Helpline Numbers : 1800-123-7290 / 9873048895 (09.00 A.M to 07.00 P.

M)
GOVERNMENT OF MAHARASHTRA
Directorate Of Technical Education ,Maharashtra State, Mumbai.
3, Mahapalika Marg, Post Box 1967,Mumbai - 400 001.
Application Letter for Cancellation of Admission to First Year Post SSC Diploma Technical Courses in
Engineering and Technology Admissions for the year 2023-2024

To
The Principal
(Name of the Institute):
Sir,
Application ID : DEN23222794
Full name of Candidate: DEVKAR SHRIRAM NANA
Name of College: Ramkrishna Technical Education Soceity, Shivaji Polytechnic College, Sangola
Course: Mechanical Engineering
Date of admission: 25-08-2023
University Merit Number: - State Merit Number: 108499
Fee Receipt Number and Date: (Attach Xerox copy)
I request you to kindly return my original documents and refund the fees paid as per the rules
Signature of Candidate Online Application for Cancellation on:30-08-2023 03:07:37 PM
For Office use only
Full address of the Candidate:
A/p-pulujuwadi9 Tal- Pandharpur Amount Paid Rs. Rs./-
Maharashtra Amount Deducted Rs.
Pin Code:414304 Cheque No. & date
Telephone No : Bank particulars
Received On:
Signature of Principal/Admission Officer

Received the following original documents from the Admission Authority, along with the Cheque towards refund of tuition fees:
Sr. No. List of Submitted Documents
1 Latest School Leaving Certificate
2 The School Leaving Certificate indicating the Nationality of the Candidate as 'Indian' Or The Place Of Birth In India.
Signature of the Candidate

Printed On :30-08-2023 03:07:40 PM Printed By:DEN23222794

Cancelled On :30-08-2023 03:07:37 PM Cancelled By:DEN23222794
URL: https://poly23.dtemaharashtra.gov.in/diploma23/index.php/institute_reporting/proforma_cancel_admi?app_id=MjIyNzk0&s=1&choicecode=NjQ3MTYxMjEw