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Pillais HOCL College of Arts, Science and Commerce (870)

Application No :
University of Mumbai 2496047
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2023-2024
Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - T.Y.B.M.S. Sem V

PRN:2021016401328767
[2M00155] (22300005)

Application Date : 25/07/2023 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed on
Mark sheet :
Father's/Husband's Name :
SAWANT SUYASH RAJENDRA
[*This name will appear on all University records/documents]
RAJENDRA Mother's Name : RUTUJA

Marital Status : UnMarried Mother Tongue :

Place Of Birth : Mangaon Gender : Male Date of Birth (DD/MM/YYYY) : 25/04/2004

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 : Raigad Tehsil : Khalapur City/Town/Village :
Available
Address (House At. Nandanpada, Post. Donvat, Tal.Khalap At. Nandanpada, Post. Donvat, Tal. Khala
Pin Code : 410203
no,street/area/suburb etc.) : Nandanpada
Contact details
Mobile Number 8262879938 Email ID: sawantsuyash38@gmail.com
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
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 46013 - Customer Relationship Management

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 : 40000
5.Educational Details
Month and Exam
Name of Name of Board/University and State of Name of Certificate Mark
Year of Seat Out of CGPA %
Examination University School/College No. Obtained
Passing No.
:
 MAHARASHTRA STATE BOARD OF
Std 10th SECONDARY AND HIGHER SECONDARY March 2019 -- -- 312.00 500.00 -- - -- 62.40
EDUCATION,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th
SECONDARY AND HIGHER SECONDARY August 2021 -- -- 337.00 600.00 -- - -- 56.17
(Commerce)
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 Tue Jul 25 2023 14:09:10 GMT+0530 (India Standard Time)
: