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For Office Use


Batch: Scrutiny Payment: Online/DD PI

Serial:
Only

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)
2773724
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
राजे �तीक रामदास
Name(Regional) :
Candidate's Name as RAJEPRATIKRAMDAS
printed on Mark sheet : [*This name will appear on all University records/documents]
Mother's
Father's/Husband's Name : RAMDAS VAISHALI
Name :
Mother
Marital Status : UnMarried Marathi
Tongue :
Place Of Birth : KARAD Gender : Male Date of Birth (DD/MM/YYYY) : 12/02/2001
Blood Group : OPositive Religion : Hindu Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Kurla
Suburban GHATKOPAR Urban
Address (House
PATIL CHAWL SAINATH NAGAR GANESH MAIDAN GANESH NAGAR
no,street/area Pin Code : 400086
GHATKOPAR WEST
/suburb etc.) :
Permanent Address :
District : Mumbai City/Town/Village : Location Area :
State : Maharashtra Tehsil : Kurla
Suburban GHATKOPAR Urban
PATIL CHAWL SAINATH NAGAR GANESH MAIDAN GANESH NAGAR
Address : Pin Code : 400086
GHATKOPAR WEST
Contact details
Mobile Email ID:
8828172199
Number pratikramdasraje2000@gmail.com
2.Legal Reservation Information
Category Type :
Category : OBC Sub Category : KUMBHAR
Reserved
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

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4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 150000
5.Educational Details
Month
Name of Exam
Name of Name of and Certificate Mark
Board/University and Seat Out of CGPA %
Examination School/College Year of No. Obtained
State of University No.
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY
NMWS HIGH March
Std 10th AND HIGHER A366118 364683 349.00 500.00 -- - -- 69.80
SCHOOL 2017
SECONDARY
EDUCATION,Maharashtra
Maharashtra State Board S.H.
Diploma : February
of Technical JONDHALE 42816 P0892511 1406.00 1950.00 -- - -- 72.10
MECHANICAL 2023
Education,Maharashtra POLYTECHNIC
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.

• Certificate of Caste with Category.

• Passing Certificate of Std 10th.

• Leaving Certificate.

• Non Creamy Layer Certificate.

• Domicile Certificate.

• Certificate of Caste with Category.

• Death Certificate (If father/Mother is expired).

• Non Creamy Layer Certificate.

• 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 :2773724 (RAJEPRATIKRAMDAS) 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 17:40:29 GMT+0530 (India Standard Time)

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