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7/17/2021 ..:: State Common Entrance Test Cell, Government of Maharashtra ::..

Online Registration For MAH-MBA/MMS CET-2021 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-2021

Application No. : 215685788


  
Version No : 1
Personal Details
Candidate's Full Name CHAVAN VILAS VITTHAL

Father's Name VITTHAL

Mother's Name SHANTABAI

Gender Male

Marital Status Married

Spouse's Name RESHMA

Date of Birth 07/03/1994

Religion Hindu

Region Urban

Mother Tongue Marathi

Annual Family Income 3,00,001 - 3,50,000

Nationality Indian
MAH-MBA/MMS CETApplication Fee Paid (Rs . ) 800/-  
Permanent Address Address for Correspondence
Address Line 1 26 MITRA NAGAR Address Line 1 26 MITRA NAGAR
Address Line 2 MAJAREWADI SOLAPUR NORTH Address Line 2 MAJAREWADI SOLAPUR NORTH
Address Line 3 SOLAPUR Address Line 3 SOLAPUR
State Maharashtra District Solapur State Maharashtra District Solapur
Taluka Solapur North Village Solapur (M Corp.) Taluka Solapur North Village Solapur (M Corp.)
PIN Code 413003 PIN Code 413003
Telephone No -
Domicile and Category Details
Do You Belong to State of Maharashtra? Yes
Category DT/VJ
Do you possess Caste Certificate Available
Do you possess Caste Validity Available
Do you Possess Non-Creamy Layer Not Applied
Are you Person With Disability ? No
Qualification Details
Graduation / Equivalent Details
Graduation Status Passed
Graduation Passing Year 2018
Graduation Branch B. E.

https://mba2021.mahacet.org/CandidateModule/frmPrintApplicationForm 1/2
7/17/2021 ..:: 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 915.00 1600.00 57.19 Second Class
MAH-MBA/MMS CET Examination Details
State for MAH-MBA/MMS CET-2021 Examination Center Maharashtra
Exam Center at Preference Number 1 Solapur
Exam Center at Preference Number 2 Osmanabad
Exam Center at Preference Number 3 Pune
Exam Center at Preference Number 4 Latur
Document Uploaded
Sr. No. Document Name
1. PAN Card
Note :
• You are required to Upload the Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the Caste is recognised as backward class in the State of Maharashtra
at the time of Centralised Admission Process.
• You are required to Upload the Caste / Tribe Validity Certificate in the name of the Candidate, issued by the caste validity committee of Maharashtra State at the time of Centralised Admission
Process.
• You are required to Upload Non-Creamy Layer Certificate issued by Sub Divisional officer or Deputy Collector of the district in addition to the caste certificate valid upto 31/03/2022 at the time of
Centralised Admission Process.

Declaration :

I CHAVAN VILAS VITTHAL 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-2021 for the
Academic Year 2021-22. 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 : 17/07/2021

Last Modified By : 215685788, 49.36.45.198

Last Modified On : 17/07/2021 5:20:17 PM

Signature of Applicant

Printed On : 17/07/2021 5:20:49 PM (CHAVAN VILAS VITTHAL)

https://mba2021.mahacet.org/CandidateModule/frmPrintApplicationForm 2/2

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