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 for Admission to First Year
Of Two Year Full Time Post-Graduate Course In Pharmacy
(M. Pharmacy / Pharm. D. (Post Baccalaureate) ) for the
year 2020 - 2021
Application ID : MPH20105192 Version :2
Sponsorship Status : Non Sponsored

GPAT Details
GPAT Status : GPAT Candidate GPAT Roll No :MR05200622
GPAT Score :75 GPAT Rank :17130
Personal Details
Full Name BONDAR JEEVAN DATTATRAY
Gender Male Date of Birth 19/06/1996
Nationality Indian Religion Hindu
Annual Family 50,001 -
Mother Tongue Marathi Income ( ) 1,00,000
Type of Candidature Maharashtra State Candidate - Type A
Home University Shivaji University
SC Confirmed
Candidate Filled Category NT 3 (NT-D) NT 3 (NT-D)
Category
SC Confirmed
Person with
Person with Disability (PwD) Type N.A. N.A.
Disability
(PwD) Type
SC Confirmed
Religious Minority N.A Religious N.A
Minority
SC Confirmed
Linguistic Minority N.A Linguistic N.A
Minority
SC Confirmed
Orphan NO NO
Orphan
SC Confirmed
Economically
Economically Weaker Section (EWS) Type NO Weaker NO
Section (EWS)
Type
Select the District from which Candidate has passed H.S.C.(Std. XII)/ Equivalent Examination Osmanabad
Select District from which Candidate has Passed / Appearing for Graduation Kolhapur
Payment Details
Payment Status Successful
pay_GFZpllYej1b16T(₹ Application Fees Paid (Rs.) ₹ 800/-
Bank Reference ID
800)
B.Pharmacy Details
B. Pharmacy Status Passed B. Pharmacy University Shivaji University
Qualification Details
 Examination Marks Obtained Marks Out Of Percentage
B.Pharmacy Aggregate 1136 2000 56.8
12th/H.S.C. Aggregate 438 650 67.38
10th/S.S.C. Aggregate 436 500 87.2
10th/S.S.C. Mathematics 88 150 58.67
10th/S.S.C. Science 88 100 88
10th/S.S.C. English 80 100 80
Note:Passed Bachelor’s Degree in Pharmacy from any All India Council for Technical Education or
Pharmacy Council of India or Central or State Government approved institution, with at least 54.50%
marks (at least 49.50% marks in case of Backward Class category, Economically weaker section and
Persons with Disability Candidates belonging to Maharashtra State only); Refer eligibility criteria page 13
into Information Brochure.
Status of Caste / Tribe Validity Certificate Available
Status of Non-Creamy Layer Certificate Available
Sr.
List of Submitted Documents at the time of verification at SC
No.
1 Statement of marks obtained at 10th/SSC or its Equivalent Examination                  
2 Statement of marks obtained at 12th/HSC or its Equivalent Examination.                  
3 School Leaving Certificate after passing Qualifying Examination.                  
4 Certificate of the Indian Nationality of the candidate                  
Caste Certificate stating that the caste is recognised under backward class category in
5
Maharashtra                  
6 Caste / Tribe Validity Certificate issued by Caste / Tribe Certificate Scrutiny Committee                  
7 Non-Creamy Layer Certificate valid upto 31st March 2021                   NCL Valid Year : 2022
8 The School Leaving Certificate indicating the Place Of Birth In Maharashtra                  
9 Valid GPAT Score card                  
10 B. Pharm. Degree Marklist                  

SC Officer Remark : Verified

Declaration: I have read all the rules of admission and on understanding these Rules, I have filled this
Application Form for consideration of submission of Application Form at SC for the admission to First Year
Of Two Year Full Time Post-Graduate Course In Pharmacy (M. Pharmacy / Pharm. D. (Post Baccalaureate) )
for the academic Year 2020 - 2021. 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 : 27-01-2021  
Signature of the Candidate
Place :
(BONDAR JEEVAN DATTATRAY)

Created IP Address: Last Modified IP Address:

Current IP Address: 157.33.200.54
152.57.120.227 152.57.120.227
Confirmed On: 21-12-2020 Printed On: 27-01-2021 Printed By:
Confirmed By: SC3242
11:23:10 AM 10:55:30 AM MPH20105192

SC USE ONLY
 
Last modified on: : 21-
12-2020 11:08:27 Last modified by: :MPH20105192 Seal of SC3242 Signature of SC3242
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