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Datta Meghe College of Engineering (428)

P.B. No. 15, CIDCO Colony, Plot No. 98, Sector 3, Airoli Thane Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2772321
Academic Year: 2023-2024 Regular
APPLICATION FORM

Course Applied for : B.E.(with Credits) - Regular - CBCS - PRN:

Mechanical Engineering - S.E. C-Scheme Sem III (BECBCS1001)

Application Date :
Payment Category :
28/08/2023
1.Personal Information
Candidate's
गायकवाड आिद�य िवजय
Name(Regional) :
Candidate's Name as GAIKWAD ADITYA VIJAY
printed on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : VIJAY RAKHI
Name :
Mother
Marital Status : UnMarried Marathi
Tongue :
Place Of Birth : VIKHROLI Gender : Male Date of Birth (DD/MM/YYYY) : 03/11/2004
Blood Group : Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
City/Town/Village : Location Area :
State : Maharashtra District : Thane Tehsil : Kalyan
DOMBIVLI Urban
Address (House
no,street/area 303 RAJARAM NIWAS DOMBIVLI Pin Code : 421202
/suburb etc.) :
Permanent Address :
City/Town/Village : Location Area :
State : Maharashtra District : Thane Tehsil : Kalyan
DOMBIVLI Urban
Address : 303 RAJARAM NIWAS DOMBIVLI Pin Code : 421202
Contact details
Mobile
7738959712 Email ID: adityaaa0324@gmail.com
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem III
MEC301 - Engineering Mathematics-III MEC302 - Strength of Materials
MEC303 - Production Processes MEC304 - Materials and Metallurgy
MEC305 - Thermodynamics MEL301 - Materials Testing
MEL302 - Machine Shop Practice MEPBL301 - Mini Project – 1A
MESBL301 - CAD –Modeling
Sem IV

MEC401 - Engineering Mathematics-IV MEC402 - Fluid Mechanics

MEC403 - Kinematics of Machinery MEC404 - CAD/CAM
MEC405 - Industrial Electronics MEL401 - Industrial Electronics
MEL402 - Kinematics of Machinery MEL403 - Python Programming
MEPBL401 - Mini Project – 1B MESBL401 - CNC and 3-D Printing

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 100000

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5.Educational Details
Month
Name of
Name of Name of and Exam Seat Certificate Mark
Board/University and Out of CGPA %
Examination School/College Year of No. No. Obtained
State of University
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY FATIMA
July
Std 10th AND HIGHER CONVENT A054091 -- 417.00 500.00 -- - -- 83.40
2020
SECONDARY SCHOOL
EDUCATION,Maharashtra
Diploma : Somaiya Vidyavihar K.J. SOMAIYA July
FMEG20119 -- 773.00 1000.00 -- - -- 77.30
MECHANICAL University,Maharashtra POLYTECHNIC 2023
Your Last Qualifying Exam: MECHANICAL
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.

• Statement of Marks of First Year/ Semester.

• Statement of Marks of Second Year/ Semester.

• Statement of Marks of Std 10th.

• Birth Certificate.

• Passing Certificate of Std. 10th.

• School/College Leaving Certificate.

• Third Year Mark Sheet

• Mark/Grade Statement of Semester-I

• Mark/Grade Statement of Semester-II

• Mark/Grade Statement of Semester-III

• Mark/Grade Statement of Semester-IV

• Mark/Grade Statement of Semester-V

• Mark/Grade Statement of Semester-VI

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 :2772321 (GAIKWAD ADITYA VIJAY) 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 Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Mon Aug 28 2023 15:55:51 GMT+0530 (India Standard Time)

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