C-CAT January 2024

Application Form

Personal Information
Name: RENUKA AVINASH ARBAT Form No : 231206010

Father's Name : AVINASH DOB : 21/06/2000

Email Id : arbatrenuka64@gmail.com Gender : Female

Mobile No : 07020964013 Nationality : Indian

Category : OBC Batch : March 2024

Correspondence Address : Rokadiyanagar Pavangiri vasahat shegaon

State : MAHARASHTRA City : Buldhana

Pincode : 444203

Qualification Information

Degree Name: Bachelor of Engineering (10+2+4 or 10+3+3 years)

Degree Specialization: Electronics

University: Shivaji University Year of passing: 2020

Percentage: 74.83 %

Category Selected
Eligible Courses (based on information provided in qualification section)
Category 1 (Section A) : PG-DGi

Category 2 (Section A+B) : PG-DAC,PG-DMC,PG-DITISS,PG-DAI,PG-DRAT,PG-DFBD,PG-DASSD,PG-DCSF,PG-

DBDA,PG-DIoT,PG-DUASP,PG-DHPCSA
Category 3 (Section A+B+C) : NA

Note :

1. Course eligibility shown is based on the qualification details provided at time of filling the admission form .Candidate
must provide correct and best matching options to view applicable courses and categories .Candidate's eligibility to the
course finally opted and allocated during counselling will be verified against documentary proofs.
 C-CAT January 2024
Application Form

2. 'Appearing' in 'Year of Passing' indicates candidate is waiting for the final qualifying degree result. The average
percentage of all semesters is indicated in 'Percentage' in such case.Candidate must meet degree certificate
submission deadline as provided in Admission Booklet.

3. Candidates should ensure that they meet the eligibility criteria of the courses for which they are applying. It shall be
incumbent upon candidates to prove they meet the prescribed eligibility criteria at the time of taking admission at
allocated centre. Issuance of Admit Card and/or C-CAT rank does not automatically entitle a candidate to admission. In
case a candidate is found to be non-eligible during any stage of the admission process or course delivery, his/her
admission will be cancelled with immediate effect.

4. I declare that the above mentioned information is correct. I also declare that I have read the Admission Booklet, and will
abide by provisions and directions given in it.