Online Registration For MAH-MCA CET-2021 Application Form

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL, MAHARASHTRA STATE

8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)

Application Form for Online Registration For MAH-MCA CET-2021

Application No. : 214002308

  
Version No : 1
Personal Details
Candidate's Full Name NAIK NUTAN UDAY

Father's Name UDAY

Mother's Name ASHWINI

Gender Female

Marital Status Married

Spouse's Name ANIL

Date of Birth 05/03/1996

Religion Hindu

Region Rural

Mother Tongue Marathi

Annual Family Income -- Not Applicable --

Nationality Indian
MAH-MCA CETApplication Fee Paid (Rs . ) 1000/-  
Permanent Address Address for Correspondence
Address Line 1 Bhimashankar House, Dharangaon Road Address Line 1 Bhimashankar House, Dharangaon Road
Address Line 2 Jeur Patoda Address Line 2 Jeur Patoda
Address Line 3 -- Address Line 3 --
State Maharashtra District Ahmednagar State Maharashtra District Ahmednagar
Taluka Kopargaon Village Jeur Patoda Taluka Kopargaon Village Jeur Patoda
PIN Code 423601 PIN Code 423601
Telephone No -
Domicile and Category Details
Do You Belong to State of Maharashtra? Yes
Category Open
Wish to Apply for EWS (Economically Weaker Section) Seats ? No
Caste Name Hindu Maratha
Are you Person With Disability ? No
Qualification Details
Graduation / Equivalent Details
Graduation Status Passed
Graduation Passing Year 2017
Graduation Branch B. Sc.
Duration of Graduation in Years 3
Have you Studied/Appearing Mathematics as one of the subjects at (10+2) level or
Yes
at Graduate level examination?
Graduation Marks Type Percentage
Qualification Marks Obtained Marks OutOf Percentage Awarded Class
Graduation 925.00 1200.00 77.08 First Class with Distinction
MAH-MCA CET Examination Details
State for MAH-MCA CET-2021 Examination Center Maharashtra
Exam Center at Preference Number 1 Ahmednagar
Exam Center at Preference Number 2 Nashik
Exam Center at Preference Number 3 Pune
Exam Center at Preference Number 4 Thane
Document Uploaded
Sr. No. Document Name
1. Aadhaar Card

Declaration :

I NAIK NUTAN UDAY have read all the rules for appearing the CET and on understanding these Rules, I have filled this Application Form for appearing to MAH-MCA CET-
2021 for the Academic Year 2021-22. This information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is found that I have
furnished wrong informatation and/or submitted false certificate(s), I am aware that my admission stands cancelled and fees paid by me will be forfeited. Further I will
be subject to legal and/or penal action as per the provisions of the law.
Date : 03/07/2021
Last Modified By : 214002308, 106.193.238.87
Last Modified On : 03/07/2021 7:05:14 PM

Printed On : 03/07/2021 7:05:29 PM

Signature of Applicant

(NAIK NUTAN UDAY)