| Percentage:54.00| Roll No: ADMISSION FORM JAI HIND SINDHU EDUCATION TRUST'S MANGHANMAL UDHARAM COLLEGE OF COMMERCE PIMPRI, PUNE – 411017. Admission will be provisional till final Eligibility Certificate is obtained from Savitribai Phule Pune University. BCOM S.Y. 2017/BCOM/SY/00497 Class BCOM S.Y. Div Eligibility No 12016134916 PRN No Fees PERSONAL INFORMATION Student Name: Mobile No.: Aadhar Card No.: Local Address: Native Place: Sex: Birth Date/Birth Place: BHANSALI PIYUSH CHANDANMALJI 9011334411 Email ID: bhansalipiyush0@gmail.com 466834435852 Voter ID No.: NO/ AKSHAY APT MENT B 1 C BUILDING NEAR VISHAL E- SQAURE PIMPRI PUNE411018. PIMPRI Blood Group: B+ MALE Married or Unmarried: UNMARRIED 17/06/1998/PIMPRI District/State: PUNE HINDU Passport No(if you have /other country): Mother Tongue: OTHER OPEN Do You Have Caste Certificate: NO . Hobbies: CRICKEK, HOCKEY. Whether Participated In Any Event NO (Local/State/National/International): Nationality: INDIAN Religion: Do you belong to S.C/S.T/V.J.N.T/OBC: Games Played: Do you wish to join N.S.S: YES OPTIONAL SUBJECTS (The college reserves the rights to decide the terms while allotting an optional subject at the Second Year) 1. Marketing Management (special paper I) ACADEMIC INFORMATION School / College Attended Year of Passing Seat No. Marks Obtained Percentage MAHARASHTRA BOARD SS AJMERA 2016 P187066 419 64.46 SPPU AUDYOGIK SHIKSHAN MANDAL COLLEGE OF COMMERCE & INFORMATION TECHNOLOGY 2017 COM-6479 378 Exam Board / University HSC F.Y. 54 Important: Note: Students are requested to restrain from indulging in any form of ragging. Legal action will be initiated if students are found violating the Anti-Ragging Provisions. Undertaking form should be duly filled and submitted. Signature Of Student a) If you are a repeater, mention the year of your Appearing at the examination b) If there is a gap state reason for it c) Have you applied for admission to any other College/Institution and course offered: INFORMATION OF PARENTS / GUARDIAN FATHER MOTHER Name : CHANDANMALJI VIMLA Mobile No. : 8888044440 8888944449 Occupation : BUSINESS Whether Central Government Employee : NO Family Annual Income : NO 3LAKH AND ABOVE 0 - 1LAKH Are economically backward: NO APPLICATION FROM THE STUDENT To, THE PRINCIPAL MANGHANMAL UDHARAM COLLEGE OF COMMERCE, PIMPRI, PUNE-411017 Respected Madam, *I request you to grant me admission in the S.Y. BCOM Class. *I am aware that 75% attendance is compulsory. *I will not indulge in any form of ragging & I am aware of the legal actions *I will not consume Tobacco, Gutka, Smoking, Drugs or any other prohibited things in College campus.(As per circular No. 106/98-99, University of Pune.dt.07-05-98, consumption to Tobacco, Gutka and smoking have been strictly prohibited in the college campus affiliated to the university) *I have read carefully the rules and regulations mentioned in the prospectus. I hereby accept them . I will abide by the decision of the Principal in the matter of the grant of my term and disciplinary matters. *I hereby submit to the disciplinary jurisdiction of the Vice-Chancellor, the other officers and authorities of the university and authorities of the college and shall observe and abide by the rules made by the ViceChancellor in that behalf and also the rules made by the authorities of the college. Yours Obediently Signature Of Student DECLARATION BY PARENT/ GUARDIAN I have acquainted myself with and agree to the rules and requirements of the college as mentioned in the prospectus, fully endorse the application of my ward which may kindly be considered. If any information / fact mentioned above is found incorrect later on, the admission of my ward may be cancelled. Place:________________ Date:________________ Signature of parent/Guardian DECISION BY THE PRINCIPAL Admitted/Not admitted: Provisionally Subject to his submitting the document as under: ________ Signature of Principal ID CARD FORM Roll No: ______________________________________________________________________________ Name: BHANSALI PIYUSH CHANDANMALJI ______________________________________________________________________________________ Class: S.Y. BCOM Date Of Birth: Address: 17/06/1998 INDIAN Blood Group:B+ AKSHAY APT MENT B 1 C BUILDING NEAR VISHAL E- SQAURE PIMPRI PUNE-411018. Tel./Mobile No: Email-ID: Div:__________________ Nationality: 9011334411 bhansalipiyush0@gmail.com Allergies if any: Signature Of Student UNDERTAKING I am aware that 75% Attendance is compulsory as per Savitribai Phule University Pune Rules failing which I will not be allowed to appear for Term End Examination. Signature Of Student Signature Of Parent/Guardian © 2017 MUCC College - mucollege.org All rights reserved.
