12/2/21, 12:19 PM State Common Entrance Test Cell, Maharashtra State, Mumbai

State Common Entrance Test Cell, Maharashtra State, Mumbai

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

Receipt-cum-Acknowledgement of Option/Preference Form For CAP Round I

for Admission to First Year Post Graduate Technical Courses in Management
Admissions (MBA/MMS) for the year 2021 - 2022
Personal Details
Full Name SHAH RUSHABH KETAN
Application ID MB21155440 Version 1
DOB (DD/MM/YYYY) 27/11/1998 Gender Male
Type of Candidature Maharashtra State Candidate - Type A Home University Mumbai University
Category for Admission OPEN PwD Type N.A.
Religious Minority Type Religious Minority - Jain Linguistic Minority Type N.A.
EWS Status N.A. Orphan Status N.A.
TFWS Status YES
Merit Status
All India General Merit No : 21309 State Level General Merit No : 19839
Option/Preferences given by the Candidate
Pref Choice
Course Name Institute Name SL/HU/OHU
No. Code
Vighnaharata Trust's Shivajirao S. Jondhale College of Engineering & Technology,
1 321710210 M. M. S. HU
Shahapur, Asangaon, Dist Thane
SL => State Level, HU => Home University, OHU => Other than Home University

1) The SC, ST, VJ/DT- NT(A), NT(B), NT(C), NT(D), OBC, SBC and EWS Candidates who submitted receipt of Caste/Tribe Validity Certificate, Non Creamy
Layer Certificate, EWS Certificate during physical document verification or the E- document verification and confirmation period should scan and submit
Caste/ Tribe Validity Certificate, Non Creamy Layer Certificate, EWS Certificate at the time of payment of seat acceptance fee by self-confirmation in
online mode and submit original certificate at Allotted on or before last date of institute reporting of cap round 1 otherwise these candidates shall be
considered as Open category candidates for next round provided candidate full fill eligibility criteria for open category and their allotment for CAP
Round - 1, if any, shall be cancelled.

2) The Option Form for CAP Round I shall be considered subject to fulfilment of other eligibility conditions.

3) If a candidate is allotted the seat as per his first preference, such allotment shall be auto freezed and the candidate shall accept the allotment so
made. Such candidate shall then be not eligible for participation in the subsequent CAP rounds. Such candidates shall then do the payment of seat
acceptance fee from their login and hereafter such candidates shall report to the allotted institute and seek admission on the allotted seat. If such
candidate fail to pay seat acceptance fee from their login, their claim on the allotted seat shall stand forfeited automatically and the seat shall become
available for fresh allotment. For such candidate, the allotment so made shall be the final allotment

Declaration
I have read all the rules of admission and on understanding these Rules, I have filled and Confirmed the Online Option/Preference Form of CAP Round I for the
admission to First Year Post Graduate Technical Courses in Management Admissions (MBA/MMS) for the Academic Year 2021-22.
The information given by me in this Option/Preference form is true to the best of my knowledge & belief. I am fully aware that I will be responsible for any further
consequences arises due to my mistake.
I also herewith undertake that, at later stage, if it is found that I have submitted false certificate(s)/document(s), I am aware that my admission stands cancelled and
fees paid by me will be forfeited. Further I will be subjected to legal and/or penal action as per the provisions of the law.

Signature of the Candidate

Date : 02-12-2021
(SHAH RUSHABH KETAN)

The Option/Preference Form for CAP Round I for Admission to First Year Post Graduate Technical Courses in Management Admissions (MBA/MMS) for
the Academic Year 2021-22 is confirmed as per the choices given above. We hereby acknowledge the confirmed Option/Preference Form.
Last modified on : 02-12-2021 12:17:50 PM
Confirmed on : 02-12-2021 12:18:45 PM
Printed on : 02-12-2021 12:18:54 PM Commissioner & Competent Authority
STATE CET CELL ,Mumbai,
Last modified by : MB21155440

Confirmed By : MB21155440
Printed By : MB21155440
IP Address : 103.70.159.71

https://mba21cap.mahacet.org.in/cetmba21/mba21/index.php/OptionController/optionPrintVerCourse?round=1&id=MTU1NDQw 1/1