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    School Education and Sports Department

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    Nàmít Kànsé
    This document is an application form for an 11th grade student named Saana Ratnakar Kanse from Pune, Maharashtra, India. It includes her personal details, mother's name, date of birth, gender, school details, address, contact information, reservation category, 10th exam details including subjects and marks, and a list of required documents for verification and admission. The form notes that document verification by the secondary school is pending and required before proceeding with option form filling. The applicant declares that the information provided is true and understands the admission process and requirements.

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    School Education and Sports Department

    Uploaded by

    Nàmít Kànsé
    7 views1 page
    This document is an application form for an 11th grade student named Saana Ratnakar Kanse from Pune, Maharashtra, India. It includes her personal details, mother's name, date of birth, gender, school details, address, contact information, reservation category, 10th exam details including subjects and marks, and a list of required documents for verification and admission. The form notes that document verification by the secondary school is pending and required before proceeding with option form filling. The applicant declares that the information provided is true and understands the admission process and requirements.

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    This document is an application form for an 11th grade student named Saana Ratnakar Kanse from Pune, Maharashtra, India. It includes her personal details, mother's name, date of birth, gender, school details, address, contact information, reservation category, 10th exam details including subjects and marks, and a list of required documents for verification and admission. The form notes that document verification by the secondary school is pending and required before proceeding with option form filling. The applicant declares that the information provided is true and understands the admission process and requirements.

    Copyright:

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

    School Education and Sports Department

    Uploaded by

    Nàmít Kànsé
    This document is an application form for an 11th grade student named Saana Ratnakar Kanse from Pune, Maharashtra, India. It includes her personal details, mother's name, date of birth, gender, school details, address, contact information, reservation category, 10th exam details including subjects and marks, and a list of required documents for verification and admission. The form notes that document verification by the secondary school is pending and required before proceeding with option form filling. The applicant declares that the information provided is true and understands the admission process and requirements.

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    © All Rights Reserved
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    of 1

    8/16/2021 School Education and Sports Department

    Office of the Deputy Director of Education, Pune Division


    Std. 11th Centralised Online Admission Process 2021-22

    शिक्षण उपसंचालक कार्यालय, पुणे विभाग


    इयत्ता ११ वी कें द्रीय ऑनलाइन प्रवेश प्रक्रिया २०२१-२२

    Application Form No. : PN2150861


    Version No. : 2
    Personal Details, Type of Candidature and Board Details of Applicant

    Full Name SAANA RATNAKAR KANSE Mother's Name SEEMA RATNAKAR KANSE

    Gender Female Date of Birth 05/02/2005

    Board CBSE Month & Year of Examination March, 2021

    Seat No. E121300580146 Residence Within PMC and PCMC Area

    10th School Name DAV PUBLIC SCHOOL

    10th School Index Number 10th School UDISE Number

    Address for Correspondence and Contact Details

    Correspondence Address A3/KANSE PALACE,SENAPATI CHOWK, DAPODI, PUNE, HAVALI, Pune, Maharashtra, 411012

    Mobile No. 7499868697, 8999227954 Phone No. --

    E-Mail ID seemakanse11@gmail.com

    Reservation Details

    Original Category GENERAL Category for Admission GENERAL

    Original Other Category --

    Other Category for Admission --

    Admission under Technical Reservation (25% for HSVC & Bifocal Courses)

    Have you opted any of the Pre-Vocational Courses or Subjects offered under NSQF at 10th Examination ? No

    Admission for Inhouse Quota

    Do you want to take admission through Inhouse Quota ? No

    10th Standard Examination Details

    Passing Status Pass Passed in Science Subject Yes

    English Marks 88 / 100 English Percentage 88.00%

    Total Marks 439 / 500 Total Percentage 87.80%

    Documents Verification Details

    Documents Verification Type Online

    PNGC104 - B R GHOLAP HIGH SCHOOL & JR COLLEGE


    Documents Verification At
    (Contact Person : NIMSE VILAS RAMBHAU, Contact No. : 9970825955, Contact Timing : 11:00 AM to 05:00 PM)

    Required Documents List

    Sr. No. Document Name Original Category Verified Category Verification Status Verification Date

    1. 10th Standard Marksheet. Pass -- Pending --

    Note :
    1. You need to get your form verified from your secondary school / selected guidance centre. For this purpose, you can contact to the school / guidance centre over phone
    which is mantioned in your print out. It is not required to visit the school / guidance centre personally.

    2. Unless and until the application form is verified by respective school / guidance centre, you can not proceed to fill the option form.

    Declaration

    I hereby declare & understand that,


    1. All the information furnished by me in this online application form is true, complete and correct to the best of my knowledge and belief.
    2. Entire information furnished by me in this application is final and binding to me.
    3. If any information furnished by me here, is found to be false or incorrect, i shall be liable for appropriate legal action and my admission will be cancelled as per rules.
    *Note : I will submit all the original documents required for admision (uploaded and not uploaded) while taking admission.

    Place :                                                                        Date : 16/08/2021

    Printed On : 16/08/2021 4:42:59 PM

    Last Modified On : 16/08/2021 4:33:18 PM


    Applicant Signature

    Last Modified By : PN2150861, 45.251.15.63:56661/Chrome/Windows 7/N (SAANA RATNAKAR KANSE)

    Current Status : Locked | Not Verified by Secondary School / Guidance Centre

    https://pune.11thadmission.org.in/Candidate/PrintApplicationForm.aspx?P1=150861&P2=240912909 1/1

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