Application Form P242106708

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Programme Details

Form Name Full Time Post Graduate


Application Number P242106708 Programme Application Form
2024
Undergraduate Degree Status Programme FULL-TIME POST GRADUATE
COMPLETED
PROGRAMME
How many programmes would you Programme Preference 1 MBA IN ADVANCED PROJECT
ONE
like to apply to? MANAGEMENT
Programme Preference 2 Programme Preference 3

Personal Details
MR. NAIR
Name Gender MALE
PRAVEENKUMARMOHANAN
Date of Birth 07/12/1997 Blood Group AB+
Marital Status SINGLE Annual Family Income (INR) 4,00,001 TO 6,00,000
Reservation Category GENERAL / OPEN Nationality INDIAN
Domicile State MS (MAHARASHTRA STATE) Aadhaar Number 965599310482
Mobile Number +91-9136068482 Whatsapp Mobile Number +91-9136068482
Primary Email PRAVEENNAIR7369@GMAIL.COM Alternate Email

Other Details
How did you come to know about NICMAR University? INSTAGRAM
Do you belong to Economically Weaker Section [(EWS) – Family Income upto 8 lakhs]? YES
Are you categorized as a person with a disability (PWD)? NO
Are you a son/daughter of a Non-Resident Indian (NRI)? NO
Do you belong to a minority community ? NOT APPLICABLE
Are you a Foreign National/ Persons of Indian Origin /Child of Indian worker in the Gulf
NONE OF THE ABOVE
countries?
Do you want to apply for Hostel Accommodation? YES

Address Details
Communication Permanent
Country INDIA INDIA
State MAHARASHTRA MAHARASHTRA
City KALYAN KALYAN
Address Line 1 A4 201 VAISHNAVI PARK A4 201 VAISHNAVI PARK
Address Line 2 KAILASH NAGAR KAILASH NAGAR
Pincode 421306 421306

Parent's Details
Father's Details Mother'sDetails Guardian'sDetails
Name MR. MOHANAN NAIR MRS. SAVITHA MOHANAN NAIR
Mobile Number +91-9323193969 +91-9136068482
Email ID
Occupation BUSINESS OTHER|HOUSEWIFE
Company

Academic Details
10th/SSC/Equivalent
School Name MODEL ENGLISH HIGH SCHOOL School State MAHARASHTRA
MAHARASTRA STATE BOARD OF
School City KALYAN Board SECONDARY AND HIGHER
SECONDARY EDUCATION
Year of Passing 2013 Marking Scheme PERCENTAGE
Obtained Marks 416 Total Marks 550
Convert into Percentage(If
Percentage / CGPA 75.64
CGPA)

12th/HSC/Equivalent
After 10th/SSC/Equivalent Qualification : BOTH
MODEL COLLEGE OF SCIENCE
School Name School State MAHARASHTRA
AND COMMERCE
MAHARASTRA STATE BOARD OF
School City KALYAN Board SECONDARY AND HIGHER
SECONDARY EDUCATION
Discipline SCIENCE Year of Passing 2016
Marking Scheme PERCENTAGE Obtained Marks 317
Total Marks 650 Percentage / CGPA 48.77
Convert into Percentage(If
CGPA)

Diploma
B.R. HARNE COLLEGE OF
College/Institute Namee College/Institute State MAHARASHTRA
ENGINEERING AND TECHNOLOGY
MAHARASHTRA STATE BOARD OF
College/Institute City AMBERNATH Board / University
TECHNICAL EDUCATION
Discipline CIVIL Year of Passing 2020
Marking Scheme PERCENTAGE Obtained Marks 541
Total Marks 800 Percentage / CGPA 67.63
Convert into Percentage(If
CGPA)

Undergraduate
UNIVERSITY OF MUMBAI, B.R. HARNE COLLEGE OF
University College/Institute Name
MAHARASHTRA ENGINEERING AND TECHNOLOGY
College/Institute State MAHARASHTRA College/Institute City AMBERNATH
Degree BE Discipline CIVIL
Duration of Degree 4 YEARS Exam pattern in Degree SEMESTER
Commencement Year 2020 Passing Year 2023
Final Percentage / CGPA

Graduation Marks
Year/Semester/Trimester Marking Scheme Obtained Marks Total Marks Percentage / CGPA Convert into Percentage(If CGPA)

1. 3RD CGPA OUT OF 10 8.26 75.1


2. 4TH CGPA OUT OF 10 8.75 80
3. 5TH CGPA OUT OF 10 7.25 65
4. 6TH CGPA OUT OF 10 5.24 44.9
5. 7TH CGPA OUT OF 10 5.70 49.5
6. 8TH CGPA OUT OF 10 6.63 58.5
7.
8.
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10.
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15.

Post Graduation Information


Do you want to enter Post-Graduation Details?: NO
Status College/Institute
University Degree
Discipline College/Institute State
College/Institute City Duration of PG Degree
Year of Commencement Year of Passing
Marking Scheme Obtained Marks
Total Marks Percentage / CGPA
Convert into Percentage(If
CGPA)

Entrance Exam
Have You Given Any Entrance Exam?:NO
Name of Exam Year of Appearing Roll No Result Status Obtained Score Maximum Score Percentile

1.
2.
3.
4.
5.

Work Experience
Do you have Work Experience?:YES
Last Gross Monthly No. of
Organisation Name Designation Nature of Work Date of Joining Date of Leaving
Pay (INR) Months
1. SAVITHA ENTERPRISES JUNIOR ENGINEER 25000 SUPERVISION 01/11/2020 06/12/2022 25
2.
3.
4.
5.
Total No Of Months Experience Till Date 25

Signatures & Declaration Details


I certify that the particulars given above are complete and correct to the best of my knowledge and belief. I certify that I
satisfy the eligibility requirements for the programme(s) for which I have applied. My admission is liable to be cancelled in
case of any discrepancy or in instances of provision of any incorrect / incomplete information found during selection process /
later on. I agree to abide by the rules and regulations as well as discipline of the University. I understand that application fee
is non-refundable and non-transferable. I hereby consent to terms and conditions set forth in the NICMAR University
Programme Brochure.
I will furnish all the required academic marksheets / certificates including my bachelor’s degree mark sheet by the stipulated
time given by NICMAR University, Pune. I hereby confirm that my admission (if offered) by NICMAR University, Pune, is
provisional and I need to submit the passing certificate within one month of commencement of programme, failing to which, I
will not be allowed for NICMAR University examination and my admission will be cancelled.

Applicant Signature Date 15/04/2024

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