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K.J.SOMAIYAINSTITUTEOFMANAGEMENT
STUDIES&RESEARCH
VIDYANAGAR,VIDYAVIHAR(E),MUMBAI400077
http://simsr.somaiya.edu,emailmmsadmission@somaiya.edu
APPLICATIONFORM201517
MASTERSINMANAGEMENTSTUDIES(MMS)
InstituteLevelSeat(ILS)
PERSONALDETAILS
SomaiyaOnlineForm
54041
No
NameoftheCandidate YADAVSANKETVIJAY
MHCETApplicationID
MB1510960258910260
RollNo
Gender
DateofBirth
(asperSSC(Xth)
Certificate)
MALE
Address
Telephone
Father'sName
Occupation
09011992
Signature
BloodGroup B+
Correspondence
403,LAXMINIWAS,OPPOSITE
BEDEKARSCHOOL
RAMWADI,NAUPADA
THANE
MAHARASHTRA
02225430061
Mobile09870057048
Permanent
403,LAXMINIWAS,OPPOSITEBEDEKAR
SCHOOL
RAMWADI,NAUPADA
THANE
MAHARASHTRA
02225430061
Emailyadav.sanket@gmail.com
VIJAYYADAV
RETIRED
MHCETSeatNo
58910260
Mother'sName
Occupation
TotalScore
121.34
___________
NITAYADAV
HOUSEWIFE
Rank
MHCETPercetile
90.874
AcademicPerformanceB.COMCOMPLETED
Qualifications
SSC(X)
HSC(XII)/
Diploma
Graduation
Degree
PostGraduate/
Master
Discipline
B.COM
650
Percentage
ofMarks
90.8
Yearof
Passing
2008
MAHARASHTRA
478
600
79.7
2010
MAHARASHTRA
561
700
80.1
2013
MUMBAI
Score
Total
590
Board/University
WorkExperience
TotalMonthsofWorkExperienceafterGraduation
CurrentJob
PreviousJob(S)1
OrganisationName
Public/ Period(From
Gt./PSU
To)
Salary
PreviousJob(S)2
PaymentDetails
PaymentMode
DEBITCARD
DDNo/ReceiptNo.
514022377392
Bank/BranchName
AXISBANKVC
Date
20052015
Amount
2050
DECLARATION
Theinformationgivenbymeiscorrect.
Ishallprovidesupportingdocumentaryevidencewhereverapplicable.
Iunderstandthatmyadmissionshallbeprovisionalanditwillbeconfirmedonlyiffoundeligibleafterthedegreeexaminationresultsare
declared.
Intheeventofanyfalseinformation,Ifullyunderstandthatmyadmissiontothecoursewillbesummarilycancelled.
IshallabidebytherulesoftheInstitutefromtimetotime.
Ialsounderstandfullythatanydisputethatarisesconcerningmyadmission,issubjecttothejurisdictionofonlytheHighCourtofMumbai.
Place:__________________
Date:__________________
_______________________
Candidate'sSignature