Medhavi WISE

Application No: MSU-WI/2023-24/4846

Basic Details
Course Details
Choose Your
Program B. VOC Specialization INTERIOR DESIGN INIFD MUMBAI GHATKOPAR
Centre
Are you a Lateral
Lateral Entry Into Lateral Entry?
Entry student?
Personal Details
Title MS First Name KALASH Middle Name BHAVESH
Last Name BHUPTANI Email Address KRISHIBBHUPTANI@GMAIL.COM Mobile Number +91-9987885588
Date of Birth 22/10/2005 Gender FEMALE Marital Status SINGLE
Person with Nature of
Blood Group B+ NO
Disabilities(PWD) Deformity
Aadhaar Card
Nationality INDIAN 340061309452 Religion HINDUISM
Number
Category GENERAL Please Specify Please Specify
Mother Tongue PAN Card Number Voter ID Number
Passport Details
Passport Number Country Place of Issue
Enrollment Partner
Date of Issue Date of Expiry
Code
Industry Partner
Code

Parent's Details
Father's Details
Father's Email
Father's Salutation MR. Father's Name BHAVESH BHUPTANIBHAVESH76@GMAIL.COM
Address
Father's Mobile
+91-9867140022
Number
Mother's Details
Mother's Mother's Email
MRS. Mother's Name HEENA HB110678@GMAIL.COM
Salutation Address
Mother's Mobile
+91-8652033033
Number

Address Details
Address for Correspondence
Country INDIA State MAHARASHTRA District MUMBAI
604, SHREE GAJANAN
SARASWATI, JODHALI BAUG
City MUMBAI Address Line 1 Address Line 2
ROAD, NEAR GEETA SOCIETY,
CHARAI, THANE(W)
Is Permanent
Address Same As
Pincode 400601 YES
Address For
Communication?
Permanent Address
Country INDIA State MAHARASHTRA District MUMBAI
604, SHREE GAJANAN
SARASWATI, JODHALI BAUG
City MUMBAI Address Line 1 Address Line 2
ROAD, NEAR GEETA SOCIETY,
CHARAI, THANE(W)
Pincode 400601

Educational Details
Academic Details
State MAHARASHTRA City MUMBAI SUBURBAN
10th Academic Details

Year of
Institute Name Board Main Subject Marking Scheme Obtained Percentage/CGPA
Passing
 MAHARASTRA STATE BOARD OF
10th S.E.S HIGH SCHOOL SECONDARY AND HIGHER SECONDARY ENGLISH 2021 PERCENTAGE 75.80
EDUCATION

Qualification After
12TH
10th
12th Academic Details

Year of Obtained
Institute Name Board Stream Result Status Marking Scheme
Passing Pecentage/CGPA
MAHARASTRA STATE BOARD OF
SK SOMAIYA
12th SECONDARY AND HIGHER ARTS 2023 DECLARED PERCENTAGE 56.50
MUMBAI
SECONDARY EDUCATION

Diploma

Institute Name Board/ Awarded By Stream Year of Passing Result Status Marking Scheme Obtained Pecentage/CGPA
Diploma

ITI Details

Institute Name Awarded By Stream Year of Passing Result Status Marking Scheme Obtained Percentage/CGPA
ITI

Any Other Qualification(If Applicable)

Institute Name University Stream Year of Passing Marking Scheme Obtained Percentage/CGPA
Other Qualification PERCENTAGE

Graduation Details

Institute Name University Stream Year of Passing Result Status Marking Scheme Obtained Pecentage/CGPA
UG

Post Graduate Details

Institute Name University Stream Year of Passing Result Status Marking Scheme Obtained Pecentage/CGPA
PG

Upload Documents
Upload Documents
Upload Your Recent
YES Upload Your Signature : YES Upload Your Aadhaar Card : YES
Passport Size Photograph :

Upload 10th Certificate : YES Upload 10th Admit card : NO Upload Your 12th Certificate : YES

Upload Mark sheet of 1st year

Upload Your Diploma/ITI
Upload 12th Admit card : NO NO and 2nd year (if applicable) NO
Certificate :
[self-attested] :

Upload Migration Affidavit Upload TC (Transfer

NO NO Upload Your PAN Card : NO
from the student : Certificate) [optional] :

Upload Passport : NO Upload 12 MarkSheet : NO Graduation Marksheet : NO

Professional
Graduation Certificate : NO Professional licenses : NO qualifications,Membership NO
Certificate,Marklists and CoP :

Professional Experience
Post Graduation
field name (In case you are NO NO
Certificate :
in employment) :

Declaration
Declaration
I CERTIFY THAT THE INFORMATION SUBMITTED BY ME IN SUPPORT OF THIS APPLICATION, IS TRUE TO THE BEST OF KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY
INFORMATION BEING FOUND FALSE OR INCORRECT, MY ADMISSION IS LIABLE TO BE REJECTED / CANCELLED AT ANY STAGE OF THE PROGRAM. I UNDERTAKE TO ABIDE BY THE DISCIPLINARY
RULES AND REGULATIONS OF THE INSTITUTE.

KALASH BHAVESH
Applicant Name Parent Name BHAVESH Date 26/07/2023
BHUPTANI