:08:53 GMT+0530 (India Standard Time)

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