Session 2024-2025
CHINTAMANRAO COLLEGE OF Application for
COMMERCE, SANGLI Admission to B.COM
SEM - III
Session 2024-2025
DES Campus, Vishrambag Sangli Application No. :
416415 761435
Applicant's Personal Details
DHANG ADITYA PRAKASH BABASO RANJANA
Name of the Student
DHANG
Surname First name Father name Mother's Name
Student Name(HINDI)
Date of Birth 05/02/2005 Place Of Birth DADAR, MUMBAI
Birth State Maharashtra Birth District Mumbai
Birth Tehsil Mumbai Voter Id
Marital Status UNMARRIED Blood Group B+
Religion HINDU Gender MALE
Nationality INDIAN Aadhar card Number 223769930133
Mother Tongue MARATHI Passport Number
EID Number Employment Status Unemployed
NCC/NSS NO Eligibility No.
Caste Category NT C Sub Caste Dhanagar
Enrollment Number PRN Number
Handicap NO Is Orphan NO
Saral No. Udise No.
Scholarship No Scholarship Required
Father's/Husband's Name PRAKASH BABASO DHANG
Occupation AGRICULTURE Gross Annual Income 75,000
Mobile 9822258586
Office Address
Address of Correspondence
Address Old miraj road thorala ganapati chowk todkar mala kupwad
State Maharashtra District Sangli
Tehsil MIRAJ City/Town/Village KUPWAD
Pincode 416436
Permanent/Native Address
Address Old miraj road thorala ganapati chowk todkar mala kupwad
State Maharashtra District Sangli
Tehsil MIRAJ City/Town/Village KUPWAD
Pincode 416436
Contact Details
Student Phone Parent Phone
Mobile 9404229191
Email Id adityadhang0@gmail.com
Payment mode Please pay at college counter
Last Exam Details
Exam Name B.com part Name of Board/University
sem 2
Month march Year 2024
Roll Number 5034 Division
Marks Obtained 210 Maximum Marks 350
Percentage 60.00 Result pass
Exam Details
Sr.No. Course Name SGPA CGPA
0
Preference : 1 Group Name :
ENGLISH FOR BUSINESS COMMUNICATION-III (73506)
CORPORATE ACCOUTING-I (73507)
MACRO ECONOMICS-III (73508)
FUNDAMENTAL OF ENTERPRENEURSHIP-I (73509)
BUSINESS STATISTICS-I (73510)
MONEY & FINANCIAL SYSTEM-I (73511)
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 : 08/06/2024 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 : 08/06/2024 Signature of the Guardian/Parent
ANNEXURE I
AFFIDAVIT BY THE STUDENT
I, DHANG ADITYA PRAKASH (full name of student with admission/registration/enrolment number)
s/o d/o Mr./Mrs./Ms. PRAKASH BABASO DHANG ,having been admitted to
CHINTAMANRAO COLLEGE OF COMMERCE, (name of the institution) , have received a copy of the UGC Regulations on
Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the “Regulations”) carefully
read and fully understood the provisions contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and
administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or
passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) I will not indulge in any behaviour or act that may be constituted as ragging underclause 3 of the Regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that may be constituted as
ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the Regulations,
without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time
being in force.
6) I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of
being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case the
declaration is found to be untrue, I am aware that my admission is liable to be cancelled.
Declared this ___day of __________ month of ______year.
Signature of deponent
Name:
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and
nothing has been concealed or misstated therein.
Verified at___________(place) on this the________(day) of_______(month) ,______ (year) .
Signature of deponent
Solemnly affirmed and signed in my presence on this the_______ (day) of_______(month)________(year) after
reading the contents of this affidavit.
OATH COMMISSIONER
ANNEXURE II
CHINTAMANRAO COLLEGE OF COMMERCE, SANGLIAFFIDAVIT BY PARENT/GUARDIAN
I, Mr./Mrs./Ms. PRAKASH BABASO DHANG (full Name of parent /guardian)
father/mother/guardian of, DHANG ADITYA PRAKASH (full name of student with
admission/registration/enrolment number), having been admitted to CHINTAMANRAO COLLEGE OF COMMERCE, S (name
of the institution), have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (Hereinafter called the “Regulations”), carefully read and fully understood the
provisions Contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and
administrative action that is liable to be taken against my ward in case he /she is found guilty of or abetting ragging, actively
or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the
Regulations.
b) My ward will not participate in or abet or propagate through any act of Commission or omission that may be
constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according toclause 9.1 of the Regulations,
without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the time
being in force.
6) I hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on
account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case
the declaration is found to be untrue, the admission of my ward is liable to be cancelled.
Declared this ___day of __________ monthof ______year.
Signature of deponent
Name: PRAKASH BABASO DHANG
Address: Old miraj road thorala ganapati chowk todkar mala kup
Telephone/ Mobile No.: 9822258586
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and
nothing has been concealed or misstated therein.
Verified at___________(place) on this the________(day) of_______(month) ,______ (year) .
Signature of deponent
Solemnly affirmed and signed in my presence on this the_______ (day) of_______(month)________(year) after
reading the contents of this affidavit.
OATH COMMISSIONER
08/06/2024 11:28:42
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 canceled if the fees are not paid by this date.
Principal Signature of Admission Committee
Other Details
08/06/2024 11:28:42