Exam Center Details

Month and year of Exam April-2016

Name of Co-ordinator SUHAS V. TALKHEDKAR
Designation Co-ordinator
Email ID 46210002@MKCL.ORG
Exam Center Code 46210002
Exam Center Name SHREE COMPUTERS
Exam Center City MAJALGAON
Exam Center District BEED
Exam Center Address
SAMTA COLONY CORNER MAJLAGAON TQ
Line 1 MAJLAGAON DIST BEED

Line 2 MAJALGAON

Short Address SAMTA COLONY CORNER MAJLAGAON TQ

MAJLAGAON DIST BEED
Phone Number (02443) 235037
Mobile Number 9423757400
Date of Installation 7-Apr-2017
Last Date of Examination 7-Apr-2017
Days of Examination 1
Particulars Regular Handicapped
Allotted Candidates 20 0
Appeared Candidates 20 0
Passed Candidates 14 0
Failed Candidates 6 0
Absent Candidates 0 0

Controller Details
Name of Controller SURWASE BALAJI BABASAHEB
Institute of Controller PERFECT COMPUTERS TELGAON
Center Code of Controller 46210302
Designation Lecturer
Address Line 2 AT POST TELGAON TQ MAJALGAON
Address Line 3 DIST BEED
City TELGAON
Distance in KM 30
Fare by Bus 100
Short Address AT POST TELGAON TQ MAJALGAONDIST BEED
Telephone Number
Mobile number 9096223679
Email Address bspatil555@gmail.com
Qualification B.Sc.
MSBTE ORDER NUMBER MSBTE/ROA/D-70/MSCIT/2017/500
MSBTE ORDER DATE 05-April-2017
 Maharashtra State Board of Technical Education, R.O.
Govt. Polytechnic Campus, Osmanpura, Aurangabad-431005.
É0240-2331273,2334025 & 2349669 Fax 2331273
Email – rbteau@msbte.com

RECEIPT OF MSCIT-EXAM DATA April-2016

Name of Data Submission Representative SUHAS V. TALKHEDKAR

Exam Center Name SHREE COMPUTERS

Exam Center City MAJALGAON Dist. BEED

Exam Center code 46210002 Email ID 46210002@MKCL.ORG

On date: 07-April-2017 Data Checked Data Scanned

MS-CIT Online Exam DVD

Backup CD/DVD
1) Day wise Report (Generated in software) 2) Final List of Controller
3) Proforma for Controller 4) Proforma for Co-ordinator
5) Feedback form of Controller 6) Surrender certificate
7) Reschedule Report (If Any) 8) Reallocate Report (If Any)
9) Slot wise Attendance 10) Attendance Report
Appeared Passed Candidates Failed Candidates Absent
Allotted Candidates Candidates Hard Copy Soft copy Hard Copy Soft copy Candidates
Lab-1-- 20 20 14 14 6 6 0
Lab-2--
Handicap-- 0 0 0 0 0 0 0
Exam Center Bill:- Controller Bill:- Vigilance Bill:-

9) Note :-

Sign. Of Data Sign of MSBTE Representative

Submission Representative RBTE Aurangabad
[Name & Contact No. ]
SUHAS V. TALKHEDKAR
9423757400
 Final List of Controllers MSCIT Exam April-2016
(To be submitted after the last day of exam along with backup)

Name of the Exam Center:- SHREE COMPUTERS

Exam Center City:- MAJALGAON Dist. BEED

Exam Center Code:- 46210002

Instt./Center Of
Sr. No. Name of Controller Controller & Contact Date From –To Sign of Controller
No.
07-April-2017
SURWASE BALAJI PERFECT COMPUTERS
1 TO
BABASAHEB TELGAON46210302
07-April-2017
10-April-2017
SURWASE BALAJI PERFECT COMPUTERS
2 TO
BABASAHEB TELGAON46210302
10-April-2017

Name & Sign of Co-ordinator Sign of Instt. Head &Stamp

SUHAS V. TALKHEDKAR
 Proforma for Local Exam Controller

( MSCIT Exam April-2016 )

Name of the controller: SURWASE BALAJI BABASAHEB

Instt And Designation: PERFECT COMPUTERS TELGAON

Controllers Name & Address:
Lecturer
SURWASE BALAJI BABASAHEB
PERFECT COMPUTERS TELGAON
AT POST TELGAON TQ MAJALGAON
DIST BEED

Telephone No. 0

Mobile No. 9096223679

Email Address bspatil555@gmail.com

Given Exam Center Code: 46210002

Name of Exam Center: SHREE COMPUTERS

Address of Exam Center:

SAMTA COLONY CORNER MAJLAGAON TQ MAJLAGAON DIST BEED

Duration of Controller at Exam Center: 1 days

Controller Qualification: B.Sc.

From Date: 07-April-2017 To Date 07-April-2017

10-April-2017 To Date 10-Apr-17

Name & Signature of Controller

SURWASE BALAJI BABASAHEB
 Proforma for Local Exam Co-ordinator

(MSCIT Exam April-2016 )

Name of the co-ordinator: SUHAS V. TALKHEDKAR

Instt And Designation: SHREE COMPUTERS

Co-ordinator

Co-ordinator Name & Address: SUHAS V. TALKHEDKAR

SHREE COMPUTERS

SAMTA COLONY CORNER MAJLAGAON TQ MAJLAGAON DIST BEED

MAJALGAON

Telephone No. (02443) 235037

Mobile No. 9423757400

Email Address 46210002@MKCL.ORG

Given Exam Center Code: 46210002

Name of Exam Center: SHREE COMPUTERS

SAMTA COLONY CORNER MAJLAGAON TQ MAJLAGAON DIST

Address of Exam Center: BEED

Duration of Co-ordinator at Exam Center: 1 days

From Date: 07-April-2017 To Date 07-April-2017

10-April-2017 To Date 10-Apr-17

Name & Signature of Co-ordinator

SUHAS V. TALKHEDKAR
 Confidentia

Feedback form for local controller of examination-MSCIT EXAM April-2016

Name of the controller: SURWASE BALAJI BABASAHEB

Exam Center Code: 46210002

Exam Center Name : SHREE COMPUTERS

Address of the Exam Center: SHREE COMPUTERS

SAMTA COLONY CORNER MAJLAGAON TQ MAJLAGAON DIST BEED

MAJALGAON

Period of Examination : 07-April-2017 TO 07-April-2017

10-Apr-17 To 10-Apr-17

Local Controller of Examination for MSCIT are hereby request to fill this information and handover to
the concerned regional Board of Technical Education Office after the examination is completely
over. Your feedback will guide us to improve the examination atmosphere as well as other
facilities at Examination Centers. Please (./ ) in appropriate box.

Sr. No. Particulars Yes No

Does the Exam Center is having the specified number of

1 Yes
Computers ? If ‘No’ then how many ?

2 Does the Exam Center is having telephone connection, internet Yes

connection

Whether the UPS is provided to the server ? If yes then Secify the
3 Yes
backup time.

Does the Exam Center is having the diesel generation set in Case
4 Yes
of power failure any other alternate power supply?

5 Is the power failure ? If ‘Yes’ specify the number of times in a day. No

Is the toilet facility available at Exam Center for Gents and Ladies
6 Yes
candidates separately?

7 Did you get the adaequate support from the Exam Center? Yes

Any other issue not covered above

Signature of Local Controller of Examination
 FORM:02
MAHARASHTRA STATE BARD OF TECHNICAL EDUCATION, MUMBAI

FORMAT OF DUTY CERTIFICATE

This is to certify that Mr. / Mrs. / Miss SURWASE BALAJI BABASAHEB

Designation Lecturer of Institute PERFECT COMPUTERS TELGAON

Institute Code No. 46210302 have attended this office in respect of MSBTE as

per MSBTE/RBTE/POLYTECHNIC Office Order No. MSBTE/ROA/D-70/MSCIT/2017/500

Dated 05-April-2017 and worked as LOCAL EXAM CONTROLLER

From (Time): 9.00 A. M. of Date: 07-April-2017

To (Time): 5.00 P. M. of Date: 07-April-2017

Place : MAJALGAON

Date : 07-April-2017
Signature of Competent Authority
&
Seal of Office

This format shall be used for claiming Incidental Charges & Travelling Allowance.

Name Of Controller SURWASE BALAJI BABASAHEB PERFECT COMPUTERS TELGAON

Name Of Bank BANK OF INDIA TELGAON
Account Number 76210110004796
Bank IFSC Code BKID0000762
Mobile Number 9096223679
Address AT POST TELGAON TQ MAJALGAONDIST BEED

Signature Of Controller
 FORM: 03
MAHARASHTRA STATE BOARD OF TECHNICAL EDUCATION,MUMBAI
BILL FOR REMUNERATION ( OTHER THAN EXAMINER’S BILL )
REFERENCES: 1) MSBTE OFFICE ORDER NO. D-10/99/6/39 DATED 07/08/1999
2) MSBTE OFFICE LETTER NO. D-50/CLARI. REMU/99/9816 DATED 28/12/1999
3) MSBTE/D-10/MANDHAN/2000/131 DATED 18/10/2000
Name of Officer : SURWASE BALAJI BABASAHEB
Institute Code No. and Name of Institute: 46210302 PERFECT COMPUTERS TELGAON

Detail Correspondence Address (for DD Dispatch) : PERFECT COMPUTERS TELGAON

AT POST TELGAON TQ MAJALGAONDIST BEED

Nature of Work / Duty performed: LOCAL EXAM CONTROLLER

MSBTE / Polytechnic Order No. and Date : MSBTE/ROA/D-70/MSCIT/2017/500 Dated 05-April-2017

(Enclose copy of order)
Total
Sr. No. Dates of Duty / Work No. of Times Duty / work Rate of Remuneration No. of Amount Rs.
Performed Performed
Days
07-April-2017
1 TO 1 350 1 350
07-April-2017
10-April-2017
2 TO 1 350 1 350 SILICON:
HERE YOU HAVE TO ENT
10-April-2017 THE VALUE IN WORDS

Amount in words :Rs. Seven Hundred Rupees Only

Certified that the above duty / work performed by me as per Maharashtra State Board of Technical Education’s norms

and the amount claimed is as per the rates approved. I have submitted report of duty / work performed MSBTE / RBTE

Mumbai / Pune / Aurangabad, on Date / /

Certified that I have not claimed this remuneration here before (Attach copy of Receipt issued by MSBTE / RBTE)

This bill has not been drawn paid previously.

Signature of Claimant
FOR OFFICE USE ONLY

Verified and Recommended for payment of Rs.

Signature of Principal / Deputy Secretary

Entry has been taken in Register No. Page No. At S. No.

This bill has not been drawn paid previously.

Passed for payment of Rs. (Rs.

The expenditure is charged to Head of Accountant

Clerk Superintendent / Head Clerk Section Officer

*Received Payment in Cash Rs. Signature of Claimant

*Applicable when paid in cash by Voucher of MSBTE / RBTE Office.

 CON:
E YOU HAVE TO ENTER
VALUE IN WORDS
 M. S. BOARD OF TECHNICAL EDUCATION, REGIONAL OFFICE, AURANGABAD
T. A. BILL FORM

Bill No. Voucher No. Month

Date 7-Apr-2017 Date 7-Apr-2017
Name SURWASE BALAJI BABASAHEB Designation Lecturer Basic Pay
Address PERFECT COMPUTERS TELGAON AT POST TELGAON TQ MAJALGAONDIST BEED
Office Order No.&Date MSBTE/ROA/D-70/MSCIT/2017/500 DATED 05-04-2017
Reason for Travel MSCIT EXAM – April-2016 BATCH

Details of Travel & Stay Mode of

Travel Ticket No. if
Bus/Rail/Pvt. Total Distance Travelled by Fare in Rs.
Departure Arrival Vehicle, Taxi, in K.M. 1st Class / AC
Scooter, Plane Taxi etc
Airplane etc
Departure
Date Place Time Date Place Arrival Time

7-Apr-17 TELGAON 08.30 A.M. 7-Apr-17 MAJALGAON 09.00 A.M. Pvt Vehicle 30 100

7-Apr-17 MAJALGAON 05.00 P.M. 7-Apr-17 TELGAON 05.30 P.M. Pvt Vehicle 30 100

10-Apr-17 Telgaon 8:30 A.M. 10-Apr-17 MAJALGAON 09.00 A.M. Pvt Vehicle 30 100

10-Apr-17 Majalgaon 12.00 P.M. 10-Apr-17 TELGAON 12.00 P.M. Pvt Vehicle 30 100

Daily Allowance for total duty period @ Rs. 350 for 1 days. 400
Difference in Daily Allowance at special rate if applicable @ Rs. 0 for 1 days. 400
Total (in words) Rs. Four Hundred RUPEES ONLY/-
Certified that 1) I have not taken any advance towards this travelling. Amount of Bill Rs. :- 400
2) I have not claimed the bill from other organization.

3) All the claims shown are correct to the best of my knowledge. Budget Provision 20 -20 :-

Signature of Applicant Expnd. Incurred including this bill :- 400

Passed for payments & cashier to pay Rs.

(in words) Rs. Clerk Suptd.

Checked & found correct, recommended for payment

Clerk / N. A. H.C./Suptd. A/C Officer Dy. Secretary A/C Officer

Audit Audit Received by Cash / Cheque :-

Revenue Stamp & applicant Signature