18/10/2022, 00:44 State Common Entrance Test Cell, Maharashtra State, Mumbai

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL

8th Floor, New Excelsior Building,Mumbai–400001.(M.S.).

Printable Application Form for Admission to Direct Second Year of Four

Year Degree Courses in Engineering & Technology for the AY 2022-2023
Mode of Application : Diploma Application ID : DSE22140443 Version : 1

Personal Details
Full Name SANDESH PURUSHOTTAM MESHRAM

Gender Male Date of Birth 20-01-1999

Candidate Category OPEN Religion Hindu

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

Nationality Indian PWD Type N.A.

Defence Type N.A. Orphan NO

Economically Weaker Section(EWS) NO

Type of Candidature Maharashtra State Candidate - Type A

Religious Minority / Linguistic

N.A.
Minority
District from which candidate has passed S.S.C.(Std. X)/Equivalent Examination Nagpur
District from which candidate has Passed Diploma Nagpur
Diploma Details
Diploma Status Passed Enrollment No 1917060181

Course Electrical Engineering Diploma Passing Year 2021

Institute Type MSBTE Affiliated

Institute Name Vidharbha Bahu uddeshiya Shikshan Sanstha's Abha Gaikwad – Patil College of Engineering, Nagpur

English Medium Yes Pattern : Semester Diploma Final Semester Seat No. 284806
Qualification Details
Examination Marks Obtained Marks Out Of Percentage
Diploma Final Year Aggregate Marks 1369 1800 76.06
10th/S.S.C. Aggregate 311 500 62.20
10th/S.S.C. Mathematics 43 100 43.00
10th/S.S.C. Science 45 100 45.00

10th/S.S.C. English 53 100 53.00

Payment Details
Payment Date : 18-10-2022 Transaction ID/Bank Ref. NO. : order_KUwtNbEoc4lvhX Amount( ) : 800 /-
Sr. No. List of Documents Required at the time of verification at FC.
1 Statement of marks obtained at 10th/SSC or its Equivalent Examination
2 Statement of marks obtained at the Diploma Examination for each attempt in Final Year/Semesters.
3 Birth Certificate of the Candidate indicating the place of birth in India.
4 Birth Certificate of the Candidate indicating the place of birth in Maharashtra.
Note:- Please verify your original documents at nearest FC & collect receipt cum acknowledgment of confirmation,Else you are not eligible for
further CAP Process.
Declaration:  I have read all the rules of admission & information brochure for UG Courses 2022 and on understanding these Rules, I have filled this Application Form for
consideration of submission of Application Form at FC for the admission to Direct Second Year of Four Year Degree Courses in Engineering & Technology for the academic Year
2022 - 2023. The information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong information
and/or submitted false certificate(s), I am aware that my admission stands cancelled and fees paid by me will be forfeited. Further I will be subject to legal and/or penal action as
per the provisions of the law.

Date : 18-10-2022

Place :   Signature of the Candidate
Last modified by :

Printed By : DSE22140443 (SANDESH PURUSHOTTAM MESHRAM)

Last modified on : 18-10-2022 12:40:01 AM

Printed On : 18-10-2022 12:40:27 AM

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Current IP Address:
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