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2125128, 245 PM State Comman 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. : 235018701 Version No : 1 Candigate's Ful Neme|GAWDE SHRUTIKA SURESH : Father's Name|SURESH lPersonal Details t - Date of Birth|28706/2002 Religion|Hingw Region|Urban Mother Tongue)Marathi (B “Annual Family Tncomel@ - 15,000 ye i Fai Css Nationality [indian WAR-MBA/HNS-CET-2023 Application Fee Paid (€)[600/- [Permanent Address [Address for Correspondence ‘ABETESS UPGlomy gat nath society 04/110 ‘Aéeress Unt lam eal math society 94/120 iarese Ural ector 10,J09 colony ANS AN peetor 10,509 colony 'dare35 Ural atamboll, navimumbal ‘dare55 Ural tambolt, navimumbal ciucalpanver | vitagelMvi Mumbal Panvel Rigarah Taiualpanee taal avt Murnbal Panvel Rigardh uk oer a waelcer) Teleprone Nop [Domicile and Category Details De You Belong to State of Maharasha? Ves ‘categorylOBe Do you possess Caste Voliity Net ABBIieg Da-you Possess Non-Creamy Layer|Not Applied! fre you Person With Disability ?[Ne walification Details [Graduation / Equivalent Details Graduation Stats Appearing IMAH-MBA/MM5-CET-2023 Examination Details, Slate for NANCMBA/MMS-CET-2023 Examination Center Exam Center ot Preference Number [Mumbai Suburban ‘am Center at Preference Number 2|Mumbal City Exar Center at Preference Number 3[Ralgad [Document Uploaded. Sr. No. Document Name i wadhaar Card J. vou are required to Upload the Caste Certificate clearly mentioning the Category of the Canaidate and also the remarks that the Caste i recognises ae backward class In the State of Maharashtra at the time of Centralised harission Pracess(CAP 2023). }. You are required to Usioad the Caste / Tobe valisity Certficate in the name of the Candidate, issued by the caste validity committee of Jvanarashtra State atthe time of Centralised Acmission Process{AP 2023). hitpsmbacel2023.manacetorg/CandidateModulermPrintApplicationForm we 2125128, 245 Pa State Comman Entrance Test Cel, Government of Maharashtra |. You are required to Upload Non-Creamy Layar Certificate issued by Sub Divisional officer or Deputy Collector of the district in adeition to the casa Jeertincate valid upto 32/03/2024 atthe time of Centraisea Agmission Process(CAP 2023). [Declaration : I GAWDE SHRUTIKA SURESH have downloaded the Information Brochure of MAH-MBA/MMS-CET-2023 snd have reat all the rules for lsppearing the CET ana on understancing these Rules, I nave flag this Application Form for appearing to MAH-MBA/MMIS-C=T-2023 for the Academie] Wveer 2029-24. This information given by me inthis application ts tue to the best of my Knowledge & bala, if at later atagu, i i found that t have Jurnishee wrong Informatation and/or submitted false certificate(s), 1am aware that my admission stands cancelled and fees paid by me wl be] forfeited. Further I wil ba susject to lagal and/or genal action as Der the provisions of tha la. bate : 25/02/2023 [fost Moaiies by = 235038702, 192.48.226.214:06486 [st Moaiieg On « 25/02/2023 2:45:01 PM Signature of Applicant ranted On: 25/02/2023 2:45:26 PM (GAWDE SHRUTIKA SURESH) hitpssimbacel2023.manacelorg/CandidateMedula/tmPrintApalcationForm 22.

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