Online Registration For MAH-B.

BCA/BBA/BMS/BBM-CET-2024 Application Form

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL, MAHARASHTRA STATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)

Application Form for Online Registration For MAH-B.BCA/BBA/BMS/BBM-CET-2024

Application No. : 243408000 Version No : 1

Personal Details
Candidate's Full Name ANSARI SADAF ANJUM MOHAMMAD IQBAL

Father's Name MOHAMMAD IQBAL

Mother's Name MADINA BANO

Gender Female

Marital Status UnMarried

Spouse's Name -

Date of Birth 29/09/2005

Religion Muslim

Region Urban

Mother Tongue Urdu

Annual Family Income 15,001 - 50,000

Nationality Indian
MAH-B.BCA/BBA/BMS/BBM-CET-2024 Application Fee Paid (Rs . ) 1000/-
Permanent Address Address for Correspondence
Address Line 1 vadjai road Address Line 1 vadjai road
Address Line 2 near habibi school Address Line 2 near habibi school
Address Line 3 kabir ganj Dhule Address Line 3 kabir ganj Dhule
State Maharashtra District Dhule State Maharashtra District Dhule
Taluka Dhule Village Dhule Taluka Dhule Village Dhule
PIN Code 424001 PIN Code 424001
Telephone No 02562 - 7875471982
Domicile and Category Details
Are you Domiciled in the State of Maharashtra? No
Are you Person With Disability ? No
Belongs to Minority Category No
Linguistic Minority NA
Religious Minority NA
Orphan Details
Are you Orphan? No
Qualification Details
SSC / Equivalent Details
SSC/Equivalent Passing Year 2021
SSC/Equivalent Percentage 96.00
SSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
State From Which you Passed SSC/Equivalent Maharashtra
HSC Details
Are you Appearing /Appeared 12th (HSC) exam in 2024 Yes
HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
MAH-B.BCA/BBA/BMS/BBM-CET-2024 Examination Details
Examination Center District at Preference Number 1 Dhule
Examination Center District at Preference Number 2 Nandurbar
Examination Center District at Preference Number 3 Jalgaon
Examination Center District at Preference Number 4 Nashik

Document Uploaded
Sr. No. Document Name
1. Aadhaar Card

Declaration :
I ANSARI SADAF ANJUM MOHAMMAD IQBAL have downloaded the Information Brochure of MAH-B.BCA/BBA/BMS/BBM-CET-2024 and have read all the rules for
appearing the CET and on understanding these Rules, I have filled this Application Form for appearing to MAH-B.BCA/BBA/BMS/BBM-CET-2024 for the Academic Year
2024-25. This information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong
informatation and/or submitted false certificate(s), I am aware that my admission stands cancelled and fees paid by me will be forfeited. Further I will be subject to
legal and/or penal action as per the provisions of the law.
Date : 06/07/2024

Last Modified By : 243408000, 106.213.85.54:15789

Last Modified On : 03/07/2024 5:43:38 PM

Signature of Applicant
Printed On : 06/07/2024 3:18:53 PM ( ANSARI SADAF ANJUM MOHAMMAD IQBAL )