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Guru Nanak College of Arts, Science and Commerce (75)

Application No :
University of Mumbai 55866
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2025-2026 Regular
APPLICATION FORM

Course Applied for : B.Sc. (I.T.) (Autonomous)(with Credits) - Regular PRN:2023016400192755

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

Application Date : 04/07/2025 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed NAKATE PRIYA PRADEEP
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : PRADEEP USHA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Mumbai Gender : Female Date of Birth (DD/MM/YYYY) : 25/06/2005
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 : Kurla City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb 84/3/6 Arvind Patil Wadi Ghalta Village Pin Code : 400071
etc.) :
Contact details
Mobile
919372827502 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : OBC
Reserved
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 : 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.
Std 12th 12Th MAHARASHTRA STATE May 2023 -- -- 314.00 600.00 -- - -- 52.33
(Science) BOARD OF SECONDARY
 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.
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 Fri Jul 04 2025 10:04:50 GMT+0530 (India Standard Time)