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Chetana`s Ramprasad Khandelwal Institute of Management and Research (33)

Survey No. 341. Mumbai Application No :
University of Mumbai 3695358
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2020-2021
Regular
APPLICATION FORM

Course Applied for : M.M.S.(with Credits) - Regular - Rev16 - F.Y. M.M.S. Sem I (-) PRN:2015016401963507
Application Date : 09/02/2021 Payment Category :

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on Mark PAWAR PALLAVI DIPAK
sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : DIPAK PAWAR Mother's Name : SEEMA

Marital Status : UnMarried Mother Tongue :

Place Of Birth : DHULE Gender : Female Date of Birth (DD/MM/YYYY) : 12/07/1997
Blood Group : Religion : Country of Citizenship : India
Height : Not Available Weight : Not Available Hemoglobin : Not Available
Is Student NRI/ Foreign National : No Domicile State:
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Kalyan City/Town/Village :
Available
Address (House
K-302, SARVODAYA PARK, NANDIVALI ROAD, NEAR SWAMI SAMARTH MATH. Pin Code : 421201
no,street/area/suburb etc.) :
Contact details
Mobile Number 919967913206 Email ID: pallavipawar1d@gmail.com
2.Legal Reservation Information
Category Type :
Category : OBC
Reserved
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem I
UMMSI.1 - Perspective Management UMMSI.2 - Financial Accounting
UMMSI.3 - Business Statistic UMMSI.4 - Operations Management
UMMSI.5 - Managerial Economics UMMSI.6.1 - Effective and Management Communication
UMMSI.6.4 - Organizational Behaviour UMMSI.6.7 - Negotiation and Selling Skills
Sem II

UMMSII.1 - Marketing Management UMMSII.2 - Fainancial Management

UMMSII.3 - Operation Reaserch UMMSII.4 - Business Reserch Methods
UMMSII.5 - Human Resource Management UMMSII.6.1 - Legal & Task Aspects Of Business
UMMSII.6.3 - Business Environment UMMSII.6.6 - Analysis Of Financial Management

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 800000
5.Educational Details
Month Exam
Name of Board/University and Name of Certificate Mark
Name of Examination and Year Seat Out of CGPA %
State of University School/College No. Obtained
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY AND March
Std 10th -- -- 475.00 550.00 -- - -- 86.36
HIGHER SECONDARY 2013
EDUCATION,
 Month Exam
Name of Board/University and Name of Certificate Mark
Name of Examination and Year Seat Out of CGPA %
State of University School/College No. Obtained
of Passing No.
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY AND February
-- -- 502.00 650.00 -- - -- 77.23
(Science) HIGHER SECONDARY 2015
EDUCATION,
DATTA MEGHE
Degree : Bachelors Of 7.35 -
University of Mumbai,Maharashtra COLLEGE OF July 2019 7182961 -- - - -
Engineering(Computer) C
ENGINEERING
Your Last Qualifying Exam: Bachelors Of Engineering
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like
degree,diploma,etc.

Certificate of Caste with Category.

Domicile Certificate.

Statement of Marks of Std 10th.

Birth Certificate.

Original Statement of Marks for std. 12th.

Mark/Grade Statement of Semester-VIII

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 Application No :3695358 (PAWAR PALLAVI DIPAK) 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 )
For College/Institute/Study Center Use Only
Designation Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Tue Feb 09 2021 20:57:51 GMT+0530 (India Standard Time)