14723, 949 PM State Common Entrance Test Cel, Government of Maharashtra [Online Registration For MAH-MBA/MMS-CET-2023 ‘Appl a GoveRNMENT OF MAHARASHTRA State Common Entrance Test Ceit, MAHARASHTRA STATE ‘th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbal-800003. (M.S.) ation Form| ‘Application Form for Online Registration For MAH-MBA/MMS:CET-2023, Application No. : 235127081 Version No : 1 lPersonal Details ‘Candidate's Ful Narve[DESHMUKH VIRAI VIDAY Father's Name|VIDAY Seouse’s Name r Date of Bith|20705/2002 | Relgion|Hindw Region Rural z Mother Tongue|arathi “Annual Family Income|~ Not Applicable ~ f Natioraliyfingien WAR-MBATHVS-CET-2023 Application Fee Paid {_[4000/~ [Permanent Address [Address for Correspondence ‘Adare Line ‘adaress Ling (lem sat nath society A4/237 Jom eat nath society AS/217 ress Ue ctor 10,409 colony 698 Ure] actor 10,J09 colony ‘Address nel tambotl, navimumbai d6r255 Pel atambolt , navimumbai x Inavi Mumbai Panvel Rigardh INavi Mumbai Panvet Rigardh aukalPanve vitagel at TatukalPanve iage| ay Tatepnone No [Domicile and Category Details De You Belong to State of Maharasha Ves category lopen: [Wish 16 Apply for EWS (Economically Weaker Section) Seats 7)No. Caste Name|HINDU MARATHA Tira you Person With Disability [No walification Details [Graduation / Equivalent Details IMAH-MBA/MMS-CET-2023 Examination Details, Slate for NAN-MBA/MS-CET-2023 Examination Center [Maharashtra ‘Exam Center at Preference Number 1/Mumba City at Preference Number 2|Mumbal Suburban rat Preference Number 2 Raigad. at Preference Number @|fhane [Document Uploaded. Sr. No. Document Name i wadhaar Card [Declaration : I DESHMUKH VIRAI VIDAY have downloaded the Information Brochure of MAH-MBA/MMS-CET-2023 and have read sll the rules fo lsppearing the CET and on understanding these Rules, Ihave file this Application Form for appearing to MAH-MBA/WMS-CeT-2023 for the Academic] |vear 2023-24, thie information given Sy me in ths application ls true to the best of my knowlesge & bell. if at later stage, Wie found that thave| Jurishea wrong Informatation and/or submitted false certiliate(s), 1 am aware that my admission stands cancelled and Tees paid by me wil be] [orfited, Further I wil be subject to legal and/or penal action 9s per the provisions ofthe I hitpssmbacel2023.manacetorg/CandidateModulerm-PrintapplicatonForm 1214723, 949 PM State Common Entrance Test Cel, Government of Maharashtra [bote : 04703/2023 [st moaiied On: 04/03/2023 9:49:23 PM printed on: 0470372028 9:4 I Signature of Applicant (DESHMUKH VIRAJ VIJAY) hitps:imbacet2023.manaceto (CancidateModuletrmPrintappicationForm 22