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    SEM-III & SEM-IV Form

    Uploaded by

    Mahesh Badgujar
    se

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    SEM-III & SEM-IV Form

    Uploaded by

    Mahesh Badgujar
    6 views3 pages
    se

    Original Title

    SEM-III & SEM-IV form

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    se

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views3 pages

    SEM-III & SEM-IV Form

    Uploaded by

    Mahesh Badgujar
    se

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    7/26/24, 9:06 PM about:blank

    Batch: Scrutiny Payment: Online/DD PI

    For Office Use


    Only Serial:

    Swayam Siddhi Mitra Sanghis College of Management & Research (747)


    Application No :
    University of Mumbai 188196
    M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
    Academic Year: 2024-2025
    Regular
    APPLICATION FORM

    Course Applied for : M.M.S.(with Credits) - Regular - Rev16 - S.Y. M.M.S. Sem PRN:2023016401733005
    III (-)

    Application Date : 26/07/2024 Payment Category : 37

    1.Personal Information
    Candidate's Name(Regional) :
    Candidate's Name as printed on BADGUJAR MAHESH SUDAM MANGALA
    Mark sheet : [*This name will appear on all University records/documents]
    Father's/Husband's Name : SUDAM Mother's Name : MANGALA
    Marital Status : Married Mother Tongue :
    Place Of Birth : Kalyan Gender : Male Date of Birth (DD/MM/YYYY) : 08/12/1990
    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 : Kalyan City/Town/Village :
    Available
    Address (House
    C-307, Om Sai Vijay Apartment, Opp. Karpe Hall, Kalyan ( E), Pin Code : 421301
    no,street/area/suburb etc.) :
    about:blank 1/3
    7/26/24, 9:06 PM about:blank

    Contact details
    Mobile Number 919673460096 Email ID: [email protected]
    2.Legal Reservation Information
    Category Type : Open Category : GEN
    Is Guardian from EBC (Economic Backward
    Is Specially Abled? No
    Class)? No
    3.Social Information(Additional Inforamtion)
    Not Applicable
    Paper Selected for:
    Sem III
    UMMSIII.1 - International Business UMMSIII.2 - Strategic Management
    MMSOP101.6 - TQM MMSOP101 - Supply Chain Management
    MMSOP102 - Operations Analytics MMSOP103 - Service Operations Management
    MMSOP104 - Manufacturing Resource Planning & Control MMSOP105 - Materials Management
    Sem IV

    UMMSIV.6 - Project Management UMMSIV.7 - Project Functional Specialization


    UMMSIV.8 - Project Social Relevance UMMSIV.9 - Project General Management
    UMMSIV.6.10 - Operations Applications and Cases

    Medium of Instruction : English


    4.Guardian Information
    Occupation of Guardian : Laborer Annual Income of Guardian : 0
    5.Educational Details
    Month and Exam
    Name of Name of Board/University and Name of Certificate Mark
    Year of Seat Out of CGPA %
    Examination State of University School/College No. Obtained
    Passing No.
    MAHARASHTRA STATE BOARD
    Std 10th OF SECONDARY AND HIGHER March 2006 -- -- 544.00 750.00 -- - -- 72.53
    SECONDARY EDUCATION,

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    7/26/24, 9:06 PM about:blank

    Month and Exam


    Name of Name of Board/University and Name of Certificate Mark
    Year of Seat Out of CGPA %
    Examination State of University School/College No. Obtained
    Passing No.
    MAHARASHTRA STATE BOARD
    Std 12th 12Th February
    OF SECONDARY AND HIGHER -- -- 353.00 600.00 -- - -- 58.83
    (Science) 2008
    SECONDARY EDUCATION,
    Degree :
    BE(Bachelors) May 2013 -- -- 1058.00 1500.00 -- - -- 70.53
    Degree
    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 26 2024 21:05:16 GMT+0530 (India Standard Time)

    about:blank 3/3

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