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Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3620949
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: LALWANI ASHISH MAHENDRA Mother's Name: RIYA
Name as printed on Mark Sheet: LALWANI ASHISH MAHENDRA | Father's Name: MAHENDRA
Gender: Male Date Of Birth: 18-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Ishwar Apt Flat No 204 Netaji Chowk Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 8530593325 EmailID: ashishlalwani777@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020756
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mechanics-(58653),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Basic Electrical Engineering-(58654),Engineering
Physics-II-(FEC202),Engineering Physics-I-(58652),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-
II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-II-(FEC203),Engineering Chemistry-I-(58655),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: LALWANI ASHISH MAHENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693349 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3649794
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: WADHWA RONAK KAMAL Mother's Name: RADHIKA
Name as printed on Mark Sheet: WADHWA RONAK KAMAL | Father's Name: KAMAL
Gender: Male Date Of Birth: 28-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 940/1,Sec-22 Santu Building Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 9527920445 EmailID: ronakwadhwa2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M021570
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-
(FEL202),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering
Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional
Communication and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering
Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mechanics-(58653),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mathematics-I-(58651
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Father¶s Income certificate from Tahsildar. School/College Leaving Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: WADHWA RONAK KAMAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696062 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3648681
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PANJABI GAURAV NAVIN Mother's Name: SAPNA
Name as printed on Mark Sheet: PANJABI GAURAV NAVIN | Father's Name: NAVIN
Gender: Male Date Of Birth: 19-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: BK NO 957, ROOM NO 33, SECTION 22 NEAR SINDHU YOUTH CIRCLE , STATION ROAD Ulhasnagar
CountryName:India City:THANE Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 9370296188 EmailID: gauravnavin999@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 mo19819
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering
Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication
and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
Father¶s Income certificate from Tahsildar. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PANJABI GAURAV NAVIN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693316 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3607404
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: HALWASIA SHREEYA SUSHILKUMAR Mother's Name: SHUCHI
Name as printed on Mark Sheet: HALWASIA SHREEYA SUSHILKUMAR | Father's Name: SUSHILKUMAR
Gender: Female Date Of Birth: 24-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 6, Alka Building, 40 Marine Drive B Road, Churchgate, A Ward
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400020
Mobile No: 9321118760 EmailID: shalwasiashreeya@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 mo53171
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I
(TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term
Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: HALWASIA SHREEYA


SUSHILKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693197 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3662001
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KASANGOTTUWAR MANDAR SUBODH Mother's Name: HEMLATA
Name as printed on Mark Sheet: KASANGOTTUWAR MANDAR SUBODH | Father's Name: SUBODH
Gender: Male Date Of Birth: 30-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B - 601 Princeton , Hiranandani Estate Wood Street Thane
CountryName:India City:Thane Taluka:Thane District: Thane State:Maharashtra Pin:400607
Mobile No: 9769226107 EmailID: mskasan30@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M007550 M007550
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering
Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Basic
Workshop Practice-I-(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Domicile Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KASANGOTTUWAR MANDAR


SUBODH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693297 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681632
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GHIA JUGAL SWETAL Mother's Name: SALONI
Name as printed on Mark Sheet: GHIA JUGAL SWETAL | Father's Name: SWETAL
Gender: Male Date Of Birth: 06-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-1602/03, Shree Naman Towers 41, S. V. Road Kandivali West
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400067
Mobile No: 9820038221 EmailID: jugalsghia@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M076168
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II
(TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std. 12th/Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of std.12th.
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GHIA JUGAL SWETAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693185 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3691736
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AEER DAKSHA SUNIL Mother's Name: SEEMA
Name as printed on Mark Sheet: DAKSHA SUNIL AEER | Father's Name: SUNIL
Gender: Female Date Of Birth: 17-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 307 Twilight Raheja Vihar, Powai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400072
Mobile No: 8652751627 EmailID: dakshaaeer@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M079281
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Statement of Marks of Std 10th.
Affidavit regarding Anti Ragging. Domicile Certificate.
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AEER DAKSHA SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693279 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3743665
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KARNANI ISHWAR MANIK Mother's Name: GEETA
Name as printed on Mark Sheet: KARNANI ISHWAR MANIK | Father's Name: MANIK
Gender: Male Date Of Birth: 31-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Tower 4 203, Emerald Isle Saki Vihar Road Powai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400072
Mobile No: 9220962922 EmailID: ishwarkarnani02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M068248
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering
Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KARNANI ISHWAR MANIK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693268 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3693244
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SARPOTDAR ADITYA KIRAN Mother's Name: RAJASHREE
Name as printed on Mark Sheet: SARPOTDAR ADITYA KIRAN | Father's Name: KIRAN
Gender: Male Date Of Birth: 08-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B Wing, Flat 1, 1 Flr, Bhagwati Niwas Teli Galli Cross Road, Andheri East Mumbai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400069
Mobile No: 9167573878 EmailID: aditya.kiran.sarpotdar@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m062007
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Birth Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SARPOTDAR ADITYA KIRAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695976 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3698624
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: THAKURANI VINAY JETHANAND Mother's Name: JANVI
Name as printed on Mark Sheet: THAKURANI VINAY JETHANAND | Father's Name: JETHANAND
Gender: Male Date Of Birth: 27-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Bk No 204 A Room No 4 Near Hill View Society
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 7498871354 EmailID: vinaythakurani04@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M021429
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II
(TW)-(FEL201),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: THAKURANI VINAY


JETHANAND

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696049 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3611949
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NENWANI GAURAV MANGESH Mother's Name: RENU
Name as printed on Mark Sheet: NENWANI GAURAV MANGESH | Father's Name: MANGESH
Gender: Male Date Of Birth: 29-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A25/601,Happy Valley Manpada Thane West
CountryName:India City:Thane Taluka:Thane District: Thane State:Maharashtra Pin:400610
Mobile No: 9967361966 EmailID: gaurav.nenwani@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M005278
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics-(58653),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Mathematics-I-(58651),Engineering Chemistry-II (TW)-(FEL202),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-
(58654),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I-(58652),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Mathematics-I
Term Work-(58651 TW),Engineering Chemistry-I-(58655),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NENWANI GAURAV MANGESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695967 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3615556
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MASAND GRACY RAJESH Mother's Name: KIRAN
Name as printed on Mark Sheet: MASAND GRACY RAJESH | Father's Name: RAJESH
Gender: Female Date Of Birth: 17-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C-47,Plot 175,Karan Palace,Flat No 301 Near Ambedkar Chowk ,Ulhasnagar Ulhasanagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421002
Mobile No: 8007450992 EmailID: masandgracy2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M019611
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering Physics-I
(TW)-(FEL101),Engineering Chemistry-II-(FEC203),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),C programming (TW/Orl)-(FEL204),Basic Workshop Practice-I-(FEL105),Engineering Physics-II (TW)-
(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering
Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std. 12th/Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of std.12th.
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. School/College Leaving Certificate.
Leaving Certificate. Statement of CET/Certificate of CET.
Domicile Certificate. Original Bonafied Certificate.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Original Bonafide Certificate. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MASAND GRACY RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693360 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3693776
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BUDHRANI MAHEK SUNIL BUDHRANI Mother's Name: KAJAL
Name as printed on Mark Sheet: BUDHRANI MAHEK SUNIL | Father's Name: SUNIL BUDHRANI
Gender: Female Date Of Birth: 05-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: SAI KUTIR APT,FLAT NO 001,GROUND FLOOR OT SECTION ULHASNAGAR 421003
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 8369076321 EmailID: budhranimahek5@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 MO20388
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Domicile Certificate.
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BUDHRANI MAHEK SUNIL


BUDHRANI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693216 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3708838
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KHATRI SAHIL RAJESH Mother's Name: SIMRAN
Name as printed on Mark Sheet: KHATRI SAHIL RAJESHKUMAR | Father's Name: RAJESH
Gender: Male Date Of Birth: 09-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 201,SAI MAHAL APARTMENT BEHIND PRABHAT GARDEN
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 9323137181 EmailID: sahilk0409@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020086
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Father¶s Income certificate from Tahsildar.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KHATRI SAHIL RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693317 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3661928
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: VASKAR YASH ASHISH Mother's Name: UTTARA
Name as printed on Mark Sheet: VASKAR YASH ASHISH | Father's Name: ASHISH
Gender: Male Date Of Birth: 07-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B/103, Om Sai Karan Palace Chs .Ltd, D.D D.D Borge Marg, Eksar Road, Borivali(W)

Mobile No: 9137973395 EmailID: yashvaskar7112002@gmail.com


Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M081161
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-
(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: VASKAR YASH ASHISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696054 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3682033
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GANDHI MANAV RAKESH Mother's Name: PRITI
Name as printed on Mark Sheet: GANDHI MANAV RAKESH | Father's Name: RAKESH
Gender: Male Date Of Birth: 23-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Near Ganpati Mandir,213/5743 Arun, 90 Feet Road,Pantnagar Ghatkopar East
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400075
Mobile No: 9619616545 EmailID: manav.gandhi2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M070653 714517
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-
I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Birth Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GANDHI MANAV RAKESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693159 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3689070
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JAIN VIDHI SARESH Mother's Name: BHAVANA
Name as printed on Mark Sheet: JAIN VIDHI SARESH | Father's Name: SARESH
Gender: Female Date Of Birth: 24-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A 701 Nakshatra Apt, Rokadia Cross Lane, Eksar Village, Borivali (West) Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 9820331659 EmailID: vidhi.j1659@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M076846 271479
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Basic
Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-
(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering
Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-
(58654
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Affidavit regarding Anti Ragging. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JAIN VIDHI SARESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693212 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3713078
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BUTANI JAS KRISHIN Mother's Name: SIMRAN
Name as printed on Mark Sheet: BUTANI JAS KRISHIN | Father's Name: KRISHIN
Gender: Male Date Of Birth: 16-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 87/5,Ratan Niwas Agra Road Mulund Colony
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400082
Mobile No: 9920285766 EmailID: jasb264@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m007423
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-
(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering
Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BUTANI JAS KRISHIN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Fees: 0.00 Ekak Yojana: 10.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
NSS Registration Fees: E-Charges: 10.00 Student Welfare Fund
10.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693227 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3680876
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHENDE SUNIDHI SUNIL Mother's Name: MANISHA
Name as printed on Mark Sheet: SHENDE SUNIDHI SUNIL | Father's Name: SUNIL
Gender: Female Date Of Birth: 15-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A/501, Cosmos, Valley Of Flowers, Thakur Village, Kandivali East, Mumbai-400101.
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400101
Mobile No: 7715078125 EmailID: sunidhi.shende1@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m079888
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHENDE SUNIDHI SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695991 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3682184
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ASLALIYA JAY VISHAL Mother's Name: VIRAL
Name as printed on Mark Sheet: ASLALIYA JAY VISHAL | Father's Name: VISHAL
Gender: Male Date Of Birth: 21-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1503/Pushp Vinod-3 S.V. Road Borivali West
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 7021437655 EmailID: jayaslaliya1503@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M081736
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of CET/Certificate of CET.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ASLALIYA JAY VISHAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693175 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687672
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ACHARI AKHIL GULSHAN Mother's Name: GAYATRI
Name as printed on Mark Sheet: ACHARI AKHIL GULSHAN | Father's Name: GULSHAN
Gender: Male Date Of Birth: 15-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 804 Building No.3 Dahlia Vasant Valley Khadakpada Kalyan
CountryName:India City:Kalyan Taluka:Kalyan District: Thane State:Maharashtra Pin:421301
Mobile No: 9930478711 EmailID: akhilg.achari@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M016491
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-II-(FEC203),Engineering Chemistry-I-(58655),Engineering
Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering
Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and
Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std. 12th/Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of std.12th.
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. School/College Leaving Certificate.
Leaving Certificate. Statement of CET/Certificate of CET.
Domicile Certificate. Statement of Marks of Std. 10th.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ACHARI AKHIL GULSHAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693135 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3683221
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KAKA CHIRAG RAM Mother's Name: SALONI
Name as printed on Mark Sheet: KAKA CHIRAG RAM | Father's Name: RAM
Gender: Male Date Of Birth: 22-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B 101 SAFAL GANGA CO OPERATIVE HOUSING SOCIETY CHEMBUR
CountryName:India City:MUMBAI Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400074
Mobile No: 9892708882 EmailID: chiragkaka319@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m085168
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-
I-(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Birth Certificate. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KAKA CHIRAG RAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693245 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3648000
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MURJANI KRISH SUNIL Mother's Name: KAJAL
Name as printed on Mark Sheet: KRISH SUNIL MURJANI | Father's Name: SUNIL
Gender: Male Date Of Birth: 18-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 13, Diamond Palace Hill Road, Bandra (W)
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400050
Mobile No: 9870530758 EmailID: krishmurjani2@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M071446
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication
and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Statement of Marks of Std 10th.
Affidavit regarding Anti Ragging. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MURJANI KRISH SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693341 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3611686
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MANDHYAN OM KAMAL Mother's Name: MAHIMA
Name as printed on Mark Sheet: OM MANDIYAN | Father's Name: KAMAL
Gender: Male Date Of Birth: 19-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A/8 Green Acres Society Din Quarry Road, Deonar
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400088
Mobile No: 9820703741 EmailID: omandiyan@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE July,2020 6691133
EXAMINATIONS
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MANDHYAN OM KAMAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 500.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693292 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3620338
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NAGPAL JAY GHANSHYAM Mother's Name: ANMOL
Name as printed on Mark Sheet: NAGPAL JAY GHANSHYAM | Father's Name: GHANSHYAM
Gender: Male Date Of Birth: 25-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: ASHOKA TOWER , FLAT NO. 103 , OPP. TEKDI UMC ROAD , ULHASNAGAR 3 Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 9284334318 EmailID: jaynagpal02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY March,202 M020964
AND HIGHER SECONDARY EDUCATION 0
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Father¶s Income certificate from Tahsildar. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NAGPAL JAY GHANSHYAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: Enrolment Fee: 200.00 National Service Scheme: eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Disaster Relief Fund: 10.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Annual State Level Student Welfare Fund E-Charges: 10.00
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695961 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3613093
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GOLANI HARSH SURESH Mother's Name: KAVITA
Name as printed on Mark Sheet: GOLANI HARSH SURESH | Father's Name: SURESH
Gender: Male Date Of Birth: 12-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 202,SIMRAN APARTMENT BEHIND BHATIA HOSPITAL,BHATIA CHOWK ULHASNAGAR
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 7276062845 EmailID: harshgolani02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020635 H204081572
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Basic Workshop Practice-I-(FEL105),Engineering Physics-II (TW)-(FEL201),Engineering Chemistry-I (TW)-
(FEL102),Engineering Graphics-(FEC204),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering
Mathematics-II Term Work-(FEC201 TW),Engineering Mathematics-II-(FEC201),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mechanics (TW/ORL)-(FEL103),C programming-
(FEC205),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Physics-II-(FEC202),Basic
Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Basic Electrical Engineering (TW/ORL)-
(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-
(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GOLANI HARSH SURESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693191 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3611066
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MOTWANEY PRATHAM RAVI Mother's Name: SONIA
Name as printed on Mark Sheet: MOTWANEY PRATHAM RAVI | Father's Name: RAVI
Gender: Male Date Of Birth: 02-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 25 Aurovilla St.Andrews Road Santacruz(West)
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400054
Mobile No: 9819835505 EmailID: pratham.m2k@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M071272
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MOTWANEY PRATHAM RAVI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693348 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3685481
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: OBEROI PRABHMEET SINGH DALJEET Mother's Name: EKJYOT KAUR
SINGH
Name as printed on Mark Sheet: PRABHMEET SINGH DALJEET OBEROI | Father's Name: DALJEET SINGH
Gender: Male Date Of Birth: 13-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: E 2 HIGHWAY APARTMENTS SION EAST OPPOSITE G S B SEVA MANDAL MUMBAI 400 02 Mumbai
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400022
Mobile No: 9892595496 EmailID: oberoiprabhmeet@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY March,202 m062053 712044
AND HIGHER SECONDARY EDUCATION 0
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Engineering Graphics (TW/Orl)-(FEL203),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II
(TW)-(FEL201),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: OBEROI PRABHMEET SINGH


DALJEET SINGH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693344 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3610687
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SALIAN PRIYANSH PURUSHOTHAM Mother's Name: LEELA
Name as printed on Mark Sheet: SALIAN PRIYANSH PURUSHOTHAM | Father's Name: PURUSHOTHAM
Gender: Male Date Of Birth: 13-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B/13/Central Excise Building Mith Chowki/Off Marve Road/Linking Road Malad West
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400064
Mobile No: 9819272426 EmailID: salianpss@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m079623
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Engineering Mathematics-II Term
Work-(FEC201 TW),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Chemistry-I-
(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Original Statement of Marks for std. 12th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SALIAN PRIYANSH


PURUSHOTHAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695973 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3711123
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GOPLANI HARSH SUNIL Mother's Name: KIRTI
Name as printed on Mark Sheet: GOPLANI HARSH SUNIL | Father's Name: SUNIL
Gender: Male Date Of Birth: 04-10-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1 BKH125/A GOPLANI NIWAS 1ST FLOOR MAHESH SOCIETY ROAD
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 8888211719 EmailID: harshyaash@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m019771
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-
(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II
Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop
practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Domicile Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GOPLANI HARSH SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693194 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3617737
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TONAGE ARIHANT ANILKUMAR Mother's Name: SUNITA
Name as printed on Mark Sheet: TONAGE ARIHANT ANILKUMAR | Father's Name: ANILKUMAR
Gender: Male Date Of Birth: 17-04-2002 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: 3/123 Kala CHS Ram Mandir Road, Khernagar, Bandra East
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400051
Mobile No: 9136851256 EmailID: arihanttonage@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY March,202 M062824
AND HIGHER SECONDARY EDUCATION 0
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Death Certificate (If father/Mother is expired). Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Non Creamy Layer Certificate. Statement of Marks of Std 10th.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TONAGE ARIHANT ANILKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 697408 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3636580
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: THAKKER RIA NAISHAD Mother's Name: SHEFALI
Name as printed on Mark Sheet: THAKKER RIA NAISHAD | Father's Name: NAISHAD
Gender: Female Date Of Birth: 24-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A - 901/902, Hari Kunj - II Sindhi Society
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400071
Mobile No: 9820662296 EmailID: trackria@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m086734
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: THAKKER RIA NAISHAD

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696048 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686841
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GAONKAR PRANJALI UDAY Mother's Name: SANDHYA
Name as printed on Mark Sheet: GAONKAR PRANJALI UDAY | Father's Name: UDAY
Gender: Female Date Of Birth: 06-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1018, D Wing, Vighnaharta CHS, M. Palav Marg, Currey Road (E), Mumbai
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400012
Mobile No: 9969820465 EmailID: pranjaligaonkar610@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m058688
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and
Ethics- I-(FEC206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term
Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Physics-II (TW)-(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate. Domicile Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 10th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GAONKAR PRANJALI UDAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693169 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3690969
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: HARCHANDANI VIJAY ASHOK Mother's Name: KAJAL
Name as printed on Mark Sheet: HARCHANDANI VIJAY ASHOK | Father's Name: ASHOK
Gender: Male Date Of Birth: 22-05-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Guru Kripa Bhavan, 2Nd Floor, Bk No 1037 Behind Ashok Anil Talkies, Sec 24 Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 7030399999 EmailID: vjayharchandani@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m020472
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Birth Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: HARCHANDANI VIJAY ASHOK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693199 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3673083
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ARORA RACHIT INDRESH Mother's Name: PAYAL
Name as printed on Mark Sheet: RACHIT INDRESH ARORA | Father's Name: INDRESH
Gender: Male Date Of Birth: 18-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B1603 Western Heights Andheri(W) Mumbai
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400058
Mobile No: 8369470976 EmailID: rachitarora777@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M066620
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Physics-II-(FEC202),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ARORA RACHIT INDRESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693173 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3683106
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: REDEKAR AARYA RAMESH Mother's Name: MAYA
Name as printed on Mark Sheet: REDEKAR AARYA RAMESH | Father's Name: RAMESH
Gender: Male Date Of Birth: 12-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room No 4 Ground Floor Mistry Bldg Sunmill Lane Lower Parel West
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400013
Mobile No: 9029405418 EmailID: aaryamaya2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m062149
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: REDEKAR AARYA RAMESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695969 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686742
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AHUJA TAMANNA AJAY Mother's Name: VAISHALI
Name as printed on Mark Sheet: AHUJA TAMANNA AJAY | Father's Name: AJAY
Gender: Female Date Of Birth: 05-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1102, NEO VIKRAM SOCIETY, SAHAKAR NAGAR J.P. ROAD ANDHERI WEST
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400053
Mobile No: 8082808299 EmailID: vaishaliahuja73@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M064085
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AHUJA TAMANNA AJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693152 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3744476
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: VALLECHA ABHISHEK DEEPAK Mother's Name: SREEMOL
Name as printed on Mark Sheet: VALLECHA ABHISHEK DEEPAK | Father's Name: DEEPAK
Gender: Male Date Of Birth: 20-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1B/6 SBI CLERICAL STAFF QUARTERS RAHEJA TOWNSHIP, MALAD EAST
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400097
Mobile No: 9076456895 EmailID: deepvall@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m080665
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II
(TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654
Note: * Marked Papers are claimed for exemption.
Attached Documents:
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: VALLECHA ABHISHEK DEEPAK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696052 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3629424
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: VASWANI NAMRATA BIRMANAND Mother's Name: MEGHA
Name as printed on Mark Sheet: VASWANI NAMRATA BIRMANAND | Father's Name: BIRMANAND
Gender: Female Date Of Birth: 25-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Valentina 304. Reliance Residency Palegaon
CountryName:India City:Mumbai Taluka:Ambarnath District: Thane State:Maharashtra Pin:421501
Mobile No: 7666184811 EmailID: namratavaswani0@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M021451
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Father¶s Income certificate from Tahsildar. Original Statement of Marks for std. 12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: VASWANI NAMRATA


BIRMANAND

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696055 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3679927
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: VAZHAYIL ADITYA AYYAPPAN Mother's Name: PRAMELA
Name as printed on Mark Sheet: VAZHAYIL ADITYA AYYAPPAN | Father's Name: AYYAPPAN
Gender: Male Date Of Birth: 14-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat No.3 Bldg. NO.19, Orchid CHS LTD Mariam Nagar, Naigaon Station Road West Naigaon
CountryName:India City:Vasai Taluka:Vasai District: Palghar State:Maharashtra Pin:401207
Mobile No: 9152263324 EmailID: vaditya1102@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m037169 707391
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: VAZHAYIL ADITYA AYYAPPAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696056 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3620288
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RATLAMWALA IDRIS ISMAIL Mother's Name: SAKINA
Name as printed on Mark Sheet: RATLAMWALA IDRIS ISMAIL | Father's Name: ISMAIL
Gender: Male Date Of Birth: 10-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 604 Sahyadri Apartment Datta Mandir Road Malad

Mobile No: 8655011052 EmailID: ratlamwalaidris110@gmail.com


Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M078772
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-II-(FEC203),Engineering Chemistry-I-(58655),Basic Workshop
Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering
Physics-II (TW)-(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mechanics-
(58653),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Basic Electrical Engineering-(58654),Engineering
Physics-II-(FEC202),Engineering Physics-I-(58652),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-
II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RATLAMWALA IDRIS ISMAIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695956 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3692794
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAH KRISH CHETAN Mother's Name: BIJAL
Name as printed on Mark Sheet: SHAH KRISH CHETAN | Father's Name: CHETAN
Gender: Male Date Of Birth: 27-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B 904 Vastu Riddhi Pump House Mumbai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400093
Mobile No: 8850812018 EmailID: krish.chetan.shah@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY April,2020 m078171
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std. 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std. 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
JEE-Allotment Letter Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAH KRISH CHETAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695980 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3623145
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KHATATE DYUTIKA ASHISH Mother's Name: SWATI
Name as printed on Mark Sheet: KHATATE DYUTIKA ASHISH | Father's Name: ASHISH
Gender: Female Date Of Birth: 06-02-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B/303 PANCHAM CHS GORAI ROAD BORIVALI-(W)
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400091
Mobile No: 9082370769 EmailID: dyutika.khatate@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M077286
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II (TW)-(FEL201),Engineering Mechanics-(58653),Engineering Graphics-(FEC204),Engineering
Mathematics-I-(58651),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II
(TW)-(FEL202),Basic Electrical Engineering-(58654),C programming-(FEC205),Engineering Physics-I-(58652),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-I-(58655),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KHATATE DYUTIKA ASHISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693313 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3674530
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KASHYAP NIDHI DINESH Mother's Name: HARSHA
Name as printed on Mark Sheet: NIDHI DINESH KASHYAP | Father's Name: DINESH
Gender: Female Date Of Birth: 24-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: PLOT NO.127 FLAT NO.6 2ND FLOOR SHERE PUNJAB COLONY Mumbai Area, India
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400093
Mobile No: 9152196309 EmailID: nidskash24@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE July,2020 6737886
EXAMINATIONS
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-
(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Physics-II-(FEC202),Basic Electrical
Engineering-(58654
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KASHYAP NIDHI DINESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 500.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695957 Total Fee received Rs. 700.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686225
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHINDE PRANALI SANJAY Mother's Name: PRIYA
Name as printed on Mark Sheet: PRANALI SANJAY SHINDE | Father's Name: SANJAY
Gender: Female Date Of Birth: 08-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Rm No 4 Jagannath Niwas Chawl Shreyas Colony Aarey Road Goregaon
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400062
Mobile No: 9137962083 EmailID: pranali0809shinde@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M073862
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Physics-II (TW)-(FEL201),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Chemistry-II (TW)-(FEL202),Engineering Mechanics (TW/ORL)-(FEL103),Basic
Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-
(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHINDE PRANALI SANJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693132 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3697677
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GANGWANI DIPESH ASHOKLAL Mother's Name: KANCHAN
Name as printed on Mark Sheet: GANGWANI DIPESH ASHOKLAL | Father's Name: ASHOKLAL
Gender: Male Date Of Birth: 02-04-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: BK.2006/ROOM.NO.1 DHUDH NAKA ULHASNAGAR
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 9373538811 EmailID: dagangwani101@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M019902
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term
Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Birth Certificate. Original Statement of Marks for std. 12th.
Statement of Marks of Std. 10th. School/College Leaving Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GANGWANI DIPESH ASHOKLAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693162 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3697429
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHHATANI DHEERAJ SURESH Mother's Name: KIRAN
Name as printed on Mark Sheet: CHHATANI DHEERAJ SURESH | Father's Name: SURESH
Gender: Male Date Of Birth: 12-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat No. 301 Plot No. A7 Chhatrapati Shivaji CHS Kopri Colony
CountryName:India City:Thane Taluka:Thane District: Thane State:Maharashtra Pin:400603
Mobile No: 9920137247 EmailID: dheerajchhatanidc@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M001895
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Birth Certificate.
Domicile Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHHATANI DHEERAJ SURESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693267 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3632934
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ACHARYA PREM HARISH ACHARYA Mother's Name: RADHIKA
Name as printed on Mark Sheet: ACHARYA PREM HARISH | Father's Name: HARISH ACHARYA
Gender: Male Date Of Birth: 30-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: H-1/303 Om Misquitta Nagar Chsl Ltd Misquitta Nagar Dahisar

Mobile No: 8369772080 EmailID: premacharya253@gmail.com


Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m075012 h204715691
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term
Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ACHARYA PREM HARISH


ACHARYA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693138 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3612387
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NAIK KRISH DHAVAL Mother's Name: BHAIRAVI
Name as printed on Mark Sheet: NAIK KRISH DHAVAL | Father's Name: DHAVAL
Gender: Male Date Of Birth: 26-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A-202, ADARSH NORTH AVENUE, ADARSH VIHAR COMPLEX, OFF MARVE ROAD, MALAD WEST,
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400064
Mobile No: 9820055509 EmailID: krishdnaik@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M076749 271450
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-I Term Work-(58651 TW),Basic Electrical Engineering-(58654),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Physics-I-(58652),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-I (TW)-
(FEL101),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering
Chemistry-I-(58655),C programming-(FEC205),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Basic Workshop practice-II (TW)-(FEL206),Engineering Mechanics-
(58653),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Mathematics-I-(58651
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NAIK KRISH DHAVAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695962 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687739
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ACHARYA KOMALIKA VIRENDRA Mother's Name: USHA
Name as printed on Mark Sheet: KOMALIKA VIRENDRA ACHARYA | Father's Name: VIRENDRA
Gender: Female Date Of Birth: 30-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 10/7 Saraswat Colony Talmiki Lane Off Linking Road Santacruz Santacruz(West)
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400054
Mobile No: 7900120461 EmailID: komalacharyaa@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m071756 H204714689
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ACHARYA KOMALIKA


VIRENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693339 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3692143
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GANDHI KHUSHI AMIT Mother's Name: JULIE
Name as printed on Mark Sheet: GANDHI KHUSHI I AMIT | Father's Name: AMIT
Gender: Female Date Of Birth: 08-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 501,Sampa Bldg Vivek College Road, Siddhar Nagar Goregaon
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400062
Mobile No: 8452993443 EmailID: khushi81102@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M076391
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-
(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Birth Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 10th. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GANDHI KHUSHI AMIT

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693331 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3635670
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DAWDA YASHNA KISHORE Mother's Name: PUSHPA
Name as printed on Mark Sheet: DAWDA YASHNA KISHORE | Father's Name: KISHORE
Gender: Female Date Of Birth: 05-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A 602 Tulip Rachna Garden GGS Marg Mulund Colony T Ward
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400082
Mobile No: 9920348033 EmailID: yashnadawda512@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m002045
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering
Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DAWDA YASHNA KISHORE

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693136 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3634521
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GARG ANANYA MAYUR Mother's Name: ARADHNA
Name as printed on Mark Sheet: GARG ANANYA MAYUR | Father's Name: MAYUR
Gender: Female Date Of Birth: 01-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: F-403 NILAMBER BELLISSIMO-1 VASNA BHAYLI ROAD
CountryName:India City:VADODARA Taluka:Vadodara District: Vadodara State:Gujarat Pin:391410
Mobile No: 9619740262 EmailID: aradsam@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 11605047
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 10th. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Original Migration Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
T.C. Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GARG ANANYA MAYUR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 500.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693113 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3614948
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GERELLA HITEN RAMESH Mother's Name: SUMAN
Name as printed on Mark Sheet: GERELLA HITEN RAMESH | Father's Name: RAMESH
Gender: Male Date Of Birth: 08-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Sukh Sagar Behind Vicky Manoj Soc. Bk No. 561/1 Khemani Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421002
Mobile No: 8087414146 EmailID: gerela6@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m020252
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Father¶s Income certificate from Tahsildar. Original Statement of Marks for std. 12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GERELLA HITEN RAMESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693180 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3688920
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: ANSARI AMAAN MAZHAR Mother's Name: NAFIS
Name as printed on Mark Sheet: AMAAN MAZHAR ANSARI | Father's Name: MAZHAR
Gender: Male Date Of Birth: 05-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 2203, T3 Rosewood, Runwal Greens Mulund Goregaon Link Road, Bhandup
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400078
Mobile No: 9702900400 EmailID: amaan.a9702@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY August,20 m086909 719108
AND HIGHER SECONDARY EDUCATION 20
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: ANSARI AMAAN MAZHAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693163 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687543
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAH HARSH HARESH Mother's Name: TEJAL
Name as printed on Mark Sheet: SHAH HARSH HARESH | Father's Name: HARESH
Gender: Male Date Of Birth: 01-05-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C-8/11, OM SHRI GITANJALI NGR, SAI BABA SAI BABA NAGAR, BORIVALI-WEST
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 9820460609 EmailID: harshmkvviv@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY June,2019 M078892
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
JEE-Allotment Letter Domicile Certificate.
Passing Certificate of Std. 12th/Statement of Marks of Statement of Marks of AIEEE/Certificate of AIEEE.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAH HARSH HARESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695978 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3634559
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PATIL KAUSHAL SHRIPAD Mother's Name: SHILPA
Name as printed on Mark Sheet: PATIL KAUSHAL SHRIPAD | Father's Name: SHRIPAD
Gender: Male Date Of Birth: 16-01-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C-1-14, Shree Vishramyog CHS, New Link Road, Near MHB Post Office Borivali West
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400091
Mobile No: 7710005047 EmailID: kaushal16103@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M080217 715358
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II
(TW)-(FEL202),Engineering Physics-I-(58652),Engineering Mathematics-I-(58651),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PATIL KAUSHAL SHRIPAD

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693332 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3669325
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAH PARTH PURVESH Mother's Name: PALKA
Name as printed on Mark Sheet: SHAH PARTH PURVESH | Father's Name: PURVESH
Gender: Male Date Of Birth: 15-04-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 6/102,Sanskruti ,90 Feet Road Thakur Complex, Kandivali East Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400101
Mobile No: 9967131907 EmailID: parthshinu@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m078174
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering
Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C programming-
(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Physics-II-(FEC202),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I
Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAH PARTH PURVESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695984 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3683802
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PORE VAIBHAVI AMAR Mother's Name: PRADNYA
Name as printed on Mark Sheet: PORE VAIBHAVI AMAR | Father's Name: AMAR
Gender: Female Date Of Birth: 13-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: F4/301, HAPPY HOME HEIGHTS POONAM GARDEN
CountryName:India City:MIRA ROAD Taluka:Thane District: Thane State:Maharashtra Pin:401107
Mobile No: 9869995585 EmailID: amarpore73@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M077957
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II
(TW)-(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Birth Certificate. Domicile Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 10th.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Statement of CET/Certificate of CET.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PORE VAIBHAVI AMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693340 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3608204
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KESWANI VIREN HIRU Mother's Name: POOJA
Name as printed on Mark Sheet: VIIREN HIRU KESWANI | Father's Name: HIRU
Gender: Male Date Of Birth: 15-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat No 92 Building Number 12 Kamdhenu Hari Om Nagar Mulund East
CountryName:India City:Mulund Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400081
Mobile No: 9820314503 EmailID: virenkeswani@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE July,2020 6647856 bn60008568
EXAMINATIONS
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KESWANI VIREN HIRU

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696033 Total Fee received Rs. 700.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3707020
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SANGHVI SOHAM PARESH Mother's Name: NEHAL
Name as printed on Mark Sheet: SOHAM PARESH SANGHVI | Father's Name: PARESH
Gender: Male Date Of Birth: 07-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 22 Vaikunth Bungalow Sindhi Society Chembur
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400071
Mobile No: 9920992264 EmailID: sohamsanghvi7@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m062788
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Birth Certificate. Original Statement of Marks for std. 12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SANGHVI SOHAM PARESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696041 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3682401
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DESHMUKH VEDANT VIKAS Mother's Name: SHUBHANGI
Name as printed on Mark Sheet: DESHMUKH VEDANT VIKAS | Father's Name: VIKAS
Gender: Male Date Of Birth: 21-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 102, Noopur Building,Amritvan Complex, Opp. Dindoshi Depot,Goregaon (East) Goregaon
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400063
Mobile No: 9820222154 EmailID: vedantdeshmukh10@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE July,2020 6787460
EXAMINATIONS
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DESHMUKH VEDANT VIKAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693109 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3651868
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JUMLE VEDANT VIVEK Mother's Name: VRUSHALI
Name as printed on Mark Sheet: JUMLE VEDANT VIVEK | Father's Name: VIVEK
Gender: Male Date Of Birth: 05-03-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 514/J-4 RBI Officer's Quarters Gokuldham, Goregaon East
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400063
Mobile No: 8879480965 EmailID: vedantjumle@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m070343
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop
practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JUMLE VEDANT VIVEK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693239 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3705749
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MARUDKAR SHALVI SANJAY Mother's Name: LEENA
Name as printed on Mark Sheet: SHALVI MARUDKAR | Father's Name: SANJAY
Gender: Female Date Of Birth: 27-10-2002 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: C-2, SAUDAMINI NEAR LALA LAJPATRAI COLEGE, HAJIALI Mumbai
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400034
Mobile No: 8657417897 EmailID: shalvimarudkar27@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M062552
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic
Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-
(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MARUDKAR SHALVI SANJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695986 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3709749
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHAVAN SURAJ ARUN Mother's Name: DIVYA
Name as printed on Mark Sheet: CHAVAN SURAJ ARUN | Father's Name: ARUN
Gender: Male Date Of Birth: 27-07-2002 Category: NT-1 (NT- Physically Handicapped: No Nationality: India
B)
Address for Correspondance: Flat No.4, Homeworth Building, Gulmohar Crossroad No.7, JVPD Scheme, Mumbai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400049
Mobile No: 9920585204 EmailID: surajchavan19@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M064284
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-
(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-
(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming
(TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic
Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHAVAN SURAJ ARUN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693254 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3613370
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHARMA NIKHIL KUMAR BUDH PRAKASH Mother's Name: DURGESH SHARMA
SHARMA
Name as printed on Mark Sheet: NIKHIL KUMAR SHARMA | Father's Name: BUDH PRAKASH SHARMA
Gender: Male Date Of Birth: 04-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 58/6, Vayu Vihar, Air Force Station Satwari, Jammu Cantonment
CountryName:India City:Jammu Taluka:Satwari District: Jammu State:Jammu and Kashmir Pin:180003
Mobile No: 9682148907 EmailID: nikhilspeaks04@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION May,2019 2787853
Papers Selected for Course Part
Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Chemistry-I (TW)-(FEL102),Professional Communication
and Ethics- I (TW)-(FEL205),Engineering Mechanics-(58653),Engineering Chemistry-II (TW)-(FEL202),Engineering
Mathematics-I-(58651),C programming-(FEC205),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Workshop practice-II (TW)-(FEL206),Basic Electrical Engineering-(58654),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Physics-I-(58652),Professional Communication and Ethics- I-(FEC206),Engineering Physics-II-
(FEC202),Engineering Chemistry-II-(FEC203),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Mathematics-I
Term Work-(58651 TW),Engineering Physics-I (TW)-(FEL101),C programming (TW/Orl)-(FEL204),Engineering Chemistry-I-
(58655),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Basic Workshop Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Residence Proof (Any) ±Copy of Voter ID/ Driving School/College Leaving Certificate.
License/Telephone Bill /Electricity Bill /Ration Card/
Society Letter/ Agreement.
Self-affidavit regarding Gap in AY (Gap Certificate) Statement of Marks of Std. 10th.
±Rs.50/- or Rs.100/- stamp paper Notarized.
Voter ID card Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of AIEEE /Certificate of AIEEE. Original Migration Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHARMA NIKHIL KUMAR BUDH


PRAKASH SHARMA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 500.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693288 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3630271
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHARMA HRITIK DINESH Mother's Name: SADHANA
Name as printed on Mark Sheet: SHARMA HRITIK DINESH | Father's Name: DINESH
Gender: Male Date Of Birth: 02-06-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat No.210,SRA 3,JP Infra JP Infra , Goregaon East Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400097
Mobile No: 7506872590 EmailID: sharmahritik2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M079598 H204716072
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term
Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHARMA HRITIK DINESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696075 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3602333
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PAUL PIUSH CHANDRANATH Mother's Name: SIKHA
Name as printed on Mark Sheet: PAUL PIUSH CHANDRANATH SIKHA | Father's Name: CHANDRANATH
Gender: Male Date Of Birth: 16-04-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 302 B WING SURAJ MUKTIYASH BUILDING V.S Road Dadar WEST
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400028
Mobile No: 9969534217 EmailID: piushpaul.16@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m055877
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Birth Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Residence Proof (Any) ±Copy of Voter ID/ Driving School/College Leaving Certificate.
License/Telephone Bill /Electricity Bill /Ration Card/
Society Letter/ Agreement.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PAUL PIUSH CHANDRANATH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693334 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3598713
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DALWANI YASH NILESH Mother's Name: NISHTHA
Name as printed on Mark Sheet: YASH NILESH DALWANI | Father's Name: NILESH
Gender: Male Date Of Birth: 03-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: D/21, SHREE TILAK COMPLEX CHS LTD, DEVIDAS ROAD, BORIVALI (WEST). EKSAR
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400103
Mobile No: 9920946305 EmailID: yashdalwani21@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m052859
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Affidavit regarding Anti Ragging. Birth Certificate.
Original Passing Certificate of last qualifying exam.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DALWANI YASH NILESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693287 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3619699
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHATIA PIYUSH PANKAJ Mother's Name: NEHA
Name as printed on Mark Sheet: BHATIA PIYUSH PANKAJ | Father's Name: PANKAJ
Gender: Male Date Of Birth: 25-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO.7,EKTA BLDG,PLOT NO.238 SECTOR-4,CHARKOP ,KANDIVALI-WEST Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400067
Mobile No: 7021237940 EmailID: piyush200225@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M076425 285271
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHATIA PIYUSH PANKAJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693201 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3709558
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PUNJABI HARSH RAJESH Mother's Name: RITU
Name as printed on Mark Sheet: PUNJABI HARSH RAJESH | Father's Name: RAJESH
Gender: Male Date Of Birth: 01-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 401 Sai Sagar Chs Nr Royal Residency C Block Road Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 9422424131 EmailID: punjabiharsh52@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M019770 705081
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering
Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C programming-
(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I
Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of CET/Certificate of CET.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PUNJABI HARSH RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693350 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3606014
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHATIA LEENA KAMLESH Mother's Name: MANISHA
Name as printed on Mark Sheet: LEENA KAMLESH BHATIA | Father's Name: KAMLESH
Gender: Female Date Of Birth: 05-10-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: JAGTRAM BHATIA,SINDHI CAMP KACCHI KHOLI AKOLA
CountryName:India City:AKOLA Taluka:Akola District: Akola State:Maharashtra Pin:444001
Mobile No: 7248960544 EmailID: leenabhatia510@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15600620
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering Mathematics-I Term
Work-(58651 TW),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Workshop practice-II (TW)-(FEL206),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Certificate of Caste with Category. Birth Certificate.
Death Certificate (If father/Mother is expired). Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHATIA LEENA KAMLESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 500.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693280 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3648535
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: WADHWA VANSH BHARAT Mother's Name: AANCHAL
Name as printed on Mark Sheet: WADHWA VANSH BHARAT | Father's Name: BHARAT
Gender: Male Date Of Birth: 19-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Bldg-22/Flat No.-15 NAVJIVAN SOCIETY , R.C.MARG, CHEMBUR MUMBAI
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400074
Mobile No: 8169842971 EmailID: vansh.w1912@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M057937 710610
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop
practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C
programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term
Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate. School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: WADHWA VANSH BHARAT

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696067 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3600602
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KAKAR JYOTIKA JAGDISH Mother's Name: VARUNA
Name as printed on Mark Sheet: JYOTIKA JAGDISH KAKAR | Father's Name: JAGDISH
Gender: Female Date Of Birth: 25-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A604 Venus Residence CHSL. Shiimpoli Chikuwadi
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 9004755662 EmailID: jyotikakakar@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15608337
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Mathematics-II Term Work-(FEC201
TW),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
True copy of Migration Certificate. Statement of Marks of Std 10th.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KAKAR JYOTIKA JAGDISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693129 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3603025
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KOKAL KISHAN PREM Mother's Name: POONAM
Name as printed on Mark Sheet: KOKAL KISHAN PREM | Father's Name: PREM
Gender: Male Date Of Birth: 10-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room No 18, Plot No 268, Lucky Society Charkop, Sector 2, Kandivali(W) Kandivali
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400067
Mobile No: 9920594378 EmailID: kishankokal123@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m076788
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),Engineering Mathematics-II Term Work-(FEC201 TW),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KOKAL KISHAN PREM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693337 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3607601
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AHUJA ISHITA MANOJ Mother's Name: REEMA
Name as printed on Mark Sheet: AHUJA ISHITA MANOJ | Father's Name: MANOJ
Gender: Female Date Of Birth: 26-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1601/1602 River Scape D Casario , Palava City Dombivali East
CountryName:India City:Dombivali Taluka:Kalyan District: Thane State:Maharashtra Pin:421204
Mobile No: 9730667333 EmailID: ishitaahuja2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M014587 704298
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mathematics-II Term Work-(FEC201 TW),Basic Workshop Practice-I-(FEL105),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Basic Workshop practice-II (TW)-(FEL206),Engineering Mechanics
(TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-
(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Engineering Mathematics-I Term Work-(58651
TW),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-
(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-
II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AHUJA ISHITA MANOJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693148 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3612237
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHANDWANI HITEN RAVI Mother's Name: SANJANA
Name as printed on Mark Sheet: CHANDWANI HITEN RAVI | Father's Name: RAVI
Gender: Male Date Of Birth: 01-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: BARACK NO 37/16 BEHIND KUNDAN COTTAGE ULHASNAGAR
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 9518318662 EmailID: hitenchandwani01@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M019478
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term
Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHANDWANI HITEN RAVI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693238 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3612729
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JHAM KRISH JAYANT Mother's Name: SANGEETA
Name as printed on Mark Sheet: JHAM KRISH JAYANT | Father's Name: JAYANT
Gender: Male Date Of Birth: 03-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C-101, Tolaram Smruti CHS Chembur Camp, Chembur
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400074
Mobile No: 9619223138 EmailID: krish10963@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M085304
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of School/College Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JHAM KRISH JAYANT

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693229 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3615382
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KESWANI HRIDAY SHYAM KESWANI Mother's Name: AASHNA KESWANI
Name as printed on Mark Sheet: KESWANI HRIDAY SHYAM | Father's Name: SHYAM KESWANI
Gender: Male Date Of Birth: 05-12-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 6-B,122 Seve Samiti Nagar
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400037
Mobile No: 9167997968 EmailID: hridaykeswani@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M059525 710783
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KESWANI HRIDAY SHYAM


KESWANI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693307 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3606012
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MIRCHANDANI HEENA PRAKASH Mother's Name: JANISHA
Name as printed on Mark Sheet: HEENA MIRCHANDANI | Father's Name: PRAKASH
Gender: Female Date Of Birth: 15-02-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-502, Priyanka Palace Plot No. 1, Sector-10 Sanpada
CountryName:India City:Navi Mumbai Taluka:Thane District: Thane State:Maharashtra Pin:400705
Mobile No: 8369058953 EmailID: heenamirchandani03@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15607177 0168812
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Original Migration Certificate. School/College Leaving Certificate.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MIRCHANDANI HEENA


PRAKASH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693124 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3610685
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AGICHA VIREN SUNIL Mother's Name: AARTI
Name as printed on Mark Sheet: AGICHA VIREN SUNIL | Father's Name: SUNIL
Gender: Male Date Of Birth: 30-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: AARTI AGICHA, A502, MALAD SATGURU CHS ROAD NO. 3 , LIBERTY GARDEN MALAD WEST
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400064
Mobile No: 9224339744 EmailID: asagicha@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY December, M076259
AND HIGHER SECONDARY EDUCATION 2020
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II
Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Birth Certificate.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AGICHA VIREN SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693141 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3638048
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MALTHANE SARRVESH VIJAY Mother's Name: SARIKA
Name as printed on Mark Sheet: MALTHANE SARRVESH VIJAY | Father's Name: VIJAY
Gender: Male Date Of Birth: 30-06-2002 Category: NT-2 (NT- Physically Handicapped: No Nationality: India
C)
Address for Correspondance: C-1504, Niharika Glady Alwares Road, Opp. To Lokpuram
CountryName:India City:Thane Taluka:Thane District: Thane State:Maharashtra Pin:400610
Mobile No: 8828393327 EmailID: sarrveshm02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M000842 H204035425
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MALTHANE SARRVESH VIJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693357 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3609802
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NAYAK AARYASH ARUN Mother's Name: NEETA
Name as printed on Mark Sheet: NAYAK AARYASH ARUN | Father's Name: ARUN
Gender: Male Date Of Birth: 05-03-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-702, Sukhvilla, Building No. 6 Vivek College Road, Siddharth Nagar Goregaon (West)
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400104
Mobile No: 9619294642 EmailID: neetanayak70@hotmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M071776
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-
(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NAYAK AARYASH ARUN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695966 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3652926
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHETTY BHOOMI SUDHAKAR Mother's Name: VANAJA
Name as printed on Mark Sheet: SHETTY BHOOMI SUDHAKAR | Father's Name: SUDHAKAR
Gender: Female Date Of Birth: 10-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C/202, Sahyadri C.H.S. Devipada Borivali (East)
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400066
Mobile No: 9321536948 EmailID: bhoomisvshetty@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m077558
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I Term
Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHETTY BHOOMI SUDHAKAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695992 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3609170
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NARANG MEGHA PRAKASH Mother's Name: NEELAM
Name as printed on Mark Sheet: NARANG MEGHA PRAKASH | Father's Name: PRAKASH
Gender: Female Date Of Birth: 31-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 703/ C-2 , SHUBHARAMBH COMPLEX , MANPADA THANE
CountryName:India City:THANE Taluka:Thane District: Thane State:Maharashtra Pin:400610
Mobile No: 8830324801 EmailID: meghanarang45@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m001966 700306
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),Engineering Mathematics-I Term Work-(58651 TW),C programming-(FEC205),C programming
(TW/Orl)-(FEL204),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I
(TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-II Term
Work-(FEC201 TW),Professional Communication and Ethics- I-(FEC206),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Basic
Workshop practice-II (TW)-(FEL206),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Statement of Marks of Std 10th.
Birth Certificate. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NARANG MEGHA PRAKASH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695964 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3635553
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RAICHANDANI JEET PRASHANT Mother's Name: BHAVIKA
Name as printed on Mark Sheet: RAICHANDANI JEET PRASHANT | Father's Name: PRASHANT
Gender: Male Date Of Birth: 13-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 11 Humsafar ,3 Rd Floor 20Th Road Bandra
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400052
Mobile No: 9930148460 EmailID: raichandanij@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY March,202 M066031 H204230936
AND HIGHER SECONDARY EDUCATION 0
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RAICHANDANI JEET


PRASHANT

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693352 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3610635
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: HARWANI MONISH TURSHADAS Mother's Name: SHANA
Name as printed on Mark Sheet: HARWANI MONISH TURSHADAS | Father's Name: TURSHADAS
Gender: Male Date Of Birth: 26-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 601 Shiv Sai Sadan Apartment New Telephone Exchange Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 9823751351 EmailID: monisharwani143@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020530 705128
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Basic Workshop practice-II (TW)-
(FEL206),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Engineering Mathematics-I Term Work-(58651 TW),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming (TW/Orl)-(FEL204),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Mathematics-II Term Work-(FEC201
TW),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I (TW)-
(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: HARWANI MONISH


TURSHADAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693202 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3635300
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: WADHWA RONAK RAJIV Mother's Name: PAYAL
Name as printed on Mark Sheet: WADHWA RONAK RAJIV | Father's Name: RAJIV
Gender: Male Date Of Birth: 12-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B/406, Rahul Classic Rahul Complex,Sai Baba Nagar, Borivali W
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 7303073036 EmailID: ronakwadhwa66@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m078509
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: WADHWA RONAK RAJIV

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696063 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3613127
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TAILOR DARSHAN H Mother's Name: HEMA
Name as printed on Mark Sheet: TAILOR DARSHAN | Father's Name: H
Gender: Male Date Of Birth: 23-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: D-313, JAY SWAGAT CHS., NEAR SHEETAL NAGAR, AGASHI ROAD VIRAR (WEST)
CountryName:India City:VIRAR Taluka:Vasai District: Palghar State:Maharashtra Pin:401303
Mobile No: 9022839414 EmailID: darshanhtailor@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M054788 709487
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C
programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Form 16 or Annual Income Certificate.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TAILOR DARSHAN H

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696080 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3611262
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHARTI HITEN VINOD Mother's Name: PREETY
Name as printed on Mark Sheet: BHARTI HITEN VINOD | Father's Name: VINOD
Gender: Male Date Of Birth: 16-02-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Bharati Bhavan Gol Maidan Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 7028411589 EmailID: hitenbharati9@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2020 M020803
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mathematics-II-(FEC201),C programming (TW/Orl)-(FEL204),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Physics-II (TW)-(FEL201),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II-(FEC202),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop practice-II (TW)-(FEL206),Basic Workshop Practice-I-
(FEL105),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Original Passing Certificate of last qualifying exam.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHARTI HITEN VINOD

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693188 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3623135
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DORWANI ETASH MANESH Mother's Name: RICHA
Name as printed on Mark Sheet: DORWANI ETASH MANESH | Father's Name: MANESH
Gender: Male Date Of Birth: 15-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B/401, RNA Continental 14Th Road, Subhash Nagar Chembur
CountryName:India City:Mumbai Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400071
Mobile No: 9172008770 EmailID: etashd2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M063211 711142
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic
Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DORWANI ETASH MANESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693154 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3615195
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHANBHAG AMOGH PRAKASH Mother's Name: RADHA
Name as printed on Mark Sheet: SHANBHAG AMOGH PRAKASH | Father's Name: PRAKASH
Gender: Male Date Of Birth: 20-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 2, Nani Chambers 2Nd Hasnabad Lane, Santacruz West Mumbai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400054
Mobile No: 9821163650 EmailID: amogh2020@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M078896
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Basic Workshop practice-II (TW)-
(FEL206),Engineering Physics-I-(58652),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I-(58655),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering
Mechanics-(58653),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Mathematics-I-(58651),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Mathematics-II-(FEC201),Engineering Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHANBHAG AMOGH PRAKASH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695989 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681825
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DALVI YASH PARAG Mother's Name: SHILPA
Name as printed on Mark Sheet: DALVI YASH PARAG | Father's Name: PARAG
Gender: Male Date Of Birth: 29-08-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A/103 ,Sortee Somnath CHS, Kanderpada ,New Link Road Dahisar(W)
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400068
Mobile No: 9769766175 EmailID: ypdalvi@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M077939 289992
AND HIGHER SECONDARY EDUCATION 019
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DALVI YASH PARAG

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693283 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3701559
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHETTY SHANAN JAYAKUMAR Mother's Name: SUJATHA
Name as printed on Mark Sheet: SHETTY SHANAN JAYAKUMAR | Father's Name: JAYAKUMAR
Gender: Male Date Of Birth: 03-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: F 203, SONAM SRIVILAS NEW GOLDEN NEST PHASE 15 THANE
CountryName:India City:THANE Taluka:Thane District: Thane State:Maharashtra Pin:401105
Mobile No: 8928516633 EmailID: shananshetty@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m083180 716792
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics-
I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHETTY SHANAN JAYAKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696077 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3615909
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AZIZ RASHID JAHANGIR Mother's Name: MAHNAZ
Name as printed on Mark Sheet: MD. RASHID AZIZ | Father's Name: JAHANGIR
Gender: Male Date Of Birth: 21-05-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Opposite Jamia Darul Madarsa Jaibun Nisa Chawl Jogeshwari West
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400102
Mobile No: 9867911928 EmailID: md.r.a.n.786@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION May,2019 4664118
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AZIZ RASHID JAHANGIR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 500.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696068 Total Fee received Rs. 700.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3616121
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GHUTUKADE MANASI DAJI Mother's Name: PURVI
Name as printed on Mark Sheet: GHUTUKADE MANASI DAJI | Father's Name: DAJI
Gender: Female Date Of Birth: 17-03-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1502, OMEGA LUXURIA MTNL ROAD DADAR (WEST), MUMBAI
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400028
Mobile No: 8850708054 EmailID: manasighutukade@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M058300 710636
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering
Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Basic Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-
(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Affidavit regarding Anti Ragging.
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GHUTUKADE MANASI DAJI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693189 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3689364
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SAMEL SAHIL DILIP Mother's Name: GEETA
Name as printed on Mark Sheet: SAMEL SAHIL DILIP | Father's Name: DILIP
Gender: Male Date Of Birth: 09-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C/402, Jeevan Sarita Tejpal Scheme Road No. 2
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400057
Mobile No: 8450932085 EmailID: sahilsamel134@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY June,2020 m079521 715205
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SAMEL SAHIL DILIP

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695974 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3680251
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DAADHIICH REBANTA MANISH Mother's Name: SUDHA
Name as printed on Mark Sheet: REBANTA DAADHIICH | Father's Name: MANISH
Gender: Male Date Of Birth: 26-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-6 Haridwar Building Mathuradas Road
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400067
Mobile No: 9167295691 EmailID: rebantadaadhiich26@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M075177
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering
Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Original Statement of Marks for std. 12th.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DAADHIICH REBANTA MANISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693274 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681056
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: QURESHI AHAD MAGDUM Mother's Name: RESHMA
Name as printed on Mark Sheet: AHAD QURESHI | Father's Name: MAGDUM
Gender: Male Date Of Birth: 28-04-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Aamina Manzil Kazigalli Hataipura Kandhar Kandhar
CountryName:India City:Kandhar Taluka:Kandhar District: Nanded State:Maharashtra Pin:431714
Mobile No: 9657964885 EmailID: ahadq1221@gmail.com
Educational Details: Last Qualifying Exam is 10th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 10th* MAHARASHTRA STATE BOARD OF SECONDARY June,2017 L075285
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term
Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
True copy of Migration Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: QURESHI AHAD MAGDUM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693122 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3680997
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SAVALIYA YASH ASHOKBHAI Mother's Name: MEENABEN
Name as printed on Mark Sheet: SAVALIYA YASH ASHOKBHAI | Father's Name: ASHOKBHAI
Gender: Male Date Of Birth: 27-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A/303 Sai Leela CHSL CS Road Anand Nagar Dahisar
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400068
Mobile No: 9137704779 EmailID: yashsavaliya2705@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M078307
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I-(58655),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Affidavit regarding Anti Ragging.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SAVALIYA YASH ASHOKBHAI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695977 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3618498
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MAHAPATRA PULLARABINDA Mother's Name: KADAMBINI
MANORANJAN
Name as printed on Mark Sheet: MAHAPATRA PULLARABINDA MANORANJAN | Father's Name: MANORANJAN
Gender: Male Date Of Birth: 27-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: C(WING)-101 , SONI PARK CHS CHIKUWADI , BORIVALI WEST Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 8104290732 EmailID: pullarabindamahapatra@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* February,2 M081357
020
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Basic Workshop practice-II (TW)-(FEL206),Engineering Mechanics-
(58653),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I-(58651),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-I Term Work-(58651 TW),Basic Electrical Engineering-(58654),C programming (TW/Orl)-
(FEL204),Engineering Physics-I-(58652),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-I (TW)-
(FEL101),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-I-(58655),Engineering Chemistry-II
(TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate. School/College Leaving Certificate.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MAHAPATRA PULLARABINDA


MANORANJAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693353 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3646715
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAIKH MOHD AATIF IRFAN Mother's Name: ISMAT
Name as printed on Mark Sheet: SHAIKH MOHD AATIF IRFAN | Father's Name: IRFAN
Gender: Male Date Of Birth: 07-05-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room No 106, Building No 2A PMGP Colony Sion
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400017
Mobile No: 8097999189 EmailID: aatif112096@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m061854
AND HIGHER SECONDARY EDUCATION 019
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-
(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Physics-
I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Father¶s Income certificate from Tahsildar. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAIKH MOHD AATIF IRFAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696070 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3674262
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JANGID SACHIN SURENDER Mother's Name: SUSHILA
Name as printed on Mark Sheet: JANGID SACHIN SURENDER | Father's Name: SURENDER
Gender: Male Date Of Birth: 21-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 306/B WING NAV PARICHAY BUILDING SAI BABA NAGAR BHAYANDER EAST
CountryName:India City:MUMBAI Taluka:Thane District: Thane State:Maharashtra Pin:401105
Mobile No: 9892627758 EmailID: jangirsac621@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M070407 248504
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std. 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JANGID SACHIN SURENDER

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693219 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3661990
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KULKARNI MANDAR PRAKASH Mother's Name: SULBHA
Name as printed on Mark Sheet: KULKARNI MANDAR PRAKASH | Father's Name: PRAKASH
Gender: Male Date Of Birth: 13-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 201, JUDES APT. B-CABIN ROAD AMBERNATH
CountryName:India City:AMBERNATH Taluka:Ambarnath District: Thane State:Maharashtra Pin:421501
Mobile No: 8830546986 EmailID: mandar4567@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020394
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C
programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651
Note: * Marked Papers are claimed for exemption.
Attached Documents:
School/College Leaving Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Domicile Certificate. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KULKARNI MANDAR PRAKASH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693345 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3750700
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PARAKH PARTH PRITAM Mother's Name: BHARGAVI
Name as printed on Mark Sheet: PARTH PRITAM PARAKH | Father's Name: PRITAM
Gender: Male Date Of Birth: 26-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: PLOT-58,-B/9,APEEJAY CHS LTD SECTOR-17 VASHI,NAVI MUMBAI
CountryName:India City:NAVI MUMBAI Taluka:Thane District: Thane State:Maharashtra Pin:400703
Mobile No: 8169189635 EmailID: parthpparakh@gmail.com
Educational Details: Last Qualifying Exam is Leaving Certificate
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 Leaving Certificate MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m012891 702881
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PARAKH PARTH PRITAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693319 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3644522
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: LASI DARSHAN RAJESH LASI Mother's Name: UMA LASI
Name as printed on Mark Sheet: LASI DARSHAN RAJESH | Father's Name: RAJESH LASI
Gender: Male Date Of Birth: 29-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Block No R/8 Room No.4 Kumar Nagar Dhule
CountryName:India City:Dhule Taluka:Dhule District: Dhule State:Maharashtra Pin:424001
Mobile No: 8329575133 EmailID: darshanlasi46@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 S029494 701299
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Mathematics-I Term Work-(58651
TW),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Birth Certificate. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std. 10th. School/College Leaving Certificate.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: LASI DARSHAN RAJESH LASI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693351 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3630019
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHIRUD KAUSTUBH YUVARAJ Mother's Name: VAISHALI
Name as printed on Mark Sheet: KAUSTUBH YUVARAJ BHIRUD | Father's Name: YUVARAJ
Gender: Male Date Of Birth: 19-08-2002 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: 06 Omkar Heights Vaibhav Colony, Rajiv Nagar Nashik
CountryName:India City:Nashik Taluka:Nashik District: Nashik State:Maharashtra Pin:422009
Mobile No: 9146270212 EmailID: kaustubhirud@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 s002424 018851
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHIRUD KAUSTUBH YUVARAJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693208 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3628257
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KUKREJA PANKAJ ASHOKKUMAR Mother's Name: MAMATA
Name as printed on Mark Sheet: KUKREJA PANKAJ ASHOKKUMAR | Father's Name: ASHOKKUMAR
Gender: Male Date Of Birth: 25-02-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room No.262,Near Bhai Koturam Darbar Sindhi Colony Bhusawal
CountryName:India City:Bhusawal Taluka:Bhusawal District: Jalgaon State:Maharashtra Pin:425201
Mobile No: 9156197134 EmailID: pirated.kukreja@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 s056326
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-
(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KUKREJA PANKAJ


ASHOKKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693323 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3680882
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GAVANKAR AVANTIKA MAHESH Mother's Name: ANILA
Name as printed on Mark Sheet: GAVANKAR AVANTIKA MAHESH | Father's Name: MAHESH
Gender: Female Date Of Birth: 25-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: NEW JAYSHREE LAXMI CHHAYA CO-OP HSG SOC 1ST FLR,FLAT NO.107,R.N.P. PARK BHAYANDAR EAST

CountryName:India City:THANE Taluka:Thane District: Thane State:Maharashtra Pin:401105


Mobile No: 9920599012 EmailID: anila.gavankar@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M082734
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GAVANKAR AVANTIKA


MAHESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693177 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687655
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TRIPATHI YASH PIYUSH Mother's Name: UMA
Name as printed on Mark Sheet: TRIPATHI YASH PIYUSH | Father's Name: PIYUSH
Gender: Male Date Of Birth: 04-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 4/304, Sanskruti Complex Opposite Mari Gold 2 Mira Road
CountryName:India City:Mumbai Taluka:Thane District: Thane State:Maharashtra Pin:401107
Mobile No: 8828190422 EmailID: yashtripathii0406@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M083417
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TRIPATHI YASH PIYUSH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 697406 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3632721
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KANJANI TANYA MUKESH KANJANI Mother's Name: ROSHNI KANJANI
Name as printed on Mark Sheet: KANJANI TANYA MUKESH | Father's Name: MUKESH KANJANI
Gender: Female Date Of Birth: 28-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 502, Laxmi Hira Palace Nutan Nagar, Netaji Road
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 9325830847 EmailID: tanyakanjami1234@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY March,202 m019750 705198
AND HIGHER SECONDARY EDUCATION 0
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Birth Certificate. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KANJANI TANYA MUKESH


KANJANI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693253 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3644985
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: INGLE SARANG SACHIN Mother's Name: SUJATA
Name as printed on Mark Sheet: INGLE SARANG SACHIN | Father's Name: SACHIN
Gender: Male Date Of Birth: 01-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: RAMWADI NANDURA ROAD MALKAPUR TQ MALKAPUR MALKAPUR
CountryName:India City:MALKAPUR Taluka:Malkapur District: Buldhana State:Maharashtra Pin:443101
Mobile No: 9527487081 EmailID: sarangingle108@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 N028434
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: INGLE SARANG SACHIN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693207 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3650056
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHACHLANI MOHIT RAMESH Mother's Name: HENNA
Name as printed on Mark Sheet: CHACHLANI MOHIT RAMESH | Father's Name: RAMESH
Gender: Male Date Of Birth: 05-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO 51 5TH FLOOR KUMUDINI BLDG LBS MARG
CountryName:India City:MUMBAI Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400080
Mobile No: 9987254928 EmailID: mohitrchachlani5@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M092753 720629
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),C
programming-(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Professional
Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHACHLANI MOHIT RAMESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693233 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3689770
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DAPHALE BHAVESH BHALCHANDRA Mother's Name: BHAVANA
Name as printed on Mark Sheet: DAPHALE BHAVESH BHALCHANDRA | Father's Name: BHALCHANDRA
Gender: Male Date Of Birth: 28-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 6/B - 31, 2Nd FLOOR , EKATMATA NAGAR, J. B. NAGAR, ANDHERI EAST
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400059
Mobile No: 9769330013 EmailID: bhaveshdaphale28@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M079329 715163
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DAPHALE BHAVESH


BHALCHANDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693133 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3700947
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MADNANI EKTA ANIL Mother's Name: KOMAL
Name as printed on Mark Sheet: MADNANI EKTA ANIL | Father's Name: ANIL
Gender: Female Date Of Birth: 21-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 1/302, Pavan Putra CHS Ltd, Pawan Baug SV Road Chincholi Phatak
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400064
Mobile No: 7506851622 EmailID: ektamadnani2321@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY June,2020 M075290
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MADNANI EKTA ANIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693156 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3649266
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KADAM ATHARVA SANTOSH Mother's Name: POOJA
Name as printed on Mark Sheet: KADAM ATHARVA SANTOSH | Father's Name: SANTOSH
Gender: Male Date Of Birth: 19-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-601 Hari Heights CHS,Plot No.23,Sec-09 Ulwe
CountryName:India City:Ulwe Taluka:Panvel District: Raigad State:Maharashtra Pin:410206
Mobile No: 8108129744 EmailID: atharva19sk@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m044370 105346
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I
(TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-
(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Birth Certificate.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KADAM ATHARVA SANTOSH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693242 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3646017
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NISAR HEMAL KIRAN Mother's Name: HETAL
Name as printed on Mark Sheet: NISAR HEMAL KIRAN | Father's Name: KIRAN
Gender: Male Date Of Birth: 29-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: H38 Nutan Nagar, Turner Road Bandra (West)
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400050
Mobile No: 8080560205 EmailID: hemalnisar29@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M060163 711294
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Basic Workshop practice-II (TW)-(FEL206),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Engineering Mathematics-I Term Work-(58651 TW),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Workshop Practice-I-(FEL105),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Birth Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NISAR HEMAL KIRAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695968 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3644208
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHOSALE OMKAR SHIVAJI Mother's Name: SANGEETA
Name as printed on Mark Sheet: BHOSALE OMKAR SHIVAJI | Father's Name: SHIVAJI
Gender: Male Date Of Birth: 10-01-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 610/B, SANKALP SIDDHI TOWER E.S.PATANWALA ROAD BYCULLA (EAST), MUMBAI
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400027
Mobile No: 8369155107 EmailID: omkar.bhosale0369@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M053053
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic
Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Father¶s Income certificate from Tahsildar. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHOSALE OMKAR SHIVAJI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693211 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3678358
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHETTY PUNEET SHASHIDHAR Mother's Name: SUGANDHI
Name as printed on Mark Sheet: PUNEET SHASHIDHAR SHETTY | Father's Name: SHASHIDHAR
Gender: Male Date Of Birth: 19-09-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: D102, JAI ASHTAVINAYAK CHS LTD SAI BABA NAGAR MIRA ROAD East THANE
CountryName:India City:MIRA ROAD EAST Taluka:Thane District: Thane State:Maharashtra Pin:401107
Mobile No: 9867892388 EmailID: pun33t14@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15608274
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
T.C. Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Original Migration Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHETTY PUNEET SHASHIDHAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693301 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3710704
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JETHANI GAYATRI GIRISH Mother's Name: POOJA
Name as printed on Mark Sheet: JETHANI GAYATRI GIRISH | Father's Name: GIRISH
Gender: Female Date Of Birth: 01-03-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Sacchanand Bhavan Sindhi Colony Chikhali
CountryName:India City:Chikhali Taluka:Chikhali District: Buldhana State:Maharashtra Pin:443201
Mobile No: 9850021344 EmailID: gayatrijethani9@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 N024534
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering
Physics-I (TW)-(FEL101
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JETHANI GAYATRI GIRISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693224 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3648330
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MAKHIJA HARSH ANIL Mother's Name: MUSKAN
Name as printed on Mark Sheet: MAKHIJA HARSH ANIL | Father's Name: ANIL
Gender: Male Date Of Birth: 21-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 401 SUVIDHA APARTEMENT
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 8446848222 EmailID: harshmakhija421@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M019769 705204
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MAKHIJA HARSH ANIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693355 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3648390
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SONEJEE ROHIT PRAVEEN Mother's Name: NAMRATA
Name as printed on Mark Sheet: SONEJEE ROHIT PRAVEEN | Father's Name: PRAVEEN
Gender: Male Date Of Birth: 01-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room NO.D/45 PLOT NO 229 GRUHSWAPNA CHS CHARKOP SECTOR 2 KANDIVALI WEST
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400067
Mobile No: 9004184007 EmailID: rohit007sonejee@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M077553
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics- I-(FEC206),C programming
(TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical
Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-
(FEL206),C programming-(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Birth Certificate. Domicile Certificate.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 10th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SONEJEE ROHIT PRAVEEN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696044 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3649948
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHATIA TANISHQ SURESH Mother's Name: KARUNA
Name as printed on Mark Sheet: BHATIA TANISHQ SURESH | Father's Name: SURESH
Gender: Male Date Of Birth: 18-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat NO A-1 FIRST FLOOR SHANTINAGAR,SONA MAHAL CHS ULHASNAGAR
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 7620334805 EmailID: neiltaniguyz@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020482
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651
TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering
Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Statement of Marks of Std 10th.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHATIA TANISHQ SURESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693204 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3729909
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RAMRAKHYANI DISHA SUSHILKUMAR Mother's Name: ANISHA
Name as printed on Mark Sheet: RAMRAKHYANI DISHA SUSHILKUMAR | Father's Name: SUSHILKUMAR
Gender: Female Date Of Birth: 24-01-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 501, Laxmi Hira Palace Jai Baba Dham Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 7709904283 EmailID: ramrakhyanidisha@outlook.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020461
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop
practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RAMRAKHYANI DISHA


SUSHILKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693363 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3656119
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SINGH ANIRUDDH NAGENDRA Mother's Name: MEENA
Name as printed on Mark Sheet: SINGH ANIRUDDH NAGENDRA | Father's Name: NAGENDRA
Gender: Male Date Of Birth: 23-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 101 UNITY CHS PLOT 49 Sector 12 , Vashi Navimumbai
CountryName:India City:Vashi Navi Mumbai Taluka:Thane District: Thane State:Maharashtra Pin:400703
Mobile No: 7715955173 EmailID: singhaniruddh30@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m010799 702459
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Father¶s Income certificate from Tahsildar.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SINGH ANIRUDDH NAGENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696078 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3678677
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHYAM NIGAM OM SHYAMKUMAR Mother's Name: KAVITA
Name as printed on Mark Sheet: OM SHYAM NIGAM | Father's Name: SHYAMKUMAR
Gender: Male Date Of Birth: 19-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 103 Building Number 16 Sonam Paradise Old Golden Nest Phase 3
CountryName:India City:Bhayandar East Taluka:Thane District: Thane State:Maharashtra Pin:401105
Mobile No: 7977992938 EmailID: nigamom02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 MO28701 703384
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering-(58654),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic Workshop
practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I-(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHYAM NIGAM OM


SHYAMKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693312 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3684585
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AILSINGHANI ADITYA RAJESH Mother's Name: SNEHA
Name as printed on Mark Sheet: AILSINGHANI ADITYA RAJESH | Father's Name: RAJESH
Gender: Male Date Of Birth: 17-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 7 Jeevan Jyot CHS, 1St Floor Aman Talkies Road ULHASNAGAR
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 7028177321 EmailID: aditya.ailsinghani1705@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m020453 705120
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AILSINGHANI ADITYA RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693158 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3678985
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAH MIHIR KAUSHIK Mother's Name: JAGRUTI
Name as printed on Mark Sheet: SHAH MIHIR KAUSHIK | Father's Name: KAUSHIK
Gender: Male Date Of Birth: 07-09-2002 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: 1494, Desaipura, Nandurbar Desaipura
CountryName:India City:Nandurbar Taluka:Nandurbar District: Nandurbar State:Maharashtra Pin:425412
Mobile No: 7020334779 EmailID: mihirshah070902@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 S042339 4416759044166
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-
(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAH MIHIR KAUSHIK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695983 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3717354
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHHABIRA ADARSH SANTOSH Mother's Name: ARTI
Name as printed on Mark Sheet: CHHABIRA ADARSH SANTOSH | Father's Name: SANTOSH
Gender: Male Date Of Birth: 04-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: House Number 236 Nasikkar Plot Chhatri Talav Road
CountryName:India City:Amravati Taluka:Amravati District: Amrawati State:Maharashtra Pin:444601
Mobile No: 7020683165 EmailID: adarshchhabira4@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 v011809 703775
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-
(FEL101),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651
TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHHABIRA ADARSH SANTOSH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693259 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3662766
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RANE RAJIV PRATAP Mother's Name: GAURI
Name as printed on Mark Sheet: RAJIV PRATAP RANE | Father's Name: PRATAP
Gender: Male Date Of Birth: 17-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 11/257 Sector -7 Antop Hill C.G.S Coloney F- N
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400037
Mobile No: 9821225570 EmailID: pratapmrane@gmail.com
Educational Details: Last Qualifying Exam is CBSE
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 CBSE CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15609779
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Migration Certificate. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RANE RAJIV PRATAP

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 500.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693305 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3684867
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MEGHNANI DISHA JITENDRA Mother's Name: VINITA
Name as printed on Mark Sheet: MEGHNANDISHA JITENDRA | Father's Name: JITENDRA
Gender: Female Date Of Birth: 30-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 703,Yash Elina, Kothrud, Karishma Chowk, Off Karve Road, Pune
CountryName:India City:Pune Taluka:Haveli District: Pune State:Maharashtra Pin:411038
Mobile No: 9552077572 EmailID: meghnanidisha@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 P008746 H201089132
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MEGHNANI DISHA JITENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693364 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3694599
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KAKWANI GARIMA RAJESH KAKWANI Mother's Name: SANGEETA JIWATANI
Name as printed on Mark Sheet: GARIMA KAKWANI | Father's Name: RAJESH KAKWANI
Gender: Female Date Of Birth: 15-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: H. No. 704 Navjeevan A Wing Sector 5 CGS Colony Kane Nagar
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400037
Mobile No: 7021153041 EmailID: garukak@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15609768
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-
I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KAKWANI GARIMA RAJESH


KAKWANI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 500.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693120 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3670670
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KAZI ARHAM IMTIAZ Mother's Name: FATIMA IMTIAZ KAZI
Name as printed on Mark Sheet: KAZI ARHAM IMTIAZ | Father's Name: IMTIAZ
Gender: Male Date Of Birth: 24-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO. 602, 2B WING, POWAI VIHAR COMP A.S.MARG POWAI ,MUMBAI MUMBAI
CountryName:India City:Mumbai City Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400076
Mobile No: 9967056635 EmailID: fatima_kazi@rediffmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M064823 712548
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic
Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Statement of Marks of Std. 10th.
Domicile Certificate. Voter ID card
Statement of Marks of Std 10th. Birth Certificate.
Domicile Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Residence Proof (Any) ±Copy of Voter ID/ Driving Passing Certificate of Std 12th / Statement of Marks of
License/Telephone Bill /Electricity Bill /Ration Card/ Std 12th OR Original Passing Certificate /Statement of
Society Letter/ Agreement. Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Passing Certificate of Std 10th.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KAZI ARHAM IMTIAZ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693302 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3689594
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JAIN DIKSHANT LALIT Mother's Name: HANSI
Name as printed on Mark Sheet: JAIN DIKSHANT LALIT | Father's Name: LALIT
Gender: Male Date Of Birth: 04-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: HANSI/ROOM NO.11/SHREEPATI JEWELS/G-WING KHATTAR GALLI/C.P.TANK
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400004
Mobile No: 8850697583 EmailID: dikshantjain4602@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M053608 709340
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Chemistry-I (TW)-
(FEL102),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mechanics (TW/ORL)-(FEL103),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Birth Certificate. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JAIN DIKSHANT LALIT

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693210 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3675097
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHANDWANI KARAN BHAGWANDAS Mother's Name: REKHA
Name as printed on Mark Sheet: CHANDWANI KARAN BHAGWANDAS | Father's Name: BHAGWANDAS
Gender: Male Date Of Birth: 27-03-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Plot No 8 Jhulelal Colony Shirpur
CountryName:India City:Shirpur Taluka:Shirpur District: Dhule State:Maharashtra Pin:425405
Mobile No: 9518373726 EmailID: chandwanikaran6@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2019 S033801 087670
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering
Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201
TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II
(TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Affidavit regarding Anti Ragging. Father¶s Income certificate from Tahsildar.
Original Statement of Marks for std. 12th. Passing Certificate of Std. 10th.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Statement of CET/Certificate of CET.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Domicile Certificate.
Self affidavit regarding gap in academic year (Gap Statement of Marks of Std 10th.
Certificate).
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHANDWANI KARAN


BHAGWANDAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693241 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686025
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KITHANI PRATIK KUMAR Mother's Name: VARSHA
Name as printed on Mark Sheet: KITHANI PRATIK KUMAR | Father's Name: KUMAR
Gender: Male Date Of Birth: 03-11-2002 Category: NT-1 (NT- Physically Handicapped: No Nationality: India
B)
Address for Correspondance: PLOT A NEW BHUSHAN COLONY NEAR BADGUJAR HOSTEL JALGAON
CountryName:India City:JALGAON Taluka:Jalgaon District: Jalgaon State:Maharashtra Pin:425001
Mobile No: 9325996995 EmailID: pratikkithani3112@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M018832
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics-
I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Chemistry-II (TW)-(FEL202),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering
Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Certificate of Caste with Category.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KITHANI PRATIK KUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693333 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3689819
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MOTWANI ROHIT MANOJ Mother's Name: ROSHNI
Name as printed on Mark Sheet: MOTWANI ROHIT MANOJKUMAR | Father's Name: MANOJ
Gender: Male Date Of Birth: 20-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Block A1 Room No. 5/6 New Sindhi Colony NANDURBAR
CountryName:India City:NANDURBAR Taluka:Nandurbar District: Nandurbar State:Maharashtra Pin:425412
Mobile No: 7066434119 EmailID: rohitmotwani101@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 s042329
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Basic Electrical Engineering-(58654),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-
II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-
(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MOTWANI ROHIT MANOJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695958 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3671294
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RUPANI LAVIN PANKAJ RUPANI Mother's Name: JAANVI RUPANI
Name as printed on Mark Sheet: RUPANI LAVIN PANKAJ | Father's Name: PANKAJ RUPANI
Gender: Male Date Of Birth: 11-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Ramnagar, Sindhi Colony, Near Durga Mata Mandir Chandrapur
CountryName:India City:Chandrapur Taluka:Chandrapur District: Chandrapur State:Maharashtra Pin:442401
Mobile No: 9022750242 EmailID: jprupani29@gmail.com
Educational Details: Last Qualifying Exam is 10th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 10th* CENTRAL BOARD OF SECONDARY EDUCATION May,2018 4153505
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering
Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II
(TW)-(FEL202),C programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Physics-II-(FEC202),Basic
Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-
(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Birth Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RUPANI LAVIN PANKAJ RUPANI

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695972 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3671596
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MOTWANI RUCHIKA SUNIL Mother's Name: VANSHIKA
Name as printed on Mark Sheet: MOTWANI RUCHIKA SUNIL | Father's Name: SUNIL
Gender: Female Date Of Birth: 20-03-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO 501,LAXMI HEIGHT OPP VITHALWADI OPLICE STATION ,UNR-4
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421004
Mobile No: 9890370374 EmailID: ruchikamotwani20@gmail.com
Educational Details: Last Qualifying Exam is 10th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 10th* MAHARASHTRA STATE BOARD OF SECONDARY March,201 A066868
AND HIGHER SECONDARY EDUCATION 8
Papers Selected for Course Part
Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Father¶s Income certificate from Tahsildar.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MOTWANI RUCHIKA SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695959 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681005
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MANDAL SHUBHAM SWAPAN KUMAR Mother's Name: MANJUSHREE
Name as printed on Mark Sheet: MANDAL SHUBHAM SWAPAN | Father's Name: SWAPAN KUMAR
Gender: Male Date Of Birth: 21-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Room No 202 Wing E Santosh Park Chitralaya Boisar Salwad
CountryName:India City:Boisar Taluka:Palghar District: Palghar State:Maharashtra Pin:401504
Mobile No: 7498992443 EmailID: shubhammandal2002.21@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M034225 2020667
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II
(TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Birth Certificate.
Father¶s Income certificate from Tahsildar. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MANDAL SHUBHAM SWAPAN


KUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696069 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3692337
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHATIA KHUSHI DILIP Mother's Name: GEETA
Name as printed on Mark Sheet: BHATIA KHUSHI DILIP | Father's Name: DILIP
Gender: Female Date Of Birth: 04-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Bk 422 Room No 9 Near Vicky Apartment Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 9325808467 EmailID: khushibhatia577@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2020 m020901
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-
(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-
(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-
(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-
II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHATIA KHUSHI DILIP

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 NSS Registration Fees: National Service Scheme:
Contribution: 20.00 10.00 Ekak Yojana: 10.00
Student Welfare Fund Eligibility Cum Enrolment Sports Contribution: 60.00 Enrolment Fee: 200.00
Contribution: 6.00 Fees: 0.00
eSuvidha Fee: 50.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693190 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681179
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAH KRIYA SANJAY Mother's Name: DIMPLE
Name as printed on Mark Sheet: SHAH KRIYA SANJAY | Father's Name: SANJAY
Gender: Female Date Of Birth: 05-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 16,Anand Mangal Jambli Gally Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 8104024944 EmailID: kriyaashahh@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m078133
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-
(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Statement of CET/Certificate of CET.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAH KRIYA SANJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695982 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3705773
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JAIN SIDDH SHAILENDRA KUMAR Mother's Name: NAINA
Name as printed on Mark Sheet: JAIN SIDDH SHAILENDRA | Father's Name: SHAILENDRA KUMAR
Gender: Male Date Of Birth: 17-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 320, Shivaji Nagar, 3Rd Floor Delisle Road, N.M.Joshi Marg Mumbai
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400013
Mobile No: 9619777635 EmailID: jainsiddh1710@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m053594
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic
Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-
II-(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-
(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-
(FEL202),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Original Statement of Marks for std. 12th.
School/College Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JAIN SIDDH SHAILENDRA


KUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696030 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3678086
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PATIL ABHINAY SHARAD Mother's Name: VIDYA
Name as printed on Mark Sheet: ABHINAY SHARAD PATIL | Father's Name: SHARAD
Gender: Male Date Of Birth: 21-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 2/303 Balaji Prangan CHS Sect 04 Kharghar Navi Mumbai
CountryName:India City:Kharghar Taluka:Panvel District: Raigad State:Maharashtra Pin:410210
Mobile No: 7208634680 EmailID: 10abhinay10@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15605848 0169970
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-
(FEL101),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651
TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
True copy of Migration Certificate. Statement of Marks of Std 10th.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PATIL ABHINAY SHARAD

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 500.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693111 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3690202
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BATRA VIDHI SURESH Mother's Name: KOMAL
Name as printed on Mark Sheet: BATRA VIDHI SURESH | Father's Name: SURESH
Gender: Female Date Of Birth: 14-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Parshuram Apartment Flat No102 Balaji Nagar Amravati
CountryName:India City:Amravati Taluka:Amravati District: Amrawati State:Maharashtra Pin:444606
Mobile No: 7020586114 EmailID: vidhibatra65@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 V015716 703930
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Basic Electrical Engineering-(58654),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mechanics-(58653),Engineering Mathematics-II-(FEC201),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BATRA VIDHI SURESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696059 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686010
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TALAN ARADHYA ARVIND Mother's Name: REKHA
Name as printed on Mark Sheet: ARADHYA TALAN | Father's Name: ARVIND
Gender: Male Date Of Birth: 03-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: D-602, Whispering Palms Xxclusive Lokhandwala Township, Kandivali (East) Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400101
Mobile No: 9653131609 EmailID: talan.aradhya@yahoo.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15608334
Papers Selected for Course Part
Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-
(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic
Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TALAN ARADHYA ARVIND

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693127 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3726312
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: LAHORI DRISHTI ANIL Mother's Name: MEGHANA
Name as printed on Mark Sheet: LAHORI DRISHTI ANIL | Father's Name: ANIL
Gender: Female Date Of Birth: 25-05-2003 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Krishna Kamal, 231/A5, Plot No. 4 Tarabai Park Kolhapur

Mobile No: 8669994311 EmailID: drishtilahori25@gmail.com


Educational Details: Last Qualifying Exam is 10th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 10th* MAHARASHTRA STATE BOARD OF SECONDARY March,201 F094798 130366
AND HIGHER SECONDARY EDUCATION 8
Papers Selected for Course Part
Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651
TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering
Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Domicile Certificate. Father¶s Income certificate from Tahsildar.
Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: LAHORI DRISHTI ANIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693347 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3683460
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DHULE PRAJWAL SHIVDAS Mother's Name: SANGITA
Name as printed on Mark Sheet: DHULE PRAJWAL SHIVDAS | Father's Name: SHIVDAS
Gender: Male Date Of Birth: 20-10-2002 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: Y-3/44, GOVERNMENT COLONY BANDRA (EAST) MUMBAI
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400051
Mobile No: 7039128218 EmailID: prajwaldhule36@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M065962 197375
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering
Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Certificate of Caste with Category. Domicile Certificate.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DHULE PRAJWAL SHIVDAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693143 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3681209
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SARDA ROSHNI RADHESHAM Mother's Name: JYOTI
Name as printed on Mark Sheet: SARDA ROSHNI RADHESHAM | Father's Name: RADHESHAM
Gender: Female Date Of Birth: 06-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-107 GOLDEN RAYS RAHEJA VIHAR CHANDIWALI
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400072
Mobile No: 8888617421 EmailID: roshnisarda777@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2020 R049722
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-
(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II
(TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-
(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-
II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SARDA ROSHNI RADHESHAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695975 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687134
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MODY ZEEL PATHIK Mother's Name: MAUSAMI
Name as printed on Mark Sheet: MODY ZEEL PATHIK | Father's Name: PATHIK
Gender: Female Date Of Birth: 16-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: D-80/302/Triveni Shanty Nagar Sec-9 Mira Road
CountryName:India City:Mumbai Taluka:Thane District: Thane State:Maharashtra Pin:401107
Mobile No: 7977786874 EmailID: pathikmody75@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY January,20 M076530
AND HIGHER SECONDARY EDUCATION 21
Papers Selected for Course Part
Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MODY ZEEL PATHIK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695952 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3691759
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DNYANMOTHE ANUSHKA SANJAY Mother's Name: JAYASHREE
Name as printed on Mark Sheet: DNYANMOTHE ANUSHKA SANJAY | Father's Name: SANJAY
Gender: Female Date Of Birth: 14-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO.716 /C WING SATYAM C.H.S LTD NEW LINK ROAD OPP MHB POLICE STATION Mumbai
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400091
Mobile No: 8104786609 EmailID: anushkadnyanmothe@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M081544
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Engineering Chemistry-I-(58655),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term
Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering Physics-I (TW)-(FEL101),Basic Workshop
practice-II (TW)-(FEL206
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Certificate of Caste with Category. Non Creamy Layer Certificate.
Domicile Certificate. Statement of Marks of Std 10th.
Birth Certificate. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std. 12th/Statement of Marks of Residence Proof (Any) ±Copy of Voter ID/ Driving
std.12th. License/Telephone Bill /Electricity Bill /Ration Card/
Society Letter/ Agreement.
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DNYANMOTHE ANUSHKA


SANJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693146 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3737018
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KAPADIA HEER HEMAL KAPADIA Mother's Name: NEHA KAPADIA
Name as printed on Mark Sheet: KAPADIA HEER HEMAL | Father's Name: HEMAL KAPADIA
Gender: Female Date Of Birth: 04-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A/302, Paras Nagar, Building No. 1 Shankar Lane Kandivali (West)
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400067
Mobile No: 9167452952 EmailID: heerkapadia04@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m082228 249537
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term
Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-
(58654),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering
Physics-I (TW)-(FEL101
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Birth Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KAPADIA HEER HEMAL


KAPADIA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693262 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3686040
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DAVE KRISHANA ANIL Mother's Name: HEMA
Name as printed on Mark Sheet: DAVE KRISHANA ANIL | Father's Name: ANIL
Gender: Male Date Of Birth: 16-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B Wing 601 Govardhan Complex Pratap Nagar , Maharaj Bhavan Jogeshwari(East )
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400060
Mobile No: 8104875867 EmailID: krishnadave671@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M069097 712880
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II
(TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DAVE KRISHANA ANIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693134 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3693657
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BOTHRA AAYUSH ASHOK Mother's Name: SUNITA
Name as printed on Mark Sheet: BOTHRA AAYUSH ASHOK | Father's Name: ASHOK
Gender: Male Date Of Birth: 20-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A2/302 TIRUPATI DARSHAN BALAJI NAGAR, BHAYANDAR WEST Thane
CountryName:India City:MUMBAI Taluka:Thane District: Thane State:Maharashtra Pin:401101
Mobile No: 9867220380 EmailID: aayushbothra2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M076424 717100
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical
Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering
Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering
(TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-
I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering
Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering
Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Statement of Marks of Std 10th.
Birth Certificate. Original Passing Certificate of last qualifying exam.
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BOTHRA AAYUSH ASHOK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693222 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3694063
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RAMRAKHIYANI HARSHITA MANOJ Mother's Name: BHAVIKA
Name as printed on Mark Sheet: RAMRAKHIYANI HARSHITA MANOJ | Father's Name: MANOJ
Gender: Female Date Of Birth: 26-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: MADAN GOPAL VIHAR , BK NO. A-817/1633 FIRST FLOOR GANDHI ROAD , ULHASNAGAR -5
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 8379969008 EmailID: harshita554466@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M003986
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication
and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RAMRAKHIYANI HARSHITA


MANOJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693358 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687883
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BATRA KHUSHI NARAYAN Mother's Name: ASHA
Name as printed on Mark Sheet: BATRA KHUSHI NARAYAN | Father's Name: NARAYAN
Gender: Female Date Of Birth: 31-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 2,KESHAR MISHRI APPARTMENT JAIRAM NAGAR AMRAVATI
CountryName:India City:AMRAVATI Taluka:Amravati District: Amrawati State:Maharashtra Pin:444605
Mobile No: 8554859710 EmailID: khushibatra0550@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 v012083 703792
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic
Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I
(TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BATRA KHUSHI NARAYAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693184 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3692767
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TRIVEDI SHIVAM DIVYESH Mother's Name: KOMAL
Name as printed on Mark Sheet: TRIVEDI SHIVAM DIVYESH | Father's Name: DIVYESH
Gender: Male Date Of Birth: 26-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 5, Usha Kunj Sahakar Road Off SV Road Jogeshwari West
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400102
Mobile No: 9372296994 EmailID: strivedi947@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M080877 715493
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II
(TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Domicile Certificate. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TRIVEDI SHIVAM DIVYESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696050 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3684650
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SINGH UMANG ASHOK Mother's Name: SUNITA
Name as printed on Mark Sheet: SINGH UMANG ASHOKKUMAR | Father's Name: ASHOK
Gender: Male Date Of Birth: 31-10-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: RB/3/96 Railway Colony Vasind
CountryName:India City:Vasind Taluka:Shahapur District: Thane State:Maharashtra Pin:421601
Mobile No: 9561537119 EmailID: umang2singh@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m092643 502050
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop
practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics- I-(FEC206),C
programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II
Term Work-(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Leaving Certificate.
Self affidavit regarding gap in academic year (Gap Statement of Marks of Std 10th.
Certificate).
Birth Certificate. Original Statement of Marks for std. 12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SINGH UMANG ASHOK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund eSuvidha Fee: 50.00
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696039 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3690082
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RAIKISANI RAUNAK BHAGWAN Mother's Name: SNEHA
Name as printed on Mark Sheet: RAIKISANI RAUNAK BHAGWAN | Father's Name: BHAGWAN
Gender: Male Date Of Birth: 01-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: FLAT NO-4, RUTUPRABHA SOCIETY, JAYABAI COLONY, BEHIND MHASOBA MANDIR, NASIK-ROAD
CountryName:India City:NASHIK Taluka:Nashik District: Nashik State:Maharashtra Pin:422101
Mobile No: 8888599151 EmailID: raunakraikisani8045@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 S001869 018642
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Basic Electrical Engineering-(58654),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Passing Certificate of last qualifying exam. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
School/College Leaving Certificate. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of CET/Certificate of CET. Passing Certificate of Std 10th.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Affidavit regarding Anti Ragging.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RAIKISANI RAUNAK BHAGWAN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695954 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3690077
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KHATRI NIKHIL VIJAY Mother's Name: MONA
Name as printed on Mark Sheet: KHATRI NIKHIL VIJAY | Father's Name: VIJAY
Gender: Male Date Of Birth: 05-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 102 Gargi Palace Netaji Chowk Ulhasnagar-421004
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421004
Mobile No: 7057489627 EmailID: nikhil49khatri@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M020330
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering
Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KHATRI NIKHIL VIJAY

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693320 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3703171
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KALRA VIREN RAJESH Mother's Name: SHWETA
Name as printed on Mark Sheet: KALRA VIREN RAJESH | Father's Name: RAJESH
Gender: Male Date Of Birth: 17-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: F32 HIRA SOCIETY NEAR AMAN TALKIES THANE
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 9172045296 EmailID: virenkalra370@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2020 M019946
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std. 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KALRA VIREN RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693248 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3694609
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: RANGNANI MUSKAAN RAJESH Mother's Name: SAAKSHI
Name as printed on Mark Sheet: RANGNANI MUSKAAN RAJESH | Father's Name: RAJESH
Gender: Female Date Of Birth: 25-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 3-5-39 RANGNANI BHAWAN CHIKHALWADI NANDED
CountryName:India City:NANDED Taluka:Nanded District: Nanded State:Maharashtra Pin:431601
Mobile No: 8669402430 EmailID: rangnanimuskan22@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 T002400
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering
Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II
Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Domicile Certificate. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: RANGNANI MUSKAAN RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695955 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687862
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PAHUJA VISHAL RAJESH Mother's Name: SIMRAN
Name as printed on Mark Sheet: PAHUJA VISHAL RAJESH | Father's Name: RAJESH
Gender: Male Date Of Birth: 24-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Plot No 137 Shri Laxmi Apartment Flat No 1, Kansai Section Ambarnath East
CountryName:India City:Ambarnath Taluka:Ambarnath District: Thane State:Maharashtra Pin:421501
Mobile No: 9373423023 EmailID: vishalpahuja25@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 m020717
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I (TW)-(FEL102),Engineering Graphics-(FEC204),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),C programming-(FEC205),Basic Electrical Engineering-(58654),Engineering Physics-II-(FEC202),Engineering
Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-II-(FEC203),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651
TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Father¶s Income certificate from Tahsildar.
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PAHUJA VISHAL RAJESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696060 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687049
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: THAKKAR DIVY LAXMANDAS Mother's Name: MAMTA
Name as printed on Mark Sheet: THAKKAR DIVY LAXMANDAS | Father's Name: LAXMANDAS
Gender: Male Date Of Birth: 20-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 503 , Jai Ambe Apartment Station Road
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 7020554674 EmailID: divythakkar2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M021540 081883
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mechanics (TW/ORL)-(FEL103),C programming-(FEC205),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Professional Communication and Ethics- I-(FEC206),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming
(TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Physics-II (TW)-
(FEL201),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. Statement of Marks of Std 10th.
Father¶s Income certificate from Tahsildar.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: THAKKAR DIVY LAXMANDAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696046 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687001
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHARMA SIDDHANT PANKAJ Mother's Name: KAVITA
Name as printed on Mark Sheet: SHARMA SIDDHANT PANKAJ | Father's Name: PANKAJ
Gender: Male Date Of Birth: 26-07-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B 102,VASANT MANDIR AMBADI ROAD Vasai(WEST)
CountryName:India City:Vasai Taluka:Vasai District: Palghar State:Maharashtra Pin:401202
Mobile No: 8983880911 EmailID: sharmakavita16553@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M035617
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering Graphics
(TW/Orl)-(FEL203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 10th. Leaving Certificate.
Domicile Certificate. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of Statement of CET/Certificate of CET.
std.12th.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHARMA SIDDHANT PANKAJ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695990 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3687996
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: AHUJA DHRITI MAHESH Mother's Name: RENU
Name as printed on Mark Sheet: AHUJA DHRITI MAHESH | Father's Name: MAHESH
Gender: Female Date Of Birth: 25-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 501,Sai Rachna Apts Opp. Sadhubella School Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421001
Mobile No: 9323761062 EmailID: dhritiahuja777@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2019 m018926
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics-(58653),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-I-(58651),C programming-
(FEC205),Engineering Physics-II-(FEC202),Engineering Mechanics (TW/ORL)-(FEL103),Basic Workshop practice-II (TW)-
(FEL206),Basic Electrical Engineering-(58654),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-I-
(58652),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering Mathematics-I
Term Work-(58651 TW),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),C
programming (TW/Orl)-(FEL204),Engineering Chemistry-I-(58655),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Professional Communication and Ethics- I (TW)-
(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: AHUJA DHRITI MAHESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693145 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3697482
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JOG ATHARVA ASHISH Mother's Name: SAMATA
Name as printed on Mark Sheet: JOG ATHARVA ASHISH | Father's Name: ASHISH
Gender: Male Date Of Birth: 26-03-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 201, DEVANGINI CHS SHAHAJI RAJE MARG VILEPARLE EAST
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400057
Mobile No: 9820347194 EmailID: samatajog@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M067140 714223
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop
practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Engineering Physics-II (TW)-(FEL201),Professional Communication and Ethics- I (TW)-(FEL205),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103
Note: * Marked Papers are claimed for exemption.
Attached Documents:
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JOG ATHARVA ASHISH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 6.00 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693234 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3707695
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: DODIA AYUSH NARENDRA Mother's Name: RENA
Name as printed on Mark Sheet: DODIA AYUSH NARENDRA | Father's Name: NARENDRA
Gender: Male Date Of Birth: 26-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 802 Kripadham Society Carter Road No.2 Borivali East
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400066
Mobile No: 9892155449 EmailID: ayushdodia260@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M075031
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201
TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical
Engineering-(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-
(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming
(TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Statement of Marks of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: DODIA AYUSH NARENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693149 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3691534
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KATTUKARAN ADIT GABIN Mother's Name: SUMY
Name as printed on Mark Sheet: ADIT KATTUKARAN | Father's Name: GABIN
Gender: Male Date Of Birth: 15-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 3 Anna Apartments Main Avenue Road Santa Cruz West
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400054
Mobile No: 7045547137 EmailID: aditka2@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15605627
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering
Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering
Chemistry-I-(58655),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C
programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering
Mechanics-(58653),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-
(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KATTUKARAN ADIT GABIN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 500.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 0.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693116 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3690127
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: TEJWANI KUSHAL SUNEEL Mother's Name: KOMAL
Name as printed on Mark Sheet: TEJWANI KUSHAL SUNEEL | Father's Name: SUNEEL
Gender: Male Date Of Birth: 30-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 701 Maa Laxmi Tower Block No B-39 Bhatia Chowk Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 7350792080 EmailID: tejwanikushal30@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M021659
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Chemistry-I-(58655),Engineering
Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic
Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),Engineering Mechanics-(58653),C programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering
Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Basic Electrical Engineering-(58654),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: TEJWANI KUSHAL SUNEEL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696045 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3724573
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHOWDHARY GAURAV RAJENDRA Mother's Name: HARSHALA
Name as printed on Mark Sheet: CHUDHARY GAURAV RAJENDRA | Father's Name: RAJENDRA
Gender: Male Date Of Birth: 07-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 16/B, PRAKASH BUILDING, MAHARASHTRA NAGAR, L.T. ROAD, BORIVALI-W
CountryName:India City:MUMBAI Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400092
Mobile No: 7738049953 EmailID: hchowdhary73@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M075733
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering
Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term
Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHOWDHARY GAURAV


RAJENDRA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693270 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3702864
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BAJAJ RIYA SUNIL Mother's Name: ANISHA
Name as printed on Mark Sheet: BAJAJ RIYA SUNIL | Father's Name: SUNIL
Gender: Female Date Of Birth: 15-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Block C-923, Room No-1845 Kurla Camp Road Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421004
Mobile No: 9503330407 EmailID: riyabajaj2002@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M019594
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II (TW)-
(FEL201),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II
(TW)-(FEL202),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical
Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-
(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std. 12th/Statement of Marks of School/College Leaving Certificate.
std.12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th. Domicile Certificate.
Birth Certificate. Domicile Certificate.
Father¶s Income certificate from Tahsildar.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BAJAJ RIYA SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693179 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3697345
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: CHARHA PARAM ASHOK Mother's Name: KAREENA
Name as printed on Mark Sheet: CHARHA PARAM ASHOK | Father's Name: ASHOK
Gender: Male Date Of Birth: 05-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: BARRACK NO 318 ROOM NO 5 NEAR BHAJI MARKET
CountryName:India City:ULHASNAGAR Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421002
Mobile No: 8669851313 EmailID: charhaparam@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020586
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic
Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Physics-I-
(58652),Engineering Chemistry-II (TW)-(FEL202),Basic Workshop practice-II (TW)-(FEL206),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Engineering Mathematics-I Term Work-
(58651 TW),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Physics-II
(TW)-(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: CHARHA PARAM ASHOK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693250 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3720472
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: UMROTKAR MIHIR VIKAS Mother's Name: VAISHNAVI
Name as printed on Mark Sheet: UMROTKAR MIHIR VIKAS | Father's Name: VIKAS
Gender: Male Date Of Birth: 03-10-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 6/D LILAWATI CHOTUBHAI CHAWL 2NDFLR RN13 J.S.S ROAD ZAOBAWADI THAKURDWAR MURUD
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400002
Mobile No: 8425017746 EmailID: mihirumrotkar93@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M054747 179851
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-
(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering-(58654),Basic Electrical Engineering (TW/ORL)-
(FEL104),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Engineering Physics-I
(TW)-(FEL101),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Passing Certificate of Std 10th.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Original Statement of Marks for std. 12th. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: UMROTKAR MIHIR VIKAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696051 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3710294
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHATIA MANISH HARESH Mother's Name: RESHMA
Name as printed on Mark Sheet: BHATIA MANISH HARESH | Father's Name: HARESH
Gender: Male Date Of Birth: 11-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Flat No. 503,Hill Top Apartment Tekdi Area
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421003
Mobile No: 8830746865 EmailID: manishbhatia492@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020476
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering
Mathematics-II-(FEC201),C programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Physics-II-
(FEC202),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering
Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering
Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-
(FEL102
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHATIA MANISH HARESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund
Fees: 0.00 Contribution: 20.00
Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
10.00 Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693195 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3712915
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MAURYA SIDDHARTH RADHESHYAM Mother's Name: VANDANA
Name as printed on Mark Sheet: MAURYA SIDDHARTH RADHESHYAM | Father's Name: RADHESHYAM
Gender: Male Date Of Birth: 07-08-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 306 SAHJEEVAN CHS NM JOSHI MARG LOWER PAREL MUMBAI
CountryName:India City:Mumbai Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400013
Mobile No: 9321570987 EmailID: sid55maurya@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M062548
AND HIGHER SECONDARY EDUCATION 019
Papers Selected for Course Part
Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering
Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I-
(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-
(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Physics-II-(FEC202),Basic Electrical
Engineering-(58654
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Domicile Certificate.
Self affidavit regarding gap in academic year (Gap
Certificate).
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MAURYA SIDDHARTH


RADHESHYAM

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 696036 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3721008
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: PIPALIYA DHRUV SHAILESH Mother's Name: SHILPA
Name as printed on Mark Sheet: PIPALIYA DHRUV SHAILESH | Father's Name: SHAILESH
Gender: Male Date Of Birth: 20-08-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 20/B Sateri Bhavan Maratha Colony Road Dahisar
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400068
Mobile No: 9022358214 EmailID: dhruvpipaliya20@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M077936 H204286157
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-
(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I
(TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-
(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Domicile Certificate.
Father¶s Income certificate from Tahsildar. School/College Leaving Certificate.
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: PIPALIYA DHRUV SHAILESH

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693338 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3702360
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: VORA MOHD OMAR PARVANA Mother's Name: NAZMA
Name as printed on Mark Sheet: VORA MOHD OMAR PARVANA | Father's Name: PARVANA
Gender: Male Date Of Birth: 13-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 38-40 MISTRY BUILDING, 3RD FLOOR, SLEATER ROAD, Mumbai
CountryName:India City:MUMBAI Taluka:Mumbai District: Mumbai City State:Maharashtra Pin:400007
Mobile No: 9820642444 EmailID: shabnam_vora@hotmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 MO54612
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-
(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I
(TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and
Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term
Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C programming (TW/Orl)-
(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Passing Certificate of Std. 12th/Statement of Marks of Passing Certificate of Std 12th / Statement of Marks of
std.12th. Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: VORA MOHD OMAR PARVANA

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695953 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3705594
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JANGAM ARYAN SUHAS Mother's Name: MADHURI
Name as printed on Mark Sheet: JANGAM ARYAN SUHAS | Father's Name: SUHAS
Gender: Male Date Of Birth: 25-03-2001 Category: OBC Physically Handicapped: No Nationality: India
Address for Correspondance: AT POST TALDEV TAL MAHABALESHWAR
CountryName:India City:MAHABALESHWAR Taluka:Mahabaleshwar District: Satara State:Maharashtra Pin:412806
Mobile No: 9420927455 EmailID: aryan99aj@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 X047638 095427
AND HIGHER SECONDARY EDUCATION 019
Papers Selected for Course Part
Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and
Ethics- I (TW)-(FEL205),Engineering Graphics-(FEC204),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-
(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering Physics-I-
(58652),Basic Workshop practice-II (TW)-(FEL206),C programming-(FEC205),Engineering Graphics (TW/Orl)-
(FEL203),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-
(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),Professional Communication
and Ethics- I-(FEC206),C programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-
(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
JEE-Allotment Letter Domicile Certificate.
Father¶s Income certificate from Tahsildar. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Certificate of Caste with Category. Passing Certificate of Std 10th.
Leaving Certificate. Non Creamy Layer Certificate.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JANGAM ARYAN SUHAS

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693217 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3719040
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KHUSHALANI MUSKAN DILIPKUMAR Mother's Name: VANISHA
Name as printed on Mark Sheet: KHUSHALANI MUSKAN DILIPKUMAR | Father's Name: DILIPKUMAR
Gender: Female Date Of Birth: 01-06-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Block No A 236/472 Station Road Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421004
Mobile No: 7875190064 EmailID: khushalanimuskan@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020137
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-
(FEL201),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-II-
(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics
(TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Professional Communication and Ethics- I (TW)-
(FEL205),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering-(58654),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic Workshop
practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-
(FEC206),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I-(58655
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KHUSHALANI MUSKAN


DILIPKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693328 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3707776
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NAGDEV VARUN ANAND Mother's Name: HEMLATA
Name as printed on Mark Sheet: NAGDEV VARUN ANAND | Father's Name: ANAND
Gender: Male Date Of Birth: 19-12-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 4/78,Juhu Tarang CHSL, New D.N. Nagar Andheri West Mumbai
CountryName:India City:Mumbai Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400053
Mobile No: 9920019635 EmailID: varunnagdev9f23@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 m066969
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C
programming (TW/Orl)-(FEL204),Engineering Chemistry-II-(FEC203),Engineering Physics-II (TW)-(FEL201),Basic Workshop
Practice-I-(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-
(58653),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Engineering Chemistry-II (TW)-(FEL202),Engineering Mathematics-II-(FEC201),C
programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Basic Electrical Engineering-(58654),Engineering
Physics-I-(58652),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Physics-II-
(FEC202),Professional Communication and Ethics- I-(FEC206),Basic Electrical Engineering (TW/ORL)-(FEL104
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std. 10th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Leaving Certificate. Statement of Marks of Std 10th.
Birth Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NAGDEV VARUN ANAND

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
10.00 Ekak Yojana: 10.00
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund
Contribution: 24.00 Contribution: 6.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695960 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3710813
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: BHAGCHANDANI ROSHAN DEEPAK Mother's Name: VIMAL
Name as printed on Mark Sheet: ROSHAN DEEPAK BHAGCHANDANI | Father's Name: DEEPAK
Gender: Male Date Of Birth: 10-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Plot No.6, Hari Krupa Professor Colony, Chaitanya Nagar Savedi
CountryName:India City:Ahmednagar Taluka:Ahmednagar District: Ahmednagar State:Maharashtra Pin:414003
Mobile No: 9404246402 EmailID: roshanbhagchandani02@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 15600355 0178978
Papers Selected for Course Part
Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Physics-II-(FEC202),Basic Electrical Engineering-(58654),Engineering Physics-I-(58652),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Professional Communication and Ethics- I-(FEC206),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Chemistry-II-(FEC203),Engineering Physics-I (TW)-(FEL101),Engineering
Chemistry-I-(58655),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering
Physics-II (TW)-(FEL201),Basic Workshop Practice-I-(FEL105),Engineering Graphics-(FEC204),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mathematics-I-
(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Statement of Marks of Std 10th. Statement of Marks of AIEEE /Certificate of AIEEE.
Birth Certificate. Father¶s Income certificate from Tahsildar.
Original Migration Certificate. Original Passing Certificate of last qualifying exam.
Original Statement of Marks for std. 12th. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of CET/Certificate of CET. Passing Certificate of Std 10th.
Statement of Marks of AIEEE/Certificate of AIEEE. Leaving Certificate.
Domicile Certificate.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: BHAGCHANDANI ROSHAN


DEEPAK

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 500.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 0.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695970 Total Fee received Rs. 700.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3706990
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: NAIR RAGHAV SHIVKUMAR Mother's Name: UMA
Name as printed on Mark Sheet: NAIR RAGHAV SHIVKUMAR | Father's Name: SHIVKUMAR
Gender: Male Date Of Birth: 02-06-2001 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: A 101 NG Galaxy Kanakia Mira Road (East) MUMBAI
CountryName:India City:MUMBAI Taluka:Thane District: Thane State:Maharashtra Pin:401107
Mobile No: 9004020697 EmailID: nairraghav14@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY May,2019 m077820
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),Engineering Mechanics-(58653),C
programming (TW/Orl)-(FEL204),Engineering Mathematics-I-(58651),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II Term Work-(FEC201 TW),Engineering
Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-
(58654),Engineering Physics-I-(58652),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering
Physics-I (TW)-(FEL101),Engineering Chemistry-I-(58655),Engineering Graphics (TW/Orl)-(FEL203),Professional
Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: NAIR RAGHAV SHIVKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695963 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3719714
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAMRAJ ANEESH SUNIL Mother's Name: ANITA
Name as printed on Mark Sheet: SHAMRAJ ANEESH SUNIL | Father's Name: SUNIL
Gender: Male Date Of Birth: 31-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-10/12 Best Nagar Goregaon
CountryName:India City:Mumbai Taluka:Boriwali District: Mumbai Suburban State:Maharashtra Pin:400104
Mobile No: 7045687387 EmailID: aneesh.shamraj@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M068744
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Basic Workshop
practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering
Chemistry-I-(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop
Practice-I-(FEL105),Engineering Mathematics-I Term Work-(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C
programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Mathematics-I-(58651),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mathematics-II
Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAMRAJ ANEESH SUNIL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695988 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3718293
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: JAISINGHANI DHAIWAT RAJKUMAR Mother's Name: JUHI
Name as printed on Mark Sheet: DHAIWAT RAJKUMAR JAISINGHANI | Father's Name: RAJKUMAR
Gender: Male Date Of Birth: 09-11-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 7-C BADRINATH ANUSHAKTI NAGAR, DAE QUARTERS
CountryName:India City:MUMBAI Taluka:Kurla District: Mumbai Suburban State:Maharashtra Pin:400094
Mobile No: 9422674962 EmailID: dhaiwatrj@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M061022 711968
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Engineering Mathematics-II Term Work-(FEC201 TW),Engineering Mechanics (TW/ORL)-(FEL103),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-
(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Basic Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-
(FEL101),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Mathematics-I Term Work-
(58651 TW),Engineering Chemistry-I (TW)-(FEL102),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Original Statement of Marks for std. 12th.
School/College Leaving Certificate. Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: JAISINGHANI DHAIWAT


RAJKUMAR

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level E-Charges: 10.00
Contribution: 20.00 Contribution: 24.00
Student Welfare Fund NSS Registration Fees: National Service Scheme: Enrolment Fee: 200.00
Contribution: 6.00 10.00 Ekak Yojana: 10.00
eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693139 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3729725
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: GANSINGHANI DHRUV KANAYALAL Mother's Name: ROMA
Name as printed on Mark Sheet: GANSINGHANI DHRUV KANAYALAL | Father's Name: KANAYALAL
Gender: Male Date Of Birth: 08-05-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: 702, Suvidha Co-Op-Housing Society Bhatia Chowk Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 8855843150 EmailID: dhruv.gansinghani@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020460
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Engineering Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Basic
Workshop practice-II (TW)-(FEL206),Engineering Physics-I (TW)-(FEL101),Engineering Graphics (TW/Orl)-
(FEL203),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-
(FEL105),Engineering Chemistry-I-(58655),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-
(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Physics-II (TW)-(FEL201),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics-(58653),Engineering Mechanics (TW/ORL)-
(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional
Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),C
programming-(FEC205
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
School/College Leaving Certificate. Statement of Marks of Std. 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: GANSINGHANI DHRUV


KANAYALAL

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Fees: 0.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693164 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3744326
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: MULANI VANSH VINOD Mother's Name: PRERNA
Name as printed on Mark Sheet: MULANI VANSH VINOD | Father's Name: VINOD
Gender: Male Date Of Birth: 27-09-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Shiv Dham Apartment Bhatia Road Ulhasnagar
CountryName:India City:Ulhasnagar Taluka:Ulhasnagar District: Thane State:Maharashtra Pin:421005
Mobile No: 9511772211 EmailID: vanshmulani@yahoo.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY July,2020 M020502 705127
AND HIGHER SECONDARY EDUCATION
Papers Selected for Course Part
Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-(FEL102),Engineering Mathematics-I Term Work-(58651
TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-(58653),Engineering Physics-II (TW)-(FEL201),Engineering
Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering
Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-
(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II (TW)-(FEL202),C programming-(FEC205),Engineering
Physics-II-(FEC202),Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I-(58652),Engineering Physics-I
(TW)-(FEL101),Basic Workshop practice-II (TW)-(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-
(58655),Professional Communication and Ethics- I-(FEC206),Engineering Chemistry-II-(FEC203
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Domicile Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Statement of Marks of Std 10th. Father¶s Income certificate from Tahsildar.
Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: MULANI VANSH VINOD

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment
Ekak Yojana: 10.00 Fees: 0.00
Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Contribution: 20.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693105 Total Fee received Rs. 400.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3746359
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: KASLIWAL HARSH NITIN Mother's Name: VANDANA
Name as printed on Mark Sheet: KASLIWAL HARSH NITIN | Father's Name: NITIN
Gender: Male Date Of Birth: 18-02-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: Shree House Old Gas Agency Road Nutan Vasahat Ambad
CountryName:India City:Ambad Taluka:Ambad District: Jalna State:Maharashtra Pin:431204
Mobile No: 8698515006 EmailID: harshkasliwal53@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* CENTRAL BOARD OF SECONDARY EDUCATION July,2020 11654142
Papers Selected for Course Part
Engineering Physics-II (TW)-(FEL201),Engineering Graphics-(FEC204),Engineering Mathematics-II-(FEC201),Engineering
Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-I-(58651),Engineering Mathematics-II Term Work-(FEC201
TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-(58654),Engineering Chemistry-II
(TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering Physics-II-(FEC202),Basic Electrical
Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Passing Certificate of Std 12th / Statement of Marks of Leaving Certificate.
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Domicile Certificate. True copy of Migration Certificate.
Statement of Marks of Std 10th. Passing Certificate of Std. 12th/Statement of Marks of
std.12th.
Statement of CET/Certificate of CET.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: KASLIWAL HARSH NITIN

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
E-Charges: 10.00 Student Welfare Fund NSS Registration Fees: National Service Scheme:
Contribution: 6.00 10.00 Ekak Yojana: 10.00
Enrolment Fee: 0.00 eSuvidha Fee: 50.00 Eligibility Cum Enrolment Sports Contribution: 60.00
Fees: 500.00
Vice Chancellor's Fund Disaster Relief Fund: 10.00 Annual State Level
Contribution: 20.00 Contribution: 24.00
Admission Date: Eligibility Form Inward Date: Receipt No: 693276 Total Fee received Rs. 700.00/-(Including Eligibility
03-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>

For University (Eligibility Section) Use Only


All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->
Division : Roll No :

University of Mumbai , Mumbai


Eligibility/Enrollment/Registration Form for Academic Year: 2020-2021

Thadomal Shahani Engineering College[CollegeCode:238]


Course : B.E.(with Credits) - Regular - CBCS - Eligibility/Enrollment/Registration Form No: 164-574-2020-3747900
Computer Engineering - F.E. C-Scheme Sem I
[1T01831]

Personal Information:
Full Name: SHAIKH ADIL IMTIAZ Mother's Name: SULTANA
Name as printed on Mark Sheet: SHAIKH ADIL IMTIAZ | Father's Name: IMTIAZ
Gender: Male Date Of Birth: 03-04-2002 Category: Open Physically Handicapped: No Nationality: India
Address for Correspondance: B-6, FLAT NO 03, ARUNODAYA CHS KHIRA NAGAR, S.V. ROAD MUMBAI
CountryName:India City:MUMBAI Taluka:Andheri District: Mumbai Suburban State:Maharashtra Pin:400054
Mobile No: 9930024247 EmailID: adil786shaikh47@gmail.com
Educational Details: Last Qualifying Exam is 12th
Sr.No Name of Name of Examining Body Date of Seat Number Passing Certificate
Examination Passing Number
1 12th* MAHARASHTRA STATE BOARD OF SECONDARY February,2 M068614
AND HIGHER SECONDARY EDUCATION 020
Papers Selected for Course Part
Basic Electrical Engineering (TW/ORL)-(FEL104),Engineering Physics-I (TW)-(FEL101),Basic Workshop practice-II (TW)-
(FEL206),Engineering Graphics (TW/Orl)-(FEL203),Engineering Chemistry-I-(58655),Professional Communication and Ethics-
I-(FEC206),Engineering Chemistry-II-(FEC203),Basic Workshop Practice-I-(FEL105),Engineering Chemistry-I (TW)-
(FEL102),Engineering Mathematics-I Term Work-(58651 TW),C programming (TW/Orl)-(FEL204),Engineering Mechanics-
(58653),Engineering Physics-II (TW)-(FEL201),Engineering Mathematics-I-(58651),Engineering Graphics-
(FEC204),Engineering Mathematics-II-(FEC201),Engineering Mechanics (TW/ORL)-(FEL103),Engineering Mathematics-II
Term Work-(FEC201 TW),Professional Communication and Ethics- I (TW)-(FEL205),Basic Electrical Engineering-
(58654),Engineering Chemistry-II (TW)-(FEL202),Engineering Physics-I-(58652),C programming-(FEC205),Engineering
Physics-II-(FEC202
Note: * Marked Papers are claimed for exemption.
Attached Documents:
Leaving Certificate. Domicile Certificate.
Statement of Marks of Std 10th. Birth Certificate.
Domicile Certificate. Original Statement of Marks for std. 12th.
Passing Certificate of Std. 10th. School/College Leaving Certificate.
Statement of CET/Certificate of CET. Passing Certificate of Std 12th / Statement of Marks of
Std 12th OR Original Passing Certificate /Statement of
Marks of Last Qualifying Exam like degree,diploma,etc.
Passing Certificate of Std 10th.
Declaration: I hereby declare that, I have verified this printed form and made necessary corrections by hand. I have carefully read the rules and
I undertake to abide by them.I will be responsible for any discrepancy, arising out of the form signed by me and I undertake that, in absence of
any document the final eligibility will not be granted and admission will stand cancel.
Place: Date: Please sign strickly inside the box ->

Specimen Signature: Name: SHAIKH ADIL IMTIAZ

For College/Institute Use Only


Declaration by Principal :This form is carefully scruitinized by College/Institute staff and by me. The information printed in the form is correct to
the best of my knowledge. I also undertake the responsibility of fulfillment/rectification of the information.
Fee Details:
Eligibility Cum Enrolment Sports Contribution: 60.00 Vice Chancellor's Fund Disaster Relief Fund: 10.00
Fees: 0.00 Contribution: 20.00
Annual State Level E-Charges: 10.00 Student Welfare Fund NSS Registration Fees:
Contribution: 24.00 Contribution: 6.00 10.00
National Service Scheme: Enrolment Fee: 200.00 eSuvidha Fee: 50.00
Ekak Yojana: 10.00
Admission Date: Eligibility Form Inward Date: Receipt No: 695985 Total Fee received Rs. 400.00/-(Including Eligibility
04-03-2021 Fee)
Sign of College Staff -> Seal of College/Institute- Sign of Principal ->
>
For University (Eligibility Section) Use Only
All documents and records are verified. Student is eligible / not eligible. PRN is generated / Not PRN:
generated.
Sign of eligibility Sign of Asstt./Dy.Registrar
officer ->

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