3122728, 10:52PM State Common Entrance Test Cel, Government of Maharashira [Online Registration For MHT-CET-2023 GoveRNMENT O g 1 MAHARASHTRA State Common Entrance Test CeLt, MAHARASHTRA STATE ‘th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbal-800003. (M.S.) ‘Application Form for Online Registration For MHT-CET=2023 IPersonal Details Application No. : 231312909 Version No : 1 (Candidate's Full Name|SAURABH RAJBHAR Date of sith|18/11/2004 Relgion|winaw Region|Rural other Tongue|Hindi Nationatlyfindian nae Soarehh MHT-CET-2089 Roplcation Fee Paid ()/8007= lPermanent Address ‘adress Une i] Makkhapy StaielUttar Pradesh Distr azamaarh TalukalNot Apr cable Vilage|Not Applicable PIN Cone|223225 |Address for Correspondence ‘crass Une W]makkhapy Stoieluttar Pradesh Distr azamaarh TalukalNot Applicable Vilage|Not Applicable FIN Cose|223225 alephone Nol- [Domicile and Category Details ‘Are you Darnieed In the State of Maharaantray|Ne [qualification Details ISSC / Equivalent Detail Hove you passed SSC or Fauivalent Fram from Indla7/Ne 'SSC/Eauivalent Board [central Board of Secondary Education, Delhi ‘SeTEauivalent Passing Year| lz020 INot Appricabie Distt From Whieh you Passed SSC/Equlvatent| INot Applicabie Schoo! Name of SSc/Equivalet IHSC-7 Equivalent Details re you Aopearing [Appeared ith (HSC) exam in 2023] isc/Eauvalent Board [central Board of Secondary Education, Delhi TSG Passing Year State Where your 1AT(HSE)College is Situated District Where your 12tN(HSC)College Is Situated Taluke Where your 12M (HSC) Collage is Skuse] INot Applicabie HSC School/Callege Name] [ASHRAFIA CONVENT SCHOOL IMT-CeT-2025 Examination Details ‘Subject Group for WHT-CET- 2025] PCH (Physics, Chemistry and Mathematics) htpssmhteet2028,mahacetorg/CandidateModuleemPrintApplicatonForm3122728, 10:52PM State Common Entrance Test Gel, Government of Maharashira ‘anguage for the Question Paper English cae WHT-CET=2022 Examination Center|Uttar Pradesh lDocument Uploaded. SF. No. Document Name 1 iadhaar Card Declaration 1 agree to the following conditions Ithave gone through the information Brochure and understand the eligibility ané qualfying enter [re lnrarmation ited by me is true tothe Be [Mungerstand 1 willbe lable for penal action for submiting incorrect information, of my krowleage lbote : 22/03/2023 lst modiied On : 22/03/2023 10:51:56 PM ed On : 22/03/2023 103 212 PM Saurobh Sobhor. ‘Signature of Applicant (SAURASH RAJBHAR) htpssmhtest2028 mance 1org/CandidateModulefemPrintApplicationForm 22.