12/12/2020 Directorate Of Technical Education ,Maharashtra State, Mumbai

DIRECTORATE OF TECHNICAL EDUCATION, MAHARASHTRA STATE

3, Mahapalika Marg, Elphinstone Technical Highschool Campus, Mumbai - 400001.
Printable Application Form for Admission to First Year Post SSC Diploma Technical Courses in
Engineering and Technology Admissions for the year 2020-2021
Application ID : DEN20140545 Version : 1 Mode Of Scrutiny : E-Scrutiny
Personal Details
Full Name BUTTE KETAN MADHUKAR
Gender Male Date of Birth 27/09/2004
Category-Caste (Sr.No.) OPEN Religion Hindu

Mother Tongue Marathi Family Income ( ) 50,001 - 1,00,000

Nationality Indian Region Rural

Type of Candidature Maharashtra Candidature Type A

Person with Disability N.A.
Defence Type Not Applicable
Applied For TFWS Yes
Applied For EWS No
Minority Candidature Type-Religious/Linguistic Minority Not Applicable
District from which Candidate has Passed SSC Pune
Home District Pune
Qualification Details ( SSC marks are displayed from SSC BOARD DATA )
Examination Marks Obtained Marks Out of Percentage
10th/S.S.C. Mathematics 88 100 88.00
10th/S.S.C. Science 80 100 80.00
10th/S.S.C. English 82 100 82.00
10th/S.S.C. Aggregate 413 500 82.60
SSC Others Details
SSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune SSC Seat No. C130968
SSC Passing Year 2020 SSC Technical NO
HSC Not Applicable/Failed ITI NO
Intermediate Grade (Drawing) NO
Payment Details
Payment Date : 25-08-2020 Total Amount( ) : 400 /-
Bank Reference ID: order_FUt34Q22zQvjna Payment ID: pay_FUt4JhUP7WnyEe Transaction Amount: 400 /-
List of Required Documents to be Submited at the time of admission in the institute
Sr. No. Document Name
1 Latest School Leaving Certificate
2 The School Leaving Certificate indicating the Nationality of the Candidate as 'Indian' Or The Place Of Birth In India.
3 Income Certificate of Parents having Annual Income upto 8 Lacs.

Declaration: I have read all the rules of admission and on understanding these Rules, I have filled this Application Form for consideration of submission of Application Form at
FC for the admission to First Year Post SSC Diploma Technical Courses in Engineering and Technology Admissions for the academic Year 2020 - 2021. The 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 information 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.
Signature of the Candidate
Date : 12-12-2020 Place :
(BUTTE KETAN MADHUKAR)
Last modified by : FC201302 Printed By : DEN20140545
Last modified on : 25-08-2020 11:26:29 AM Printed On : 12-12-2020 08:31:14 AM

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