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L. S. Raheja College of Arts and Commerce (307)

Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2431003
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - T.Y.B.M.S. Sem V [2M00155] (22300005) PRN:2020016401531376
Application Date : 20/08/2022 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
PARMAR RITESH RAMESH
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : RAMESH Mother's Name : SANDHYA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 03/06/2002
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 : Andheri City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb Room No 101 First Floor 361 Patil Pada Khar Danda Village West Pin Code : 400052
etc.) :
Contact details
Mobile
919136278169 Email ID: parmarritesh109@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : SBC
Reserved
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
46004 - Services Marketing 46007 - E-Commerce & Digital Marketing
46010 - Sales and Distribution Management 46013 - Customer Relationship Management
Sem VI [2M00156]

86001 - Operation Research UBMSFSVI.5 - Project Work

86003 - Brand Management 86006 - Retail Management
86009 - International Marketing 86012 - Media Planning and Management

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 120000
5.Educational Details
 Month and Exam
Name of Name of Board/University and Name of Certificate Mark Out
Year of Seat CGPA %
Examination State of University School/College No. Obtained of
Passing No.
MAHARASHTRA STATE BOARD
March
Std 10th OF SECONDARY AND HIGHER -- -- 384.00 500.00 -- - -- 76.80
2018
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th February
OF SECONDARY AND HIGHER -- -- 473.00 650.00 -- - -- 72.77
(Commerce) 2020
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 Sat Aug 20 2022 12:35:52 GMT+0530 (India Standard Time)