Online Registration For MAH-MBA/MMS CET-2021 Application Form

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL, MAHARASHTRA STATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)

Application Form for Online Registration For MAH-MBA/MMS CET-2021

Application No. : 215038127    Version No : 1

Personal Details
Candidate's Full Name ANKUR KUSHWAHA

Father's Name SURAND

Mother's Name SUDHA

Gender Male

Marital Status UnMarried

Spouse's Name -

Date of Birth 15/05/1998

Religion Hindu

Region Urban

Mother Tongue Hindi

Annual Family Income 1,00,001 - 1,50,000

MAH-MBA/MMS CETApplication Fee Paid (Rs . ) 1000/-
Permanent Address
Address Line 1 179/ A AHIRWAN
Address Line 2 HARJINDER NAGAR
Address Line 3 KANPUR NAGAR
State Uttar Pradesh
Taluka Not Applicable
PIN Code 208007
Domicile and Category Details
Qualification Details
Graduation / Equivalent Details
Qualification
Graduation
MAH-MBA/MMS CET Examination Details
State for MAH-MBA/MMS CET-2021 Examination Center
Document Uploaded
Sr. No.
1. Aadhaar Card
Nationality Indian
 
Address for Correspondence
Address Line 1 179/ A AHIRWAN
Address Line 2 HARJINDER NAGAR
Address Line 3 KANPUR NAGAR
District Kanpur Nagar State Uttar Pradesh District Kanpur Nagar
Village Not Applicable Taluka Not Applicable Village Not Applicable
PIN Code 208007
Telephone No -
Do You Belong to State of Maharashtra? No
Are you Person With Disability ? No
Graduation Status Passed
Graduation Passing Year 2020
Graduation Branch B. Sc.
Duration of Graduation in Years 3
Graduation Marks Type Percentage
Marks Obtained Marks OutOf Percentage Awarded Class
1193.00 1800.00 66.28 First Class
Uttar Pradesh
Exam Center at Preference Number 1 Lucknow
Exam Center at Preference Number 2 Mumbai City
Exam Center at Preference Number 3 Bhandara
Exam Center at Preference Number 4 Mumbai Suburban
Document Name

Declaration :
I ANKUR KUSHWAHA have read all the rules for appearing the CET and on understanding these Rules, I have filled this Application Form for appearing to MAH-
MBA/MMS CET-2021 for the Academic Year 2021-22. This information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is
found that I have furnished wrong informatation and/or submitted false certificate(s), I am aware that my admission stands cancelled and fees paid by me will be
forfeited. Further I will be subject to legal and/or penal action as per the provisions of the law.
Date : 12/07/2021

Last Modified By : 215038127, 47.15.250.206

Last Modified On : 12/07/2021 9:06:25 PM

Signature of Applicant
Printed On : 12/07/2021 9:06:53 PM (ANKUR KUSHWAHA)