Fill here Exam Center Details

Select Month Of Exam November

Name of Co-ordinator Narayan Dabhadkar
Designation Coordinator
Email ID 26210004@mkcl.org
Exam Center Code 26210004
Exam Center Name Saksham Computers
Exam Center City Jalna
Exam Center District Jalna
Exam Center Address
Line 1 Udhan Complex, Near Datta Mandir,
Line 2 Mastgadh, Gandhi Chaman, Old Jalna, Jalna 431203
Short Address Udhan Complex, Near Datta Mandir,Mastgadh, Gandhi Chaman, Old Jalna, Jalna 431203
Phone Number 9422721401
Mobile Number 9423457875
Exam Start Date 13-December-2022
Exam End Date 13-December-2022
Count of Holidays (if Any) 0
Days of Examination 1
Particulars Regular Handicapped
Allotted Candidates 35 0
Appeared Candidates 34 0
Passed Candidates 32 0
Failed Candidates 2 0
Absent Candidates 1 0

Controller Details
Name of Controller Dipali Madhukarrao Chipade
Institute of Controller Yash Computers
Center Code of Controller 26210064
Designation Faculty
Address Line 2 Azad Maidan Complex,
Address Line 3 New Jalna,
City Jalna-431203
Distance in KM 5
Fare by Bus 100
Short Address Azad Maidan Complex,New Jalna
Telephone Number -
Mobile number 9527206060
Email Address 26210064@mkcl.org
Qualification BSC
MSBTE ORDER NUMBER MSBTE.ROA/D70/MSCIT/2022/1165
MSBTE ORDER DATE 09-December-2022
 MS-CIT Exam November 2022
REGION - AURANGABAD
Sr No CENTER_DISTRICT CENTER_CODE CENTER_NAME CENTER_CITY

564 JALNA 26210004 SAKSHAM COMPUTERS JALNA

 Maharashtra State Board of Technical Education, R.O.
Govt. Polytechnic Campus, Osmanpura, Aurangabad-431005.
É0240-2331273,2334025 & 2349669 Fax 2331273
Email – rbteau@msbte.com

RECEIPT OF MSCIT-EXAM DATA November 2022

Name of Data Submission Representative Narayan Dabhadkar

Exam Center Name Saksham Computers

Exam Center City Jalna Dist. Jalna

Exam Center code 26210004 Email ID 26210004@mkcl.org

On date: Data Checked Data Scanned

MS-CIT Online Exam DVD

Backup CD/DVD
1) Day wise Report (Generated in software) 2) Final List of Controller
3) Proforma for Controller 4) Proforma for Co-ordinator
5) Feedback form of Controller 6) Surrender certificate
7) Reschedule Report (If Any) 8) Reallocate Report (If Any)
9) Slot wise Attendance 10) Attendance Report
Appeared Passed Candidates Absent
Allotted Candidates Candidates Hard Copy Soft copy Failed Candidates Candidates
Lab-1-- 35 34 32 32 2 1
Lab-2--
Handicap-- 0 0 0 0 0 0
Exam Center Bill:- Controller Bill:- Vigilance Bill:-

9) Note :-

Sign. Of Data Sign of MSBTE Representative

Submission Representative RBTE Aurangabad
[Name & Contact No. ]
Narayan Dabhadkar
9423457875
 Final List of Controllers MSCIT Exam November 2022
(To be submitted after the last day of exam along with backup)

Name of the Exam Center:- Saksham Computers

Exam Center City:- Jalna Dist. Jalna

Exam Center Code:- 26210004

Instt./Center Of
Sr. No. Name of Controller Controller & Contact Date From – To Sign of Controller
No.
13-December-2022
Dipali Madhukarrao Yash Computers
1 TO
Chipade 26210064
13-December-2022

Name & Sign of Co-ordinator Sign of Instt. Head &Stamp

Narayan Dabhadkar
 Proforma for Local Exam Controller

(MSCIT Exam November 2022)

Name of the controller: Dipali Madhukarrao Chipade

Instt And Designation: Yash Computers

Faculty
Controllers Name & Address: Dipali Madhukarrao Chipade
Yash Computers
Azad Maidan Complex,
New Jalna,

Telephone No. -

Mobile No. 9527206060

Email Address 26210064@mkcl.org

Given Exam Center Code: 26210004

Name of Exam Center: Saksham Computers

Address of Exam Center: Udhan Complex, Near Datta Mandir,Mastgadh, Gandhi Chaman, Old

Duration of Controller at Exam Center: 1 days

Controller Qualification: BSC

From Date: 13-December-2022 To Date 13-December-2022

Name & Signature of Controller

Dipali Madhukarrao Chipade
 Proforma for Local Exam Co-ordinator

(MSCIT Exam November 2022)

Name of the co-ordinator: Narayan Dabhadkar

Instt And Designation: Saksham Computers

Coordinator

Co-ordinator Name & Address: Narayan Dabhadkar

Saksham Computers
Udhan Complex, Near Datta Mandir,
Mastgadh, Gandhi Chaman, Old Jalna, Jalna 431203

Telephone No. 9422721401

Mobile No. 9423457875

Email Address 26210004@mkcl.org

Given Exam Center Code: 26210004

Name of Exam Center: Saksham Computers

Address of Exam Center: Udhan Complex, Near Datta Mandir,Mastgadh, Gandhi C

Duration of Co-ordinator at Exam Center: 1 days

From Date: 13-December-2022 To Date 13-December-2022

Name & Signature of Co-ordinator

NARAYAN DABHADKAR
 Confidential :

Feedback form for local controller of examination-MSCIT EXAM November 2022

Name of the controller: Dipali Madhukarrao Chipade

Exam Center Code: 26210004

Exam Center Name : Saksham Computers

Address of the Exam Center: Saksham Computers

Udhan Complex, Near Datta Mandir,
Mastgadh, Gandhi Chaman, Old Jalna, Jalna 431203

Period of Examination : 13-December-2022 TO 13-December-2022

Local Controller of Examination for MSCIT are hereby request to fill this information and handover to
the concerned regional Board of Technical Education Office after the examination is completely
over. Your feedback will guide us to improve the examination atmosphere as well as other
facilities at Examination Centers. Please (./ ) in appropriate box.

Sr. No. Particulars Yes No

Does the Exam Center is having the specified number of Computers ?

1 Yes
If ‘No’ then how many ?

Does the Exam Center is having telephone connection, internet

2 Yes
connection

3 Whether the UPS is provided to the server ? If yes then Secify the Yes
backup time.

Does the Exam Center is having the diesel generation set in Case of
4 Yes
power failure any other alternate power supply?

5 Is the power failure ? If ‘Yes’ specify the number of times in a day. No

Is the toilet facility available at Exam Center for Gents and Ladies
6 Yes
candidates separately?

7 Did you get the adaequate support from the Exam Center? Yes

Any other issue not covered above ----- NO------

Signature of Local Controller of Examination
Dipali Madhukarrao Chipade
 FORM:02
MAHARASHTRA STATE BARD OF TECHNICAL EDUCATION, MUMBAI

FORMAT OF DUTY CERTIFICATE

This is to certify that Mr. / Mrs. / Miss Dipali Madhukarrao Chipade

Designation Faculty of Institute Yash Computers

Institute Code No. 26210064 have attended this office in respect of MSBTE as

per MSBTE/RBTE/POLYTECHNIC Office Order No. MSBTE.ROA/D70/MSCIT/2022/1165

Dated 09-December-2022 and worked as LOCAL EXAM CONTROLLER

From (Time): 10.00 A. M. of Date: 13-December-2022

To (Time): 6.00 P. M. of Date: 13-December-2022

Place : Jalna

Date : 13-December-2022
Signature of Competent Authority
For 26210004 - Saksham Computers, Jalna
Seal of Office

This format shall be used for claiming Incidental Charges & Travelling Allowance.

Name Of Controller Dipali Madhukarrao Chipade ( Yash Computers )

Name Of Bank State Bank of India
Account Number 32247023521
Bank IFSC Code SBIN0007150
Mobile Number 9527206060
Address Azad Maidan Complex,New Jalna

Signature Of Controller
 FORM: 03 Order Sr. No: 564
MAHARASHTRA STATE BOARD OF TECHNICAL EDUCATION,MUMBAI
BILL FOR REMUNERATION ( OTHER THAN EXAMINER’S BILL )
REFERENCES: 1) MSBTE OFFICE ORDER NO. D-10/99/6/39 DATED 07/08/1999
2) MSBTE OFFICE LETTER NO. D-50/CLARI. REMU/99/9816 DATED 28/12/1999
3) MSBTE/D-10/MANDHAN/2000/131 DATED 18/10/2000
4) MSBTE/D-70/MSCIT REVISED RATES/ 2017 / 8601 DATED 21/03/2017
Name of Officer : Dipali Madhukarrao Chipade

Institute Code No. and Name of Institute: 26210064 Yash Computers

Detail Correspondence Address (for DD Dispatch) : Yash Computers

Azad Maidan Complex,New Jalna

Nature of Work / Duty performed: LOCAL EXAM CONTROLLER

MSBTE / Polytechnic Order No. and Date : MSBTE.ROA/D70/MSCIT/2022/1165 Dated 12/9/2022

(Enclose copy of order)
Sr. No. Dates of Duty / Work No. of Times Duty / work Rate of Remuneration Total No. of Amount Rs.
Performed Performed Days
12/13/2022
1 TO 1 250 1 250
12/13/2022

Amount in words :Rs. Two Hundred Fifty Only

Certified that the above duty / work performed by me as per Maharashtra State Board of Technical Education’s norms
and the amount claimed is as per the rates approved. I have submitted report of duty / work performed MSBTE / RBTE
Mumbai / Pune / Aurangabad, on Date / /
Certified that I have not claimed this remuneration here before (Attach copy of Receipt issued by MSBTE / RBTE)

This bill has not been drawn paid previously.

Signature of Claimant
FOR OFFICE USE ONLY

Verified and Recommended for payment of Rs.

Signature of Principal / Deputy Secretary

Entry has been taken in Register No. Page No. At S. No.

This bill has not been drawn paid previously.

Passed for payment of Rs. (Rs.

The expenditure is charged to Head of Accountant

Clerk Assist. Secretary Dy. Secretary

*Received Payment in Cash Rs. Signature of Claimant

*Applicable when paid in cash by Voucher of MSBTE / RBTE Office.
 M. S. BOARD OF TECHNICAL EDUCATION, REGIONAL OFFICE, AURANGABAD
T. A. BILL FORM

Bill No. Voucher No Month

Date Date
Name Dipali Madhukarrao Chipade Designation Faculty Basic Pay
Address Yash Computers Azad Maidan Complex,New Jalna
Office Order No.&Date MSBTE.ROA/D70/MSCIT/2022/1165 DATED 09-12-2022
Reason for Travel MSCIT EXAM – November 2022 BATCH

Details of Travel & Stay Mode of

Travel Ticket No. if
Bus/Rail/Pvt. Total Distance Travelled by 1st Fare in Rs.
Departure Arrival Vehicle, Taxi, in K.M. Class / AC
Scooter, Plane Taxi etc
Airplane etc
Departure
Date Place Time Date Place Arrival Time

12/13/2022 Jalna-431203 07.00 A.M. 12/13/2022 Jalna 10.00 A.M. Pvt Vehicle 5 100

12/13/2022 Jalna 06.00 P.M. 12/13/2022 Jalna-431203 8.00 P.M. Pvt Vehicle 5 100

Daily Allowance for total duty period @ Rs. 250 for 1 days. 250
Difference in Daily Allowance at special rate if applicable @ Rs. For days.

Total (in words) Rs. EIGHT HUNDRED THIRTY RUPEES ONLY/- 450
Certified that 1) I have not taken any advance towards this travelling. Amount of Bill Rs. :-
2) I have not claimed the bill from other organization.

3) All the claims shown are correct to the best of my knowledge. Budget Provision 20 -20 :-

Signature of Applicant Expnd. Incurred including this bill :-

Passed for payments & cashier to pay Rs.

(in words) Rs. Clerk Suptd.

Checked & found correct, recommended for payment

Clerk / N. A. H.C./Suptd. A/C Officer Dy. Secretary A/C Officer

Audit Audit Received by Cash / Cheque :-

Revenue Stamp & applicant Signature