For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

SHEILA RAHEJA SCHOOL OF BUSINESS MANAGEMENT AND RESEARCH (972)

Raheja education complex kher nagar banora east Mumbai Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2078458
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - F.Y. B.M.S. ABC ID: 569-249-464-825 PRN:
Sem I (22300005)

Application Date : 04/07/2023 Payment Category :

1.Personal Information
Candidate's Name(Regional) : દક્ષ
Candidate's Name as printed DAKSH SANDEEP PATEL
on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : SANDEEP YAMINI
Name :
Mother
Marital Status : UnMarried Gujarati
Tongue :
Place Of Birth : Daman Gender : Male Date of Birth (DD/MM/YYYY) : 26/04/2006
Blood Group : BPositive Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Maharashtra
Address (House
no,street/area/suburb 102 Gulmohar Complex Phase 2 Ram Mandir Road Virar Pin Code : 401303
etc.) :
Permanent Address :
City/Town/Village :
State : Maharashtra District : Thane Tehsil : Thane Location Area : Urban
Maharashtra
Address : 102 Gulmohar Complex Phase 2 Ram Mandir Road Virar Pin Code : 401303
Contact details
Mobile
9763161662 Email ID: [email protected]
Number
2.Legal Reservation Information
Category Type :
Category : SC Sub Category : MAHYAVANSHI
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
UBMSFSI.1 - Introduction to Financial Accounts UBMSFSI.2 - Business Law
UBMSFSI.3 - Business Statistics UBMSFSI.5.1 - Foundation Course I
UBMSFSI.4 - Business Communication I UBMSFSI.6 - Foundation of Human Skills
UBMSFSI.7 - Business Economics I
Sem II

UBMSFSII.1 - Principles of Marketing UBMSFSII.2 - Industrial Law

 UBMSFSII.3 - Business Mathematics UBMSFSII.5.1 - Foundation Course II
UBMSFSII.4 - Business Communication II UBMSFSII.6 - Business Environment
UBMSFSII.7 - Principles of Management

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 20000
5.Educational Details
Month
Name of Name of Board/University Name of and Exam Certificate Mark Out
CGPA %
Examination and State of University School/College Year of Seat No. No. Obtained of
Passing
MAHARASHTRA STATE
CARDIFF
Std 12th BOARD OF SECONDARY AND May
JUNIOR M217685 -- 356.00 600.00 -- - -- 59.33
Commerce HIGHER SECONDARY 2023
COLLEGE
EDUCATION,Maharashtra
MAHARASHTRA STATE
BOARD OF SECONDARY AND ST JOHN XXIII
Std 10th July 2021 A156919 -- 271.00 500.00 -- - -- 54.20
HIGHER SECONDARY HIGH SCHOOL
EDUCATION,Maharashtra
Your Last Qualifying Exam: HSC/Std 12th [Commerce]
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last
Qualifying Exam like degree,diploma,etc.

Certificate of Caste with Category.

Passing Certificate of Std 10th.

Leaving Certificate.

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 Application No :2078458
(DAKSH SANDEEP PATEL) 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 )
For College/Institute/Study Center Use Only
Designation Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Tue Jul 04 2023 21:12:00 GMT+0530 (India Standard Time)