You are on page 1of 2

1/27/24, 8:14 PM ..:: State Common Entrance Test Cell, Government of Maharashtra ::..

Online Registration For MAH-MBA/MMS-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-MBA/MMS-CET-2024

Application No. : 245073859 Version No : 1


Personal Details
Candidate's Full Name DIPALI BALASAHEB KURHADE

Father's Name BALASAHEB

Mother's Name MANGAL

Gender Female

Marital Status UnMarried

Spouse's Name -

Date of Birth 20/01/1998

Religion Hindu

Region Rural

Mother Tongue Marathi

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

Nationality Indian
MAH-MBA/MMS-CET-2024 Application Fee Paid (Rs . ) 1000/-
Permanent Address Address for Correspondence
Address Line 1 A/P. Ale.(Kaichanmala) Address Line 1 A/P. Ale.(Kaichanmala)
Address Line 2 Tal- Junnar Address Line 2 Tal- Junnar
Address Line 3 Dist- Pune Address Line 3 Dist- Pune
State Maharashtra District Pune State Maharashtra District Pune
Taluka Junnar Village Ale Taluka Junnar Village Ale
PIN Code 412411 PIN Code 412411
Telephone No - 9284159002
Domicile and Category Details
Are you Domiciled in the State of Maharashtra? Yes
Category Open
Belongs to Caste MARATHA
Wish to Apply for EWS (Economically Weaker Section) Seats ? Yes
EWS Certificate Status Available
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 2013
SSC/Equivalent Percentage 81.40
SSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
State From Which you Passed SSC/Equivalent Maharashtra
HSC / Equivalent Details
Are you Appearing /Appeared 12th (HSC) exam in 2024 No
HSC Passing Year 2015
Maharashtra State Board of Secondary and Higher Secondary
HSC/Equivalent Board
Education, Pune
Qualification Marks Obtained Marks OutOf Percentage
HSC 517.00 650.00 79.54
Graduation / Equivalent Details
Graduation Status Passed
Graduation Passing Year 2019
Graduation Branch B. Com

https://mbacet2024.mahacet.org/CandidateModule/frmPrintApplicationForm 1/2
1/27/24, 8:14 PM ..:: State Common Entrance Test Cell, Government of Maharashtra ::..
Duration of Graduation in Years 3
Graduation Marks Type Percentage
Qualification Marks Obtained Marks OutOf Percentage Awarded Class
Graduation 834.00 1200.00 69.50 First Class
MAH-MBA/MMS-CET-2024 Examination Details
Examination Center District at Preference Number 1 Thane
Examination Center District at Preference Number 2 Mumbai Suburban
Examination Center District at Preference Number 3 Mumbai City
Examination Center District at Preference Number 4 Pune
Document Uploaded
Sr. No. Document Name
1. PAN Card
Note :
• You are required to Upload Eligibility Certificate for Economically Weaker Section at the time of Centralised Admission Process(CAP 2024).
Declaration :
I DIPALI BALASAHEB KURHADE have downloaded the Information Brochure of MAH-MBA/MMS-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-MBA/MMS-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 : 27/01/2024

Last Modified By : 245073859, 152.57.197.144,24.239.151.13,


162.158.170.160:3929

Last Modified On : 27/01/2024 8:14:45 PM


Signature of Applicant
Printed On : 27/01/2024 8:14:55 PM (DIPALI BALASAHEB KURHADE)

https://mbacet2024.mahacet.org/CandidateModule/frmPrintApplicationForm 2/2

You might also like