7/6/2016

DirectorateofTechnicalEducation,MaharashtraState,Mumbai

FirstYearDiplomainEngineering/TechnologyAdmissions2016

OptionForm

STATECOMMONENTRANCETESTCELL
305,GovernmentPolytechnicBuilding,49,Kherwadi,Bandra(E),Mumbai400051(M.S.)
ReceiptcumAcknowledgementofOptionFormforCAPRoundI/II/IIIforAdmissiontoFirstYearofPostSSCDiploma
TechnicalCoursesinEngineeringandTechnologyfortheAcademicYear201617

ApplicationID:DEN16286424VersionNo:1
PersonalDetails
Candidate'sName SINGHSANJAYARUN
Father'sName ARUNKUMAR
Mother'sName PREMLATA
Gender Male
DateofBirth 21/09/2000
CandidatureType MaharashtraTypeA
HomeDistrict Mumbai
Category Open
CategoryforAdmission Open
PersonwithDisability NotApplicable
DefenceType NotApplicable
AppliedforTFWS No

OptionsGivenByCandidate
PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

300724510

302124510U

330624510

13

314361210

301261270

302161270

10

327424510

14

314337210

300761210

302524510U

11

327424520

300761220

302561270

12

314324510

Instructions:

1. UUnAided.

Declaration
IhavereadalltherulesofadmissionandonunderstandingtheseRules,IhavefilledthisOptionFormforconsiderationforCAP
Round I/II/III for Admission to First Year of Post SSC Diploma Technical Courses in Engineering and Technology for the Academic Year 201617.
TheinformationgivenbymeinthisOptionFormistruetothebestofmyknowledge&belief.Ifatlaterstage,itisfoundthatIhavefurnishedwrong
informationand/orsubmittedfalsecertificate(s),Iamawarethatmyadmissionstandscancelledandfeespaidbymewillbeforfeited.FurtherIwill
besubjecttolegaland/orpenalactionaspertheprovisionsofthelaw.
PrintedOn:06/07/20161:02:09PM
LastModifiedOn:06/07/20161:00:25PM
LastModifiedBy:DEN16286424,183.87.140.254

SignatureofCandidate
(SINGHSANJAYARUN)

The Option Form for CAP Round I/II/III for Admission to First Year of Post SSC Diploma Technical Courses in Engineering and
TechnologyfortheAcademicYear201617isconfirmedasperthechoicesgivenabove.WeherebyacknowledgetheconfirmedOptionForm.
ConfirmedOn:06/07/20161:01:45PM
ConfirmedBy:DEN16286424,183.87.140.254

http://poly2016.dtemaharashtra.gov.in/CandidateModuleCAPRound1/frmPrintOptionForm.aspx

Commissioner&CompetentAuthority
CETCell,MaharashtraState,Mumbai

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