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7/11/2019 ..:: State Common Entrance Test Cell, Government of Maharashtra ::..

First Year Master's in Engineering & Technology Admissions 2019 Application Form

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL, MAHARASHTRA STATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)

Application Form for Admission to First Year of Post Graduate Technical Courses in Engineering and
Technology for the Academic Year 2019-20

Application ID : ME19614208 Version No : 8


Registration Category Details
Registration Category Sponsored
Personal Details
Candidate's Full Name PRASHANT POPAT GARAD
Father's Name POPAT GARAD Mother's Name NIRMALA GARAD
Gender Male Date of Birth 20/09/1981
Candidature Type Maharashtra - Type A Person with Disability Not Applicable
Category Open Category for Admission Open
Applied for EWS No Is Orphan Candidate No
Minority Candidature Type No
Application Fee Paid (Rs . ) 1000/- Nationality Indian
Qualification Details
Qualification Marks Obtained Marks OutOf Percentage
Graduation Marks 3346.00 4500.00 74.36
HSC Aggregate Marks 706.00 1075.00 65.67
SSC Aggregate Marks 478.00 750.00 63.73
SSC Mathematics Marks 80.00 150.00 53.33
SSC Science Marks 115.00 150.00 76.67
SSC English Marks 52.00 100.00 52.00
Graduation Degree B.E./B.Tech. Graduation Branch Civil Engineering
Graduation University UTTAR PRADESH TECHNICALUNIVERSITY
Graduation Passing Year 2006 Graduation Status Passed
Sponsorship Details
Company Name SACHIN APTE ASSOCIATE
Address PIMPRI
Mobile Number 9930420707 Telephone Number -
Work Experience Details
Experience
Sr. No. Company Name From Date To Date
(In Days)
1. SACHIN APTE & ASSOCIATES 01/12/2016 10/07/2019 952
Note : Submit one set of application form along with photocopies of documents mentioned below. FC Officer shall verify all original documents and
put FC stamp with dated Signature on all photocopies of required documents and return the same set of documents to the candidate along with
Receipt-cum-Acknowledgement of application form.
List of Documents Required at the time of Document Verification and Confirmation at Facilitation Center (Attach Xerox
Copies)
Sr. No. Document Name
1. Certificate of Indian Nationality in the Name of the Candidate.
2. Domicile Certificate of the Candidate showing his / her Domicile State is Maharashtra.
3. Statement of Marks or Certificate of Passing SSC / Equivalent Examination.
4. Statement of Marks or Certificate of Passing HSC / Equivalent Examination.
5. Graduation Mark sheet from recognized University.
6. Proforma - P (Format of Certificate by current employer/Management for Sponsored Candidates)
7. Proforma -Q Undertaking ( FOR SPONSORED CANDIDATES)

Declaration
I have read all the rules of admission and on understanding these Rules, I have filled this Application Form for Admission to First Year of
Post Graduate Technical Courses in Engineering and Technology for the Academic Year 2019-20. The information given by me in this application is
true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong information and/or submitted false certificate(s),
I am aware that my admission stands cancelled and fees paid by me will be forfeited. Further I will be subject to legal and/or penal action as per
the provisions of the law.
Place : Date : 11/07/2019
Printed On : 11/07/2019 10:19:13 AM
Last Modified On : 11/07/2019 10:19:03 AM Signature of Applicant
Last Modified By : ME19614208, 123.201.116.237:27780 (PRASHANT POPAT GARAD)

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