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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Shree Mahadev Baburao Chaughule Mahavidyalaya (1032)


Application No :
University of Mumbai 231959
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2024-2025 Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - PRN:2023016401562873


S.Y.B.M.S. Sem III (22300005)

Application Date : 30/07/2024 Payment Category : 25


1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed PATIL ADITYA ANIL
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : ANIL RESHMA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Bhiwandi Gender : Male Date of Birth (DD/MM/YYYY) : 22/08/2005
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Bhiwandi City/Town/Village :
Available
Address (House
no,street/area/suburb Tembhavali Parol Road Tembhavali Pin Code : 421302
etc.) :
Contact details
Mobile
917387270772 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
UBMSFSIII.4 - Business Planning & Entrepreneurial UBMSFSIII.5 - Accounting for Managerial Decisions
Management UBMSFSIII.6 - Strategic Management
UBMSFSIII.1.02 - Introduction to Cost Accounting UBMSFSIII.1.01 - Basics of Financial Services
UBMSFSIII.3.01 - Foundation Course (Environmental UBMSFSIII.2 - Information Technology in Business
Management) - III Management - I
Sem IV

UBMSFSIV.4 - Business Research Methods UBMSFSIV.5 - Business Economics-II


UBMSFSIV.6 - Production & Total Quality Management UBMSFSIV.1.01 - Financial Institutions & Markets
UBMSFSIV.1.02 - Auditing UBMSFSIV.2 - Information Technology in Business
UBMSFSIV.3.01 - Foundation Course (Ethics & Governance )- Management-II
IV

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 70000
5.Educational Details
Month and Exam
Name of Name of Board/University Name of Certificate Mark Out
Year of Seat CGPA %
Examination and State of University School/College No. Obtained of
Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY
Std 10th March 2021 -- -- 367.00 500.00 -- - -- 73.40
AND HIGHER SECONDARY
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY February
-- -- 336.00 600.00 -- - -- 56.00
(Commerce) AND HIGHER SECONDARY 2023
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 Tue Jul 30 2024 20:55:05 GMT+0530 (India Standard Time)

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