Session 2023-2024
ZULAL BHILAJIRAO PATIL Application for
COLLEGE, DHULE Admission to XII
COM NG - 1
Session 2023-2024
Application No.
:12thCom-2
Applicant's Personal Details
Name of the Student Surname First name Father's name
JAIN SUHANI SULABH
Mother's Name SAPNA
Student Name(MARATHI)
Date of Birth 15/10/2006 Place Of Birth DHULE
Birth State Maharashtra Birth District Dhule
Birth Tehsil dhule Voter Id
Marital Status UNMARRIED Blood Group AB+
Religion HINDU Gender FEMALE
Nationality INDIAN Aadhaar card Number 501261745430
Mother Tongue MARWADI Passport Number
EID Number Employment Status Unemployed
NCC/NSS NO Eligibility No.
Caste Category OPEN Sub Caste OPEN
Enrollment Number PRN Number
Handicap Is Orphan NO
Saral No. Udise No. 27020502112
Student has a Desktop/ NO Student has internet NO
Laptop/ Smart phone connectivity
Municipal Ward
Father's/Husband's Name SULABH RAMESH JAIN
Occupation BUSINESS Gross Annual Income 500,000
Mobile 9422239191
Office Address M S SULABH RAMESH JAIN
Address of Correspondence
Address CTS no. 8027, Vallabh Nagar, near Dasera Maidan, Malegaon road, Dhule
State Maharashtra District Dhule
Tehsil 2D16A368-E79A-47E0-8F4A-051A4F City/Town/Village DHULE
Pincode 424001
Permanent/Native Address
Address 8027, Vallabh Nagar, near Dasera maidan, Malegaon road, Dhule
State Maharashtra District Dhule
Tehsil DHULE City/Town/Village DHULE
Pincode 424001
Contact Details
Student Phone 8788483422 Parent's Phone
Mobile 8788483422
Email Id [email protected]
Payment mode Online
Transaction ID Amount Resp. no. Transaction Date
5387796 20.00 FUUPIU33167167517 08/06/2023
Last Exam Details
Exam Name
Name of Board/
University
Month Year 2023
Roll Number Division
Marks Obtained 415 Maximum Marks 600
Percentage 69.17 Result XI
Exam Details
Sr.No. Course Name SGPA CGPA
1 XI COM NG - 1
Preferenace : 1 Group Name :
ENGLISH
BOOK KEEPING AND ACCOUNTANCY
ECONOMICS
SECRETORY PRACTICE
HINDI
ORGANIZATION OF COMMERCE AND MGT
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 : 08/06/2023 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 : 08/06/2023 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
Other Details
