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  • Application Form1

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    roahamarerushi
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    This document is an application form for admission to the Bachelor of Electronics and Telecommunication Engineering program at Matoshri College of Engineering and Research Centre in Nashik, India. The applicant is Devendra Satish Ingale, who is applying as an Other Backward Class candidate for admission directly into the second year of the program. He completed his SSC in 2008 and Diploma in Electronics from J.T. Mahajan Polytechnic in Faizpur in 2011 and 2012.

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    This document is an application form for admission to the Bachelor of Electronics and Telecommunication Engineering program at Matoshri College of Engineering and Research Centre in Nashik, India. The applicant is Devendra Satish Ingale, who is applying as an Other Backward Class candidate for admission directly into the second year of the program. He completed his SSC in 2008 and Diploma in Electronics from J.T. Mahajan Polytechnic in Faizpur in 2011 and 2012.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    24 views1 page

    Application Form1

    Uploaded by

    roahamarerushi
    This document is an application form for admission to the Bachelor of Electronics and Telecommunication Engineering program at Matoshri College of Engineering and Research Centre in Nashik, India. The applicant is Devendra Satish Ingale, who is applying as an Other Backward Class candidate for admission directly into the second year of the program. He completed his SSC in 2008 and Diploma in Electronics from J.T. Mahajan Polytechnic in Faizpur in 2011 and 2012.

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    © All Rights Reserved
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    of 1

    8/31/13

    Application Form

    of 2

    Find | Next

    Application Form
    Printed on

    8/31/2013 8:44:27 PM

    Course

    Bachelor Of Electronics &


    Telecomm Engineering(Direct
    Second Year)

    Free Ship , 2013-2014

    Application Number

    APPD1268737M20082013

    Appilcation type

    New

    Other Backward Class

    Renewal Course Year

    Please Paste
    Passport Size
    Photograph

    N.A

    Student SSC Details


    SSC Board

    MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION

    Passing Year

    2008

    SSC Seat No

    D126873

    SSC Marks Obtained

    71.00

    Applicant's Details
    Mother's Name

    Applicant Name DEVENDRA

    SATISH

    INGALE

    Date of Birth

    Gender

    Male

    Is Resident of Maharashtra

    Maritial Status

    No

    Caste Category

    15-07-1993

    Application Date 31-08-2013


    Caste

    Kunbi (83)

    Sub Caste

    SHOBHA
    Maharashtra

    Other Backward Class


    Leva Patidar (83)

    Orphan

    No

    Is Disabled

    No

    Disability Type

    N.A.

    Is Applicant Salaried ?

    NO

    Applicant's
    Annual Income

    0.00

    Total Annual Income

    334656.00

    Is Staying at Hostel ?

    No

    Has Applied For Hostel ?

    No

    Student Prequalifying Details


    Aca d e m i c
    Ye a r

    In s ti tu te

    C o u rs e

    2012 - 13

    C o u rs e
    Ye a r

    Course not Attended

    Pe rce n ta g e

    Res ult

    0.00

    Fail

    2011 - 12

    J.T.MAHAJAN
    POLYTECHNIC,FAIZPUR

    Diploma in ENT & C ( Direct


    Second Year)

    71.66

    Pass

    2010 - 11

    J.T.MAHAJAN
    POLYTECHNIC,FAIZPUR

    Diploma in ENT & C ( Direct


    Second Year)

    58.51

    Pass

    Institution Details
    Name of School/College/Institute
    where Admitted
    Course Name
    Course Year

    Matoshri College of Engineering and Research Centre, Nashik

    Bachelor Of Electronics & Telecomm Engineering(Direct Second Year)


    1

    CAP Number

    DSE13137035

    UID Number

    321949492227

    EID Number

    https://mahaeschol.maharashtra.gov.in/MahaEschol/Scholarships/PMS/Reports/ApplicationForm.aspx?AcYr=F710413E8815F98170D1CAFFA74E52CA&SID=

    1/1

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