072110653866

MBA (BM)
Date: 24-06-2021

NMIMS GLOBAL ACCESS-SCHOOL FOR CONTINUING EDUCATION

Registration Form
Registration No: 072110653866

Personal Details

Salutation: Mr. Name: Sumeet Vaze

Date of Birth: 21 / 07 / 1997 Gender: Male

Marital Status: Unmarried Father's name: Vishnu Vaze

Mother's Name: Manjiri Vaze Spouse Name:

Blood Group: A+ Category: General

Other Blood Group: Nationality: Indian

Domicile: India Batch Name: Awaiting

Address of Communication

Billing Address: 151,Matrukrupa,road no Permanent Address:

151,Matrukrupa,road no
15 ShriKrishna Nagar .Borivali East
15 ShriKrishna Nagar .Borivali East
Near kajupada police
Near kajupada police station
station Mumbai
Maharashtra Mumbai India 400066
Maharashtra 400066

STD Code: Phone Number:

Mobile Number: 8879882274 Primary Email: sumeetvaze21@gmail.com

Alternate Email:
 072110653866
MBA (BM)

Academic Information

SSC/10th %: 80.73 SSC/10th Board: State Boards/Others

Year of Completion(10th): 2013 Name of School(10th): Chogle High School

Diploma / 12th: XII/HSC

HSC/12th %: 62.92 HSC/12th Board: State Boards/Others

Year of Completion(12th): 2015 Name of School(12th): A.V.P. Jr. college

Stream (12th): Science

Bachelors Degree Name: B.Sc (Post Basic) Specialization: Bioanalytical Sciences

College Name: GN Khasla College University Name: University of Mumbai

Bachelors Degree %: 75.67 Graduation Degree Mode: Full Time

Year of Completion: 2018

Work Experience:

Total Work Experience: Industry : Pharmaceuticals

Company Name: AJANTA PHARMA LIMITED Department: R&D

Designation: Jr, Research Assosiate

 072110653866
MBA (BM)

Program Details

Program Name: MBA (BM)

Eligibility: Bachelors Degree (10+2+3) in any discipline from any recognized University or equivalent

with Minimum 50% marks at Graduation level

Information Center

Information Center: Mumbai - Borivali

Declaration

I hereby declare that the information furnished by me in the Admission form is true and correct to the best of my

knowledge. I am aware that my candidature and/or admission at NGA-SCE (nullnull) and subsequent process can be

cancelled unilaterally by NMIMS at any stage if the information furnished by me is found to be incorrect and in such a

case all the fees paid by me will be forfeited and will not be refunded to me.

Date : 24/06/2021 Signature :

Place : Mumbai