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Application Form

This document is an application form for Tisha Bipin Jain to apply for the B.Sc. (I.T.) course at Hinduja College of Commerce in Mumbai for the academic year 2023-2024. The form contains her personal details like name, date of birth, address, contact information, educational qualifications from SSC and HSC, course details, guardian information and a declaration signed by her.

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Tisha Jain
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© © All Rights Reserved
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0% found this document useful (0 votes)
51 views2 pages

Application Form

This document is an application form for Tisha Bipin Jain to apply for the B.Sc. (I.T.) course at Hinduja College of Commerce in Mumbai for the academic year 2023-2024. The form contains her personal details like name, date of birth, address, contact information, educational qualifications from SSC and HSC, course details, guardian information and a declaration signed by her.

Uploaded by

Tisha Jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Hinduja College of Commerce (98)


Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2210530
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.Sc. (I.T.)(with Credits) - Regular - Rev16 - T.Y. PRN:2021016400976682
B.Sc. (I.T.) Sem V [1S00255] (42300003)

Application Date : 10/07/2023 Payment Category : 13


1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed JAIN TISHA BIPIN
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : BIPIN JAIN DIMPLE JAIN
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : MUMBAI Gender : Female Date of Birth (DD/MM/YYYY) : 28/05/2004
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Boriwali City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb 104, City View Bldg Ovaripada. H. M. Road Pin Code : 400068
etc.) :
Contact details
Mobile
919930200180 Email ID: tisha280504@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 [1S00255]
53701 - Software Project Management 53702 - Internet of Things
53703 - Advanced Web Programming USIT5P1 - Project Dissertation
USIT5P2 - Internet of Things Practical USIT5P3 - Advanced Web Programming Practical
53705 - Linux System Administration USIT5P5 - Linux Administration Practical
53706 - Enterprise Java USIT5P6 - Enterprise Java Practical
Sem VI [1S00256]

88701 - Software Quality Assurance 88702 - Security in Computing


88703 - Business Intelligence USIT6P1 - Project Implementation
USIT6P2 - Security in Computing Practical USIT6P3 - Business Intelligence Practical
USIT6P6 - Advanced Mobile Programming 88704 - Principles of Geographic Information Systems
USIT6P4 - Principles of Geographic Information Systems 88707 - Cyber Laws
Practical

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Business 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
Std 10th June 2019 -- -- 427.00 500.00 -- - -- 85.40
AND HIGHER SECONDARY
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY August
-- -- 545.00 600.00 -- - -- 90.83
(Commerce) AND HIGHER SECONDARY 2021
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 Jul 19 2023 19:39:21 GMT+0530 (India Standard Time)

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