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Shivajirao S.Jondhle College of Engineering And Technology (751)

Opp Railway stn, Asangaon Tal- Shahapur Dist-Thane

Shahapur
Application No :

University of Mumbai 3131103

M.G.Road, Fort, Mumbai-400032, Maharashtra(India)

Academic Year: 2021-2022 Regular

APPLICATION FORM

Course Applied for : M.M.S.(with Credits) - Regular - Rev16 - F.Y. M.M.S. Sem I 
(-) PRN:2017016400395451

Application Date : 30/12/2021 Payment Category :

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on Mark SHAH RUSHABH KETAN
sheet : [*This name will appear on all University records/documents]

Father's/Husband's Name : KETAN SHAH Mother's Name : SANDHYA

Marital Status : UnMarried Mother Tongue :

Place Of Birth : Shahapur Gender : Male Date of Birth (DD/MM/YYYY) : 28/11/1998
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State:
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Shahapur City/Town/Village :
Available
Address (House
337 jain mandir marg shahapur Pin Code : 421601
no,street/area/suburb etc.) :
Contact details
Mobile Number 918378024615 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)

Paper Selected for:

Sem I
UMMSI.1 - Perspective Management UMMSI.2 - Financial Accounting
UMMSI.3 - Business Statistic UMMSI.4 - Operations Management
UMMSI.5 - Managerial Economics UMMSI.6.1 - Effective and Management Communication
UMMSI.6.4 - Organizational Behaviour UMMSI.6.7 - Negotiation and Selling Skills
Sem II

UMMSII.1 - Marketing Management UMMSII.2 - Fainancial Management

UMMSII.3 - Operation Reaserch UMMSII.4 - Business Reserch Methods
UMMSII.5 - Human Resource Management UMMSII.6.1 - Legal & Task Aspects Of Business
UMMSII.6.2 - Cost & Management Accounting UMMSII.6.3 - Business Environment

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 500000
5.Educational Details
Month Exam
Name of Name of Board/University and Name of Certificate Mark
and Year Seat Out of CGPA %
Examination State of University School/College No. Obtained
of Passing No.

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Month Exam
Name of Name of Board/University and Name of Certificate Mark
and Year Seat Out of CGPA %
Examination State of University School/College No. Obtained
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY AND March
Std 10th -- -- 384.00 500.00 --
-
-- 76.80
HIGHER SECONDARY 2015
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY AND February
-- -- 515.00 650.00 --
-
-- 79.23
(Commerce) HIGHER SECONDARY 2017
EDUCATION,
Degree : Bachelors SONUBHAU
Of University of BASWANT COLLEGE October 6.16
-
1060179 -- - - -
Commerce(Export Mumbai,Maharashtra OF ARTS AND 2020 o
Marketing) COMMERCE
Your Last Qualifying Exam: Bachelors Of Commerce
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.

Mark/Grade Statement of Semester-I

Mark/Grade Statement of Semester-II

Mark/Grade Statement of Semester-III

Mark/Grade Statement of Semester-IV

Mark/Grade Statement of Semester-V

Mark/Grade Statement of Semester-VI

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 :3131103 (SHAH RUSHABH KETAN)
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 Thu Dec 30 2021 15:44:39 GMT+0530 (India Standard Time)

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