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 we2125128, 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.