Online Registration For MAH-B.

BCA/BBA/BMS/BBM-CET-2024 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-B.BCA/BBA/BMS/BBM-CET-2024

Application No. : 243332854 Version No : 1

Personal Details
Candidate's Full Name SAMREEN MOHAMMAD IQBAL SHAIKH

Father's Name MOHAMMAD IQBAL SHAIKH

Mother's Name PARVEEN

Gender Female

Marital Status UnMarried

Spouse's Name -

Date of Birth 17/11/2006

Religion Muslim

Region Urban

Mother Tongue Urdu

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

Nationality Indian
MAH-B.BCA/BBA/BMS/BBM-CET-2024 Application Fee Paid (Rs . ) 800/-
Permanent Address Address for Correspondence
Address Line 1 Garib Nawaz Nagar, Kokari Agar Address Line 1 Garib Nawaz Nagar, Kokari Agar
Address Line 2 SM Road, Near Sayyed Alam Masjid Address Line 2 SM Road, Near Sayyed Alam Masjid
Address Line 3 Antophill, Mumbai Address Line 3 Antophill, Mumbai
State Maharashtra District Mumbai City State Maharashtra District Mumbai City
Taluka Mumbai Village Mumbai Taluka Mumbai Village Mumbai
PIN Code 400037 PIN Code 400037
Telephone No - 9619036318
Domicile and Category Details
Are you Domiciled in the State of Maharashtra? Yes
Category Open
Belongs to Caste Sunni
Wish to Apply for EWS (Economically Weaker Section) Seats ? Yes
EWS Certificate Status Not Applied
Are you Person With Disability ? No
Belongs to Minority Category No
Linguistic Minority NA
Religious Minority NA
Orphan Details
Are you Orphan? No
Qualification Details
SSC / Equivalent Details
SSC/Equivalent Passing Year 2022
SSC/Equivalent Percentage 75.40
SSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
State From Which you Passed SSC/Equivalent Maharashtra
HSC Details
Are you Appearing /Appeared 12th (HSC) exam in 2024 Yes
HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
MAH-B.BCA/BBA/BMS/BBM-CET-2024 Examination Details
Examination Center District at Preference Number 1 Mumbai City
Examination Center District at Preference Number 2 Mumbai Suburban
Examination Center District at Preference Number 3 Thane
Examination Center District at Preference Number 4 Palghar

Document Uploaded
Sr. No. Document Name
1. Aadhaar Card
Note :
• You are required to Upload Eligibility Certificate for Economically Weaker Section at the time of Centralised Admission Process(CAP 2024).
Declaration :
I SAMREEN MOHAMMAD IQBAL SHAIKH have downloaded the Information Brochure of MAH-B.BCA/BBA/BMS/BBM-CET-2024 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-B.BCA/BBA/BMS/BBM-CET-2024 for the Academic Year 2024-25.
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 : 09/04/2024

Last Modified By : 243332854, 106.193.182.119:60171

Last Modified On : 09/04/2024 4:53:28 PM

Signature of Applicant
Printed On : 09/04/2024 4:54:10 PM ( SAMREEN MOHAMMAD IQBAL SHAIKH )