41822, 1119 AM State Common Entrance Test Cell, Goverment of Maharashtra [Online Registration For Application Form| MAH-MCA CET-2022 GoveRNMENT OF MAHARASHTRA State CoMMON ENTRANCE TesT CELL, MAHARASHTRA STATE Bth Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbal-400001. (M.S.) Application Form for Online Registration For MAH-MCA CET-2022 A pplication No. : 224038285 Version No: 1 [Personal Details (Candidate's Full Name[PARAB VATBHAV CHARUDATTA Marital Stan lunmarrieg Date of sitnfoa/oa/1998 elgion|aingw Region|Urban i WAR-HCA CETAppiication Fee Paid (¢)[20007— [Permanent Address [Address for Correspondence ‘Aaaress Line 1]613, Shree Ganesh Society building no.2, ‘Aaaress Line 11613, Shree Ganesh Society building ne.2, ‘Aasress Line 3] Agsress ine 3) State| Maharashtra Diatriey Mumbai Suburban ‘State|Maharashtra | Oitrc]Mumbal Suburban ‘ilage|Kandivall faluka[Boriwali ‘ilage FIN Code|400067 FIN code|400067 [Domicile and Category Detalls Category Wish to Apply for EWS (Economicaly Weaker Seaton) Seats 7 re you Person With Disability 7] [Qualification Details [Graduation / Equivalent Details ‘Graduation Statue[Paseed ‘Graduation Passing Yeor]2020 (1012) te Have you Stualed/ Appearing Wathematic a5 ofe of the subjects af aguave level examination “Graduation Marks Typel€GPA ‘outor 10,00 State for MAR-MOR Exam Center at Preference Number 2|Mumbal City Exar Center at Preference Number [Thane IDocument Uploaded: Sr. No. 1__[Radhaar Card [Declaration : htps:meacet2022.mahacelorg/CandidateModulfmPrintApplicaionForm41822, 1119. ‘State Common Entrance Test Cell, Goverment of Maharashtra IL PARAS VAIBHAV CHARUDATTA have downloaded the Information Brochure of MAH-MCA CET-2022 and have read all the rules for] Jaopesring the CET and on understanding these Rules, { have led this Application Farm for appearing to MAH-MCA CET-2022 for the Academic Yea 1202225. This information given by me in this application is true to the dest of my Knowledge & belt If st later stage, i found that T have furnished wrong Informatation and/or submited false certificate(s), 1 am aware that my admission stands cancelled and fees paid by me will bl lorfeuec. Further I willbe subject to legal ana/or penal action as ber the provisions of the aw. bate : 18/04/2022 lest weaved by = 224038265, 206.64.224.10% lest Modiied On : 18/04/2022 11:18:26 AM lpinted Gn: 48/04/2022 14:39:20 AM ‘Signature of Applicant PARAB VAIBHAV CHARUDATTA) htps:meacet2022.mahacel.org/CandidateModulafmPrintApplicaionForm 22