Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

7/27/13

AICTE

Application Form
Fields with * are mandatory

Personal Details
*Full Name of the Candidate

PATIL ASMITA RAMESH

*Category

ST

*Father Name

PATIL RAMESH AMBO

*Mother Name

PATIL REKHA RAMESH

*Date of Birth

04 Dec 1991

*Email-id

asmitapatil0491@gmail.com

*Mobile No

8976434401

*Gender

Female

Signature

Address
aicte-cmat.in/Candidate/PrintPreview.aspx

1/3

7/27/13

AICTE

*Address Line1

Swastik App Block No 11 Near Kalmbhe Grampanchayat Shahapur

Address Line2

Tal Shahapur

Address Line3

Dist Thane

*Pincode

421601

*State/Province

Maharashtra

*City

Shahapur

*Landline No

2527-272653

*Nationality

INDIAN

*Religion

HINDU

*Physical Disability

No

*Type of Disability

No

Preferred Test Cities


*Preferred City1

Mumbai

*Preferred City2

NaviMumbai

*Preferred City3

Pune

Preferred Test Dates


*Preferred Exam Date1

aicte-cmat.in/Candidate/PrintPreview.aspx

27 Sep 2013

2/3

7/27/13

AICTE

*Preferred Exam Date2

28 Sep 2013

*Preferred Exam Date3

30 Sep 2013

Qualification Details
*10 + 2 Year

10th + HSC

*Bachelors Degree

Complete

*Graduation Percentage

63.00

*Year of Qualifying Exam

2013

*Qualifying Degree

B.Com

*Qualifying University

University of Mumbai, Mumbai

C opyright AIC TE 2013

aicte-cmat.in/Candidate/PrintPreview.aspx

3/3

You might also like