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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Datta Meghe College of Engineering (428)

P.B. No. 15, CIDCO Colony, Plot No. 98, Sector 3, Airoli Thane Application No :
University of Mumbai 2867364
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2023-2024
Regular
APPLICATION FORM

Course Applied for : M.E.(with Credits) - Regular - Rev22 - Civil Engineering - PRN:
Structural Engineering - F.Y. M.E. Sem I (ME10001)

Application Date : 14/09/2023 Payment Category :

1.Personal Information

Candidate's Name(Regional) : कामेरकर स्वप्नील गजानन संध्या

Candidate's Name as printed on KAMERKAR SWAPNIL GAJANAN SANDHYA
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : GAJANAN Mother's Name : SANDHYA
Marital Status : Married Mother Tongue : Marathi
Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 25/01/1987
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village : Thane Location Area : Urban
Address (House
B3/1601 ROSA GARDENIA KASARVADAVALI Pin Code : 400615
no,street/area/suburb etc.) :
Permanent Address :
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village : Thane Location Area : Urban
Address : B3/1601 ROSA GARDENIA KASARVADAVALI Pin Code : 400615
Contact details
Mobile Number 9324800259 Email ID: vac.structure@gmail.com
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I
59021 - Theory of Elasticity and Elastic Stability 59022 - Structural Dynamics
STRL101 - Program Lab-I STRSBL101 - Skill Based Lab-I
59025 - Advanced Pre-stressed Concrete Structures 59027 - Analysis and Design of Multi-storey Buildings
59032 - Reliability Engineering
Sem II

35121 - Finite Element Analysis 35122 - Theory of Plates and Shells

STRL201 - Program Lab-II STRSBL201 - Skill Based Lab - II
35124 - Health Monitoring and Rehabilitation ofStructures 35130 - Design of Bridge Structures
35136 - Research Methodology

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Annual Income of Guardian :
5.Educational Details

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Month
Name of Name of Board/University and Name of and Year Exam Certificate Mark
Out of CGPA %
Examination State of University School/College of Seat No. No. Obtained
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY AND D S HIGH March
Std 10th A171718 104957 633.00 750.00 -- - -- 84.40
HIGHER SECONDARY SCHOOL 2003
EDUCATION,Maharashtra
MAHARASHTRA STATE
BOARD OF SECONDARY AND RAMNARAYAN January
Std 12th Science M032544 083356 368.00 600.00 -- - -- 61.33
HIGHER SECONDARY RUIA COLLEGE 2005
EDUCATION,Maharashtra
Degree :
DATTA MEGHE
BACHELOR OF May
University of Mumbai,Maharashtra COLLEGE OF 15425 0005396 965.00 1450.00 -- - -- 66.55
ENGINEERING 2010
ENGINEERING
CIVIL(CIVIL)
Your Last Qualifying Exam: BACHELOR OF ENGINEERING CIVIL
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last Qualifying Exam like
degree,diploma,etc.

Passing Certificate of Std 10th.

Leaving Certificate.

Domicile Certificate.

Statement of Marks of First Year/ Semester.

Statement of Marks of Second Year/ Semester.

Statement of Marks of Std 10th.

Passing Certificate of Std. 12th/Statement of Marks of std.12th.

Residence Proof (Any) – Copy of Voter ID/ Driving License/Telephone Bill /Electricity Bill /Ration Card/ Society Letter/ Agreement.

Third Year Mark Sheet

DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do
understand that I need to obtain and produce all the required documents. I Application No :2867364 (KAMERKAR SWAPNIL GAJANAN SANDHYA)
admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if found
guilty of ragging or sexual harassment I am liable for punishment according to the university regulations.

Place : Date :
( Signature of the Candidate )
For College/Institute/Study Center Use Only
Designation Remarks / Particulars / Recommendations Signature and Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Sep 14 2023 14:37:18 GMT+0530 (India Standard Time)

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