First Year Degree in Engineering/Technology Admissions 2024-25 Application Form
GOVERNMENTOFMAHARASHTRA
STATECOMMONENTRANCETESTCELL,MAHARASHTRASTATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)
Application Form for Admission to First Year Under Graduate Technical Courses in
Engineering and Technology (4 Years) & Master of Engineering and Technology (Integrated
5 Years) Admissions A.Y. 2024-25
Application ID : EN24176284 Version No : 4
Alloted Scrutiny Center (e-SC) For e-Scrutiny SC9090 ,15/07/2024 7:41:38 PM
Personal Details
Candidate's Full Name CHAMBHARE AYUSH SHITAL
Father's Name SHITAL
Mother's Name RUPALI
Gender Male
Date of Birth 28/12/2005
Candidature Type Maharashtra - Type A
Home University Sant Gadge Baba Amravati University
Category OBC
Category for Admission OBC
Applied for EWS No
Person with Disability Not Applicable
Defence Type Not Applicable
Is Orphan Candidate No
Applied for TFWS Seats Yes
Minority Candidature Type No
District from which Candidate has Passed SSC Yavatmal
District from which Candidate has Passed HSC / Diploma in Engineering & Technology Yavatmal
Nationality Indian
MHT-CET Application Fee Paid ( Rs . ) 800/- Online Application Fee Paid ( Rs . ) 0/-
Qualification Details:-CHAMBHARE AYUSH SHITAL (Name As Per HSC Result)
Qualification Marks Obtained Marks OutOf Percentage
HSC Physics Marks 68.00 100.00 68.00
HSC Mathematics Marks 69.00 100.00 69.00
HSC Chemistry Marks 74.00 100.00 74.00
HSC Information Technology (97) Marks 82.00 100.00 82.00
HSC English Marks 61.00 100.00 61.00
HSC Aggregate Marks 436.00 600.00 72.67
SSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
SSC Passing Year 2022 SSC Seat Number H107218
Qualifying Exam HSC HSC Passing Status Passed
HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
HSC Passing Year 2024 HSC Seat Number V052362
MHT-CET 2024 PCM Details:- CHAMBHARE AYUSH SHITAL (Name As Per MHTCET Result)
Application Number 241408544 Roll No 2417026944
Physics 42.7488862 Chemistry 89.8363659
Mathematics 80.5179664 Total PCM 84.1570554
JEE (Main) 2024 Paper-1 NTA Score:-
Appeared for JEE No
MHT-CET 2024 PCB Details:-
Appeared for CET No
NEET 2024 Details :-
Appeared for NEET No
List of Documents Required at the time of Document Verification and Confirmation at Scrutiny Center
Sr. No. Document Name
1. Certificate of Indian Nationality in the Name of the Candidate.
2. Domicile Certificate of the Candidate showing his / her Domicile State is Maharashtra.
Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the caste is recognised as backward
3. class in the State of Maharashtra.
4. Caste / Tribe Validity Certificate in the Name of the Candidate, issued by the Caste / Tribe Validity Committee of Maharashtra State.
Non-Creamy Layer Certificate issued by Sub Divisional officer or Deputy Collector of the District in addition to the Caste Certificate,
5. valid upto 31st March 2025.
6. Income Certificate of Parents issued by competent authority of Govt. Of Maharashtra having Annual Income upto Rs. 8 Lacs.
7. Statement of Marks or Certificate of Passing SSC / Equivalent Examination.
Statement of Marks or Certificate of Passing HSC / Equivalent Examination / Passing Marksheet/Certificate of 3 years Diploma in
8. Engineering and Technology.
9. Score Card of MHT-CET PCM 2024.
Declaration
I have read all the rules of admission and Information brochure for admission to UG courses 2024 and on understanding these Rules, I have filled this
Application Form for Admission to First Year of Under Graduate Technical Courses in Engineering and Technology for the Academic Year 2024-25. 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
forgery/Xerox copy 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.
Place : Date : 18/02/2025
Printed On : 18/02/2025 1:29:41 PM
Last Modified On : 29/07/2024 3:03:31 PM Signature of Applicant
Last Modified By : SC9090C, 152.58.18.38:61261 ( CHAMBHARE AYUSH SHITAL )
