12/2/21, 3:20 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 SHUBHAM RAVSAHEB LANDGE
Application ID MB21128556 Version 2
DOB (DD/MM/YYYY) 20/05/2000 Gender Male
Maharashtra State Candidate - Type Savitribai Phule Pune
Type of Candidature Home University
A University
Category for
OPEN PwD Type N.A.
Admission
Religious Minority Linguistic Minority
N.A. N.A.
Type Type
EWS Status N.A. Orphan Status N.A.
TFWS Status N.A.
Merit Status
All India General Merit No : 44287 State Level General Merit No : 42007
Option/Preferences given by the Candidate
Pref Pref Pref Pref
Choice Code Choice Code Choice Code Choice Code Pref
No. No. No. No. Choice Code
No.
1 615810110 3 610410110 5 683610110 7 616610110
9 611010110
2 620710110 4 613310110 6 616510110 8 616810110

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 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 institute 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 -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
(SHUBHAM RAVSAHEB LANDGE)

https://mba21cap.mahacet.org.in/cetmba21/mba21/index.php/OptionController/optionPrintV?round=1 1/2
12/2/21, 3:20 PM State Common Entrance Test Cell, Maharashtra State, Mumbai

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 03:17:14 PM
Confirmed on : 02-12-2021 03:19:10 PM
Printed on : 02-12-2021 03:19:23 PM Commissioner & Competent Authority
Last modified by STATE CET CELL ,Mumbai,
: MB21128556
Confirmed By : MB21128556
Printed By : MB21128556
IP Address : 59.94.214.164
This is a computer generated receipt. Do not require a signature.

https://mba21cap.mahacet.org.in/cetmba21/mba21/index.php/OptionController/optionPrintV?round=1 2/2