Online Registration For MAH-MBA/MMS-CET-2023 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-2023

Application No. : 235039161

  
Version No : 1
Personal Details
Candidate's Full Name AMRUTHA B G

Father's Name GOPALAKRISHNA

Mother's Name RANI

Gender Female

Marital Status UnMarried

Spouse's Name -

Date of Birth 12/04/2001

Religion Hindu

Region Urban

Mother Tongue Kannada

Annual Family Income 4,50,001 - 5,00,000

Nationality Indian
MAH-MBA/MMS-CET-2023 Application Fee Paid (Rs . ) 1000/-  
Permanent Address Address for Correspondence
Address Line 1 1701/7, Sri Lalita Nivasa Address Line 1 1701/7, Sri Lalita Nivasa
Address Line 2 9 th cross Siddaveerappa Badavane Address Line 2 9 th cross Siddaveerappa Badavane
Address Line 3 Davangere Address Line 3 Davangere
State Karnataka District Davangere State Karnataka District Davangere
Taluka Not Applicable Village Not Applicable Taluka Not Applicable Village Not Applicable
PIN Code 577005 PIN Code 577005
Telephone No -
Domicile and Category Details
Do You Belong to State of Maharashtra? No
Are you Person With Disability ? No
Qualification Details
Graduation / Equivalent Details
Graduation Status Appearing
Graduation Branch BBA
Duration of Graduation in Years 3
MAH-MBA/MMS-CET-2023 Examination Details
State for MAH-MBA/MMS-CET-2023 Examination Center Karnataka
Exam Center at Preference Number 1 Bengaluru (Bangalore)
Exam Center at Preference Number 2 Solapur
Exam Center at Preference Number 3 Kolhapur
Exam Center at Preference Number 4 Nagpur
Document Uploaded
Sr. No. Document Name
1. Permanent Driving License

Declaration :

I AMRUTHA B G have downloaded the Information Brochure of MAH-MBA/MMS-CET-2023 and 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-2023 for the Academic Year 2023-24. 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 : 28/02/2023

Last Modified By : 235039161, 157.50.69.151:48824

Last Modified On : 28/02/2023 11:17:13 AM

Signature of Applicant

Printed On : 28/02/2023 11:17:57 AM ( AMRUTHA B G )