Office of the Deputy Application Form No.   908246 Application Version No.

  0
Director of Educaton,
AMR, Aurangabad Application Form Version Date

11th Standard online Admission Application Form printed On 07 Jun 2019 - 09:52:23
2019-20, AMR, Aurangabad Region
Application Form 10 Jun 2019 - 09:55:46 Application Form Version Updated By
श ण उप - संचालक कायालय, औरंगाबाद /
औरंगाबाद 908246
११ व ऑनलाइन वेश या
(F.Y.J.C)२०१९ -२०२०
अज

Personal Details, Type of Candidature and Board Details of Applicant

Full Name SARODE TOSHITA MOHAN Mother's Name SHOBHANA
Gender Female Date of Birth 18/04/2003

Board SSC Month & Year of Passing March 2019 Seat No./Roll No. K013941
A.POLICE PUB SCH,GRAMIN POLC MUKHYALAYA,N-10,CIDCO
Residence Within City Area 10th School Details
5601274
Address for Correspondence and Contact Details:
Correspondence Address:- UTTAM NAGAR PLOT NO 108 JAWAHAR COLONY AURANGABAD, , Aurangabad, AURANGABAD, AURANGABAD, 431001
9421305565,
Phone No Mobile No Email Id ml_sarode@yahoo.com
9226237299
Reservation Details
Category Other Backward Class (OBC) Other category
Admission for Bifocal
a) Do you want to take Admission for Bifocal? No
Do you belong to minority community?    No

Required Documents & Status

Sr.No. Document Name Submitted Original Value New Value Status Date
Other Backward Class (OBC)
1 Yes -- -- Approved 10/06/2019
Certificate
1. Following applicants MUST visit their respective School Principals/Guidance Center with printout of application form along with supporting Documents for verification &
approval
2. Unless and until the application form is approved, with the supporting document by respective School Principals/Guidance Center, you can not proceed to fill the option
form.
a. SSC board students of Reserved Categories' with or without claiming any Special Reservation'
b. SSC board Students of Open Category but claiming any Special REservation.
c. All other boards' (other than SSC) students.
d. All boards' (including SSC) students requesting any rectifications under grievances
3. All OMS and Outside City Area in M.H. State applicants MUST visit Guidance center with printout of application form along with supporting documents for verification &
approval
Description:- I hereby declare that all information furnished by me in the online admission process is true, compelete and correct to the best of my knowledge and
belief. I understand that entire information furnished by me in this application is final and binding to me. Further, I understand that ,if any information furnished by me
in the Online Admission Process for standard XI, is found to be false or incorrect, i shall be liable for appropriate legal action and my admission will be cancelled as
per rules.

Place: Principal Signature:

Applicant Signature
Date: Prinicipal Name