GOVERNMENT OF MAHARASHTRA

STATE COMMON ENTRANCE TEST CELL, MAHARASHTRA STATE

8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)

Receipt-cum-Acknowledgement of Option Form for CAP Round - I for Admission to First Year
of Under Graduate Technical Courses in Engineering and Technology for the Academic Year
2019-20
Application ID : EN19291717    Version No : 2
Personal Details
Candidate's Name RATHOD PRATIK DHARMRAJ
Father's Name DHARMRAJ
Mother's Name LEELABAI
Gender Male
Date of Birth 07/01/2002
Candidature Type Maharashtra - Type A
Home University Dr. Babasaheb Ambedkar Marathwada University
Category DT/VJ
Category for Admission DT/VJ
Applied for EWS No
Applied for Orphan No
Person with Disability Not Applicable
Defence Type Not Applicable
Applied for TFWS Yes
Minority Candidature Type No
Options Given By Candidate
First Preference is : 600624511T - College of Engineering, Pune - Computer Engineering - 1st Shift
Preference Preference Preference Preference
Choice Code Choice Code Choice Code Choice Code
Number Number Number Number
1 600624511T 7 202024211T 13 213224211T 19 211324211T
2 600624510 8 202024210 14 213224210 20 211324210
3 200824211T 9 202024611T 15 213224611T 21 213424211T
4 200824210 10 202024610 16 213224610 22 213424210
5 200824611T 11 211424211T 17 212624211T 23 253324211T
6 200824610 12 211424210 18 212624210 24 253324210
Instructions :
1. T - TFWS (Tuition Fee Waiver Scheme). Seats available for admission as per AICTE's Tuition Fee Waiver Scheme.
जर उमे द वारास या या वक प नमु यातील प ह या पसं ती मां कावरील जागे चे वाटप झा यास असे वाटप णालीतू न आपोआप गोठ वले जाईल व उमे द वार या जागे चा वीकार करे ल . असे उमे द वार क भू त वे श ये या
(कॅ प) पु ढ ल फे र म ये सहभागी हो यास पा नसतील. असे उमे द वार वे श उप थती क ावर जागा वीकृ ती क रता कागदप ाची पडताळणी व जागा वकृ ती शु क भर यासाठ हजर होतील. तदनं त र असे उमे द वार वाटप
कर यात आले या जागे व र वे श घे यासाठ वाटप कर यात आले या सं थे म ये हजर होतील. असे उमे द वार जर वे श उप थती क ावर जागा वीकृ ती क रता हजर झाले नाहीत तर ते यां ना वाटप कर यात आले या
जागे व रील ह क आपोआप गमावतील आ ण ती जागा पु ढ ल वाटपासाठ उपल ध होईल. अ या उमे द वारां क रता कर यात आले ले हे जागावाटप अं तम असे ल .
If a candidate is allotted the seat as per his first preference, such allotment shall be auto freezed and the candidate shall accept the allotment so made. Such candidate
shall then be not eligible for participation in the subsequent CAP rounds. Such candidates shall then report to ARC for verification of documents and payment of seat
acceptance fee. Thereafter such candidates shall report to the allotted institute and seek admission on the allotted seat. If such candidate does not report to ARC for
confirmation of seat acceptance, their claim on the allotted seat shall stand forfeited automatically and the seat shall become available for fresh allotment. For such
candidate, the allotment so made shall be the final allotment.
Declaration
                        I have read all the rules of admission and on understanding these Rules, I have filled this Option Form for consideration for CAP Round - I for Admission
to First Year of Under Graduate Technical Courses in Engineering and Technology for the Academic Year 2019-20. The information given by me in this Option Form is
true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong information and/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.
Printed On : 08/07/2019 8:46:22 PM
Last Modified On : 06/07/2019 6:41:17 PM Signature of Candidate
Last Modified By : EN19291717, 157.33.165.96:2871 (RATHOD PRATIK DHARMRAJ)
For Office Use Only
                      The Option Form for CAP Round - I for Admission to First Year of Under Graduate Technical Courses in Engineering and Technology for the Academic Year
2019-20 is confirmed as per the choices given above. We hereby acknowledge the confirmed Option Form.
Confirmed On : 06/07/2019 6:41:17 PM sd./
Chairman, Admission Committee (Technical
Education) & Exam Coordinator
Confirmed By : EN19291717, 157.33.165.96:2871
State CET Cell, MS, Mumbai