You are on page 1of 2

SomaiyaVidyavihar

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

You might also like