For Office Use

Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

Gokhale Education Societys Shri Bhausaheb Vartak Arts,Commerce and Science College (271)
Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2273876
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - PRN:2021016400278197

T.Y.B.M.S. Sem V [2M00155] (22300005)

Application Date : 13/07/2023 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed BHAKTI TANAJI DABHADE
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : TANAJI RESHMA
Name :
Mother
Marital Status : UnMarried
Tongue :
Place Of Birth : Pimpode Budrukh Gender : Female Date of Birth (DD/MM/YYYY) : 15/03/2004
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Boriwali City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb Room No 71 Akurli Road Mumbai Pin Code : 400101
etc.) :
Contact details
Mobile
919969284933 Email ID: reshma.dabhadeo1@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V [2M00155]
46001 - Logistics and Supply Chain Management 46002 - Corporate Communication and Public Relations
46003 - Investment Analysis and Portfolio Management 46009 - Wealth Management
46015 - Risk Management 46018 - Direct Taxes
Sem VI [2M00156]

86001 - Operation Research UBMSFSVI.5 - Project Work

86005 - Innovative Financial Services 86008 - Project Management
86011 - Strategic Financial Management 86017 - Indirect Taxes

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 150000
5.Educational Details
Month Exam
Name of Name of Board/University and Name of Certificate Mark Out
and Year Seat CGPA %
Examination State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE BOARD
Std 10th OF SECONDARY AND HIGHER June 2019 -- -- 347.00 500.00 -- - -- 69.40
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th August
OF SECONDARY AND HIGHER -- -- 449.00 600.00 -- - -- 74.83
(Commerce) 2021
SECONDARY EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
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 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 )
Document printed on Thu Jul 13 2023 11:38:27 GMT+0530 (India Standard Time)