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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Smt. Sushiladevi Deshmukh College of Arts, Science and Commerce (914)

Application No :

University of Mumbai 2131959

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

Academic Year: 2022-2023


Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - T.Y.B.M.S. Sem V [2M00155] 
(22300005) PRN:2020016400016216
Application Date : 28/07/2022 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
RANKHAMBE KRUTIKA BABURAO
Candidate's Name as printed on
[*This name will appear on all University

Mark sheet :
records/documents]

Father's/Husband's Name : BABURAO Mother's Name : CHHAYA


Marital Status : UnMarried Mother Tongue :
Place Of Birth : NOCIL NAKA Gender : Female Date of Birth (DD/MM/YYYY) : 23/05/2003
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 : Thane City/Town/Village :
Available
Address (House
R. NO. 561, GOLDEN NAGAR, NAUSIL NAKA, OPP.BUDDHA VIHAR,
no,street/area/suburb Pin Code : 400701
GHANSOLI, NAVI MUMBAI
etc.) :
Contact details
Mobile
919167403552 Email ID: krutikarankhambe5@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)?  No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V [2M00155]
46001 - Logistics and Supply Chain Management 46002 - Corporate Communication and Public Relations
46004 - Services Marketing 46007 - E-Commerce & Digital Marketing
46010 - Sales and Distribution Management 46016 - Industrial Marketing
Sem VI [2M00156]

86001 - Operation Research UBMSFSVI.5 - Project Work


86003 - Brand Management 86006 - Retail Management
86009 - International Marketing 86012 - Media Planning and Management

Medium of Instruction : English


4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 0
5.Educational Details
Month and Exam
Name of Name of Board/University and Name of Certificate Mark Out
Year of Seat CGPA %
Examination State of University School/College No. Obtained of
Passing No.
MAHARASHTRA STATE BOARD
March
Std 10th OF SECONDARY AND HIGHER -- -- 346.00 500.00 --
-
-- 69.20
2018
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th February
OF SECONDARY AND HIGHER -- -- 447.00 650.00 --
-
-- 68.77
(Commerce) 2020
SECONDARY EDUCATION,
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 Thu Jul 28 2022 14:57:35 GMT+0530 (India Standard Time)

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