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  • First Year Engineering Admissions 2015 Application Form Directorate of Technical Education

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    NarendraPawar
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    This document is an application form for admission to engineering programs in Maharashtra for the 2015-2016 academic year. It contains personal details of the applicant, Premlata Pawar, including name, gender, date of birth, home district, category, and contact information. It also includes details of her academic qualifications including scores from SSC (10th standard), HSC (12th standard), and JEE Mains exam. Finally, it lists the documents required for verification at the Admission Registration Center and includes a declaration signed by the applicant.

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    This document is an application form for admission to engineering programs in Maharashtra for the 2015-2016 academic year. It contains personal details of the applicant, Premlata Pawar, including name, gender, date of birth, home district, category, and contact information. It also includes details of her academic qualifications including scores from SSC (10th standard), HSC (12th standard), and JEE Mains exam. Finally, it lists the documents required for verification at the Admission Registration Center and includes a declaration signed by the applicant.

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    © All Rights Reserved
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    Download as pdf or txt
    19 views1 page

    First Year Engineering Admissions 2015 Application Form Directorate of Technical Education

    Uploaded by

    NarendraPawar
    This document is an application form for admission to engineering programs in Maharashtra for the 2015-2016 academic year. It contains personal details of the applicant, Premlata Pawar, including name, gender, date of birth, home district, category, and contact information. It also includes details of her academic qualifications including scores from SSC (10th standard), HSC (12th standard), and JEE Mains exam. Finally, it lists the documents required for verification at the Admission Registration Center and includes a declaration signed by the applicant.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    6/12/2015

    DirectorateofTechnicalEducation,MaharashtraState,Mumbai

    FirstYearEngineeringAdmissions2015

    ApplicationForm

    DIRECTORATEOFTECHNICALEDUCATION
    3,MAHAPALIKAMARG,POSTBOXNO.1967,MUMBAI400001

    APPLICATIONFORMFORADMISSIONTOFIRSTYEAROFFOURYEARFULLTIMEDEGREECOURSESIN
    ENGINEERING/TECHNOLOGYFORTHEACADEMICYEAR20152016

    APPLICATIONID:EN15297406VERSIONNO:11
    PersonalDetails
    Candidate'sName PAWARPREMLATANARAYANLAL
    Father'sName NARAYANLALPAWAR

    Mother'sName BABLI

    Gender Female

    DateofBirth 14/02/1998

    CandidatureType MaharashtraTypeA

    HomeUniversity MumbaiUniversity

    Category OBCGanchi(300)

    CategoryforAdmission OBCGanchi(300)

    PersonwithDisability NotApplicable

    DefenceType NotApplicable

    AppliedforTFWS No

    ApplicationFeePaid 500(ReceiptNo.197406)

    BelongstoReligious/LinguisticMinority No
    DistrictfromwhichcandidatehaspassedS.S.C.(Std.X) MumbaiSuburban
    DistrictfromwhichcandidatehasPassed/appearingH.S.C.(Std.XII) MumbaiSuburban

    QualificationDetails
    S.S.C.Board MaharashtraStateBoardofSecondaryandHigherSecondaryEducation,Pune
    S.S.C.PassingYear 2013

    S.S.C.SeatNo A274607

    S.S.C.MathematicsMarks 142.00/150.00(94.67%)

    S.S.C.AggregateMarks 506.00/550.00(92.00%)

    H.S.C.Board MaharashtraStateBoardofSecondaryandHigherSecondaryEducation,Pune
    H.S.C.PassingYear 2015

    H.S.C.SeatNo M079915

    H.S.C.PhysicsMarks 71.00/100.00(71.00%)

    H.S.C.ChemistryMarks 65.00/100.00(65.00%)

    H.S.C.MathematicsMarks 70.00/100.00(70.00%)

    Biology 85.00/100.00(85.00%)

    H.S.C.EnglishMarks 73.00/100.00(73.00%)

    H.S.C.AggregateMarks 490.00/650.00(75.38%)

    JEEMain(Paper1)2015Details
    JEE(Main)2015RollNo 27303509

    AppliedforAllIndiaSeats Yes

    PhysicsScore 2

    ChemistryScore 42

    MathematicsScore 9

    TotalScore 53

    ListofDocumentsRequiredatthetimeofDocumentVerificationatARC
    Sr.No.

    DocumentName

    1.

    CertificateofIndianNationalityintheNameoftheCandidate.

    2.

    DomicileCertificateclearlyindicatingtheplaceofpermanentresidenceissuedbySDO/Dy.CollectorofDistrict.

    3.

    CasteCertificateclearlymentioningtheCategoryoftheCandidateandalsotheremarksthatthecasteisrecognisedas
    backwardclassintheStateofMaharashtra.

    4.

    ProformaH.

    5.

    NonCreamyLayerCertificateissuedbySubDivisionalofficerorDeputyCollectoroftheDistrictinadditiontotheCaste
    Certificate,validupto31stMarch2016.

    6.

    StatementofMarksorCertificateofPassingofStd.10th/S.S.C./EquivalentExamination.

    7.

    StatementofMarksorCertificateofPassingofStd.12th/H.S.C./EquivalentExamination.

    8.

    ScoreCardofJEEMain(Paper1)2015.

    Declaration
    IhavereadalltherulesofadmissionandonunderstandingtheseRules,IhavefilledthisApplicationFormforadmissiontofirstyear
    of fouryear fulltime degree courses in Engineering/Technology for the academic year 20152016. 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
    submittedfalsecertificate(s),Iamawarethatmyadmissionstandscancelledandfeespaidbymewillbeforfeited.FurtherIwillbesubject
    tolegaland/orpenalactionaspertheprovisionsofthelaw.
    Place:Date:12/06/2015
    PrintedOn:12/06/20159:23:57AM
    LastModifiedOn:12/06/20159:23:51AM
    LastModifiedBy:EN15297406,10.15.15.234

    SignatureofApplicant
    (PAWARPREMLATANARAYANLAL)

    Instructions:

    1. CandidateshouldconfirmtheApplicationForminpersonatARConly.Donotsendbypost.
    2. Candidate is required to carry all Original Certificates and one set of attested true copies of these documents at the
    ARCs for verification and confirmation of application form and and get the ReceiptcumAcknowledgement duly signed by
    ARC.

    http://www.dtemaharashtra.gov.in/fe2015/CandidateModule/frmPrintApplicationForm.aspx

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