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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
86001 - Operation Research UBMSFSVI.5 - Project Work
86003 - Brand Management 86006 - Retail Management
86009 - International Marketing 86012 - Media Planning and Management
Batch: Scrutiny Payment: Online/DD PI
Serial:
D. E. Society Kirti M. Dongursee College (104)
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2021-2022
APPLICATION FORM
Application No :
2247957
Regular
Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - T.Y.B.M.S. Sem V [2M00155]
(22300005) PRN:2019016401802003
Application Date : 26/08/2021 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed on Mark
sheet :
PATIL DURVESH TYAGRAJ
[*This name will appear on all University records/documents]
Father's/Husband's Name : TYAGRAJ PATIL Mother's Name : SHEETAL
Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 01/03/2002
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
State : Maharashtra District : Mumbai City Tehsil : Mumbai City/Town/Village :
Location Area : Not
Available
Address (House
no,street/area/suburb etc.) :
FLAT NO 14 , 1ST FLOOR SANGAM BUILDING OLD PRABHADEVI Pin Code : 400025
Contact details
Mobile Number 919967644709 Email ID: PATILDURVESH098@GMAIL.COM
2.Legal Reservation Information
Category Type :
Reserved
Category : OBC
Is Specially Abled? No
3.Social Information(Additional Inforamtion)
Paper Selected for:
Sem V [2M00155]
Sem VI [2M00156]
Medium of Instruction : English
4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 500000
5.Educational Details
Name of
Examination
Name of Board/University and State of
University
Name of
School/College
Month and
Year of
Passing
Exam
Seat
No.
Certificate
No.
Mark
Obtained
Out of CGPA %
Std 10th
MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION,
March 2017 -- -- 288.00 500.00 --
-
-- 57.60
Std 12th 12Th
(Commerce)
MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION,
February
2019
-- -- 392.00 650.00 --
-
-- 60.31
Your Last Qualifying Exam:
7.Other Information
For
Office
Use
Only

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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 Aug 26 2021 12:46:25 GMT+0530 (India Standard Time)