A/P Kudal Tal - Kudal Dist - Sindhudurg Kudal Application No : University of Mumbai 364352 M.G.Road, Fort, Mumbai-400032, Maharashtra(India) Academic Year: 2024-2025 Regular APPLICATION FORM
Course Applied for : L.L.B. 3 Years(with Credits) - Regular - Rev22 (75-25) - F.Y. PRN:2009016400024551 L.L.B. Sem I (-)
Application Date : 23/08/2024 Payment Category :
1.Personal Information
Candidate's Name(Regional) : Candidate's Name as printed on ACHAREKAR RUPAM RAMAKANT Mark sheet : [*This name will appear on all University records/documents] Father's/Husband's Name : RAMAKANT Mother's Name : SUNITA Marital Status : UnMarried Mother Tongue : Place Of Birth : BAVASHI TAL Gender : Male Date of Birth (DD/MM/YYYY) : 30/08/1991 KANKAVLI Blood Group : Religion : Country of Citizenship : India Is Student NRI/ Foreign National : No Domicile State: Address For Correspondence : Location Area : Not State : Maharashtra District : Sindhudurg Tehsil : Malvan City/Town/Village : Available Address (House WAYANGANI Pin Code : 416614 no,street/area/suburb etc.) : Contact details Mobile Number 8550909374 Email ID: rupamacharekar1991@gmail.com 2.Legal Reservation Information Category Type : Category : OBC Reserved Is Guardian from EBC (Economic Backward Is Specially Abled? No Class)? No 3.Social Information(Additional Inforamtion) Not Applicable Paper Selected for: Sem I 75709 - Labour Law & Industrial Relations – I 75710 - Law of Torts, Motor Accident Claims & Consumer Protection 75711 - Law of Contract & Specific Relief 75712 - Legal Language PT101 - Practical Training – I (Professional Ethics and Professional Accounting System) Sem II
67921 - Law of Crimes 67922 - Constitutional Law -I
67923 - Family law – I 67924 - Environmental Law PT201 - Drafting, Pleading &Conveyancing – I
Medium of Instruction : Marathi
4.Guardian Information Occupation of Guardian : Farmer Annual Income of Guardian : 15000 5.Educational Details Month and Exam Name of Name of Board/University and Name of Mark Year of Seat Certificate No. Out of CGPA % Examination State of University School/College Obtained Passing No. MAHARASHTRA STATE BOARD Std 10th OF SECONDARY AND HIGHER March 2007 -- -- 486.00 650.00 -- - -- 74.77 SECONDARY EDUCATION,
about:blank 1/2 8/23/24, 10:48 AM about:blank
Month and Exam
Name of Name of Board/University and Name of Mark Year of Seat Certificate No. Out of CGPA % Examination State of University School/College Obtained Passing No. MAHARASHTRA STATE BOARD Std 12th 12Th February OF SECONDARY AND HIGHER -- -- 417.00 600.00 -- - -- 69.50 (Arts) 2009 SECONDARY EDUCATION, S K PATIL Degree : Ba University of Mumbai,Maharashtra COLLEGE June 2012 12704 ccf18600510048 368.00 600.00 -- - -- 61.33 MALVAN Your Last Qualifying Exam: Ba 7.Other Information Would you like to apply for Hostel accommodation required NA Required Documents and Certificates Section: Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like degree,diploma,etc.
Certificate of Caste with Category.
Passing Certificate of Std 10th.
Leaving Certificate.
Non Creamy Layer Certificate.
Domicile Certificate.
Self affidavit regarding gap in academic year (Gap Certificate).
Statement of Marks of First Year/ Semester.
Statement of Marks of Second Year/ Semester.
Birth Certificate.
Certificate of Caste with Category.
Original Passing Certificate of last qualifying exam.
Passing Certificate of Std. 12th/Statement of Marks of std.12th.
Residence Proof (Any) – Copy of Voter ID/ Driving License/Telephone Bill /Electricity Bill /Ration Card/ Society Letter/ Agreement.
Third Year Mark Sheet
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 Application No :364352 (ACHAREKAR RUPAM RAMAKANT) 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 ) For College/Institute/Study Center Use Only Designation Remarks / Particulars / Recommendations Signature and Date Admission Clerk Admission Committee Accountant/Cashier Cash Received: INR Receipt No.: Date: Registrar/Office Superintendent Document printed on Fri Aug 23 2024 10:47:46 GMT+0530 (India Standard Time)
