9/14/2020 School Education and Sports Department

Office of the Deputy Director of Education, Nagpur Division

Std. 11th Centralised Online Admission Process 2020-21
श ण उपसंचालक कायालय, नागपुर वभाग
इय ा ११ वी क ीय ऑनलाइन वेश या २०२०-२१
Application Form No. : NG1140246
Application Version No. : 2
Personal Details, Type of Candidature and Board Details of Applicant
Full Name DHURVE ANJALI RAMKUMAR Mother's Name SHYAMKALI

Gender Female Date of Birth 11/03/2003

Board SSC Month & Year of Examination March, 2020

Seat No. J092256 Residence Outside NMC Area

10th School Name SHIVA SAVANGA VIDYALAYA, SHIVA, NAGPUR 440023

10th School Index Number 06.02.005 10th School UDISE Number 27090901002
Address for Correspondence and Contact Details
Correspondence Address AT SAWANGA POST SHIVA, SAWANGA, NAGPUR, Nagpur, Maharashtra, 440023

Mobile No. 9763983488 Phone No. --

E-Mail ID mrdhurve1234@gmail.com
Reservation Details

Original Category ST Category for Admission ST

Original Other Category --
Other Category for Admission --

Admission under Technical Reservation (25% for HSVC & Bifocal Courses)
Have you opted any of the Pre-Vocational Courses or Subjects offered under NSQF at 10th Examination ? No
Admission for Inhouse Quota

Do you want to take admission through Inhouse Quota ? Yes

10th Standard Examination Details
Passing Status Pass Passed in Science Subject Yes
Total Marks 334 / 500 Total Percentage 66.80%
Documents Verification Details
Documents Verification Type Online
NGGC023 - DHANWATE NATIONAL JR. COLLEGE, CONGRESS NAGAR, NAGPUR
Documents Verification At
(Contact Person : SHRI P P GHARPURE, Contact No. : 9028624776, Contact Timing : 11:00 AM to 05:00 PM)
Required Documents List

Sr. No. Document Name Original Category Verified Category Verification Status Verification Date
1. Caste Certificate. ST ST Not Verified 01/09/2020
2. Self Declaration / Undertaking of Student. -- -- Verified 01/09/2020

Note : You need to get your form verified from your secondary school / selected guidance centre. For this purpose, you can contact to the school / guidance
centre over phone which is mantioned in your print out. It is not required to visit the school / guidance centre personally.

Unless and until the application form is verified by respective school / guidance centre, you can not proceed to fill the option form.
Declaration
I hereby declare & understand that,
1. All the information furnished by me in this online application form is true, complete and correct to the best of my knowledge and belief.
2. Entire information furnished by me in this application is final and binding to me.
3. If any information furnished by me here, is found to be false or incorrect, i shall be liable for appropriate legal action and my admission will be cancelled as
per rules.
*Note : I will submit all the original documents required for admision (uploaded and not uploaded) while taking admission.
Place :                                                                        Date : 14/09/2020
Printed On : 14/09/2020 8:15:21 PM
Last Modified On : 31/08/2020 8:28:48 PM
Applicant Signature
Last Modified By : NG1140246, 49.35.107.157/Chrome/Windows 7 (DHURVE ANJALI RAMKUMAR)

Current Status : Verified

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