Office of the Deputy Director of Education, Mumbai Division

Std. 11th Centralised Online Admission Process 2022-23

शिक्षण उपसंचालक कार्यालय, मुंबई विभाग

इयत्ता ११ वी कें द्रीय ऑनलाइन प्रवेश प्रक्रिया २०२२-२३

Application Form No. : MU222017281

Version No. : 3
Personal Details, Type of Candidature and Board Details of Applicant

Full Name HINGE SHUBHAM VISHWAS Mother's Name KAVITA

Gender Male Date of Birth 09/06/2006

Board SSC Month & Year of Examination March, 2022

Seat No. A072200 Residence Within MMR Area

10th School Name M.M.MANDAL SANCHALIT MADHYAMIK SCHL,ULHASNGR,THANE

10th School Index Number 16.18.025 10th School UDISE Number 27211607402

Address for Correspondence and Contact Details

Correspondence Address OMKAR NAGAR, KALYAN-MURBAD ROAD OPP. SEEMA RESORT VARAP, VARAP, KALYAN, Thane, Maharashtra, 421301

Mobile No. 9112467475, 7038593955 Phone No. --

E-Mail ID shubhamh660@gmail.com

Reservation Details

Original Category OBC Category for Admission OBC

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

Documents Verification Details

Documents Verification Type Online

1618025 - M.M.MANDAL SANCHALIT MADHYAMIK SCHL,ULHASNGR,THANE

Documents Verification At
(Contact Person : , Contact No. : 7378999456, 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. Caste Certificate. (Self) OBC -- Pending --

2. Non-Creamy Layer Certificate. -- -- Pending --

Undertaking of Student for Documents

3. -- -- Pending --
Submission.

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 : 20/06/2022

Printed On : 20/06/2022 8:25:54 PM

Last Modified On : 20/06/2022 8:24:33 PM

Applicant Signature

Last Modified By : MU222017281, N/103.178.126.3/Chrome/Windows 10 (HINGE SHUBHAM VISHWAS)

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