For Office Use
Batch: Scrutiny Payment: Online/DD PI
Serial:
Only
Habib College of Commerce and Economics (745)
Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2882043
Academic Year: 2021-2022 Regular
APPLICATION FORM
Course Applied for : B.M.S.(with Credits) - Regular - Rev16 - T.Y.B.M.S. Sem V [2M00155]
(22300005) PRN:2019016400240231
Application Date : 30/09/2021 Payment Category : 28
1.Personal Information
Candidate's Name(Regional) :
KHAN MD SAHIL ALI CHAND BABU
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : CHAND KHAN Mother's Name : SHABINA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 20/01/2002
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 : Kurla City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb Plot no 3/H/1 SHIVAJI NAGAR govandi mumbai 400043 Pin Code : 400043
etc.) :
Contact details
Mobile
918104491143 Email ID:
[email protected]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)
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 : 0
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 -- -- 253.00 500.00 --
-
-- 50.60
2017
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD
Std 12th 12Th February
OF SECONDARY AND HIGHER -- -- 395.00 650.00 --
-
-- 60.77
(Commerce) 2019
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 Mon Jan 10 2022 15:47:25 GMT+0530 (India Standard Time)