sartti2020 ‘State Common Entrance Test Cell, Goverment of Maharashtra [First Year Degree in Engineering/Technology Admissions 2020-21 Application Form| a GoveRNMENTOF MAHARASHTRA StateCoMMONENTRANCETESTCELL, MAHARASHTRASTATE ‘8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.) Application Form for Admission to First Year of Under Graduate Technical Courses in Engineering and Technology for the Academic Year 2020-21 Application ID : EN20171101 Version No: 1 alloted e-Scrstiny]SC1276 - Manav School of Engineering & Technology, Gut No. 1035 Nagpur center (e-S0) for Surat Highway, NH No. 6 Tal.Vyala, Balapur, Akola, 444302 ,11/12/2020 Sewtiry2:07:28 PM [Personal Details Gate oF Grtnjoa/ 10/2003 Gansidture Type|Maharashtra Type A Home University|Sant Gadge Baba Amravati University Catagary for AdmissionjOBe. Te Orphan Condidate Bpolied for TEWS Seats Tinerity Candidature Tysq = Fram which Canaicate has Passed SSC[AkoTa Distrek om which Candidate Ras Passed HSC / Diploma in Engineering & TechnclogylAkola: PET-CET Agpleaton Fee Pata (2)[600/- [_—ontine apprication Fee Pata (]0/- [Qualification Details:-GUJAR SNEHA RAVINDRA (Name As Per HSC Result) ‘Qualification: Marks Obtaine Marks Outot reentage HSC Chemistry Marae 44.00 100,00 44.00 Teatrical Neintenance (An) 763.00 200.00 31.50 HSC Engin mares 60.00 00.00 $0.00 Hc Aggregate Marks “11.00, ‘650.00. 63.23 'SSC Soard]Maharaahtra State Board of Secondary and Wigher Secondary Education, Pune Qualifying Exam|ase HSC Passing Status|Passed HSC Board]Maharashitra State Board of Secondary and Higher Secondary Education, Pune TSE Passing Yeor]2020 L HSc seat Numser|voo0617 IMHT-CET 2020 Percentile Score:- GUJAR SNEHA RAVINDRA (Name As Per MHTCET Result) ‘Application Numiberf200092025 Roll No[i 610116910086 Wathematice19.805392 Total pcl|39.8732747 [DEE (Main) 2020 Paper-1 NTA Score:-GUJAR SNEHA RAVINDRA (Name As Per JEE Result) ‘Appeared for Jee|ves GAN-2020) Toll No]MROSTOA3ES Prysics|76.6965279 Chemistry|s.5209534 Sr. No. Document Name. (Certificate of indian Nationality in the Name of the Candidate 2. [Domicile Certificate of the Candidate showing hls / her Oomicila State ls Naharastiva 3. [Caste Cerificate clearly mentioning the Category of the Candidate and also the remarks that the caste Is recognised 85 lpackward class in the State of Manarasntva, Icaste / Thibe Validity Certificate in the Name of the Candidate, issued by the Caste / Tribe Valldity Committee oF IMaharashtra Stote, Inon-Creamy Layer Ceniicate Issued by Sub Divisional officer ar Deputy Collector of the District in addition to the Caste (Certificate, valid upto 31st March 2021 hitpsife2020 mahacetorp/Candi MogulotmPrintappcatonFarm 1sastti2020 ‘State Common Entrance Test Cell, Goverment of Maharashtra ,___ [Statement of Marks or Cerificate of Passing SSC / Equivalent Examination, [statement of Marks of Certificate of Passing HSC / Equivalent Examination 'Score Card of JEE Main (Paper - 1) 2020, [Score Card of MHT-CET 2020 Declaration 1 have rea all the rules of admission and on understanding these Rules, { have filed ths Application Form for Admission to First Year of lunder Graduate Technical Courses in Engineering anc Technology for the Academic Year 2020-21. The information gwen by me In tls apaliaton I rue to the best of my Knowledge & Dellet. If at later stage, fe foune thal T have furnished wrong information and/or forgery/Xerex copy af Jubrmtted fatze cortitete(s), I am aware that my admission stands cancelled ang fees paid by me wil be forfekes. Further I wil be subject to Tega and/or penal action 25 ae” the prowsions ofthe law ace ‘Date = 11/12/2020 [rintes On 43/43/2020 2:08:26 PM Lest Modiied On: 13/4/2020 2:02:06 PM signature of Applicant hitpsife2020 mahacet.org/Candi MoguloltmPrntAoplicatonFarm