First Year Degree in Engineering/Technology Admissions 2022-23 Application Form
GOVERNMENTOFMAHARASHTRA
STATECOMMONENTRANCETESTCELL,MAHARASHTRASTATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)
Application Form for Admission to First Year Under Graduate Technical
Courses in Engineering and Technology (4 Years) & Master of
Engineering and Technology (Integrated 5 Years) Admissions A.Y.
2022-23
Application ID : EN22154177 Version No : 4
Personal Details
Candidate's Full Name PATIL ADITYA ANAND
Father's Name ANAND
Mother's Name NAMRATA
Gender Male
Date of Birth 09/02/2005
Candidature Type Maharashtra - Type A
Home University Mumbai University
Category OBC
Category for Admission OBC
Applied for EWS No
Person with Disability Not Applicable
Defence Type Not Applicable
Is Orphan Candidate No
Applied for TFWS Seats Yes
Minority Candidature Type No
District from which Candidate has Passed SSC Thane
District from which Candidate has Passed HSC / Diploma in Engineering & Technology Thane
Nationality India
MHT-CET Application Fee Paid (Rs.) 600/- Online Application Fee Paid (Rs.) 0/-
Qualification Details:-PATIL ADITYA ANAND (Name As Per HSC Result)
Qualification Marks Obtained Marks OutOf Percentage
HSC Physics Marks 66.00 100.00 66.00
HSC Mathematics Marks 47.00 100.00 47.00
HSC Chemistry Marks 72.00 100.00 72.00
HSC Computer Science (D9) Marks 173.00 200.00 86.50
HSC English Marks 73.00 100.00 73.00
HSC Aggregate Marks 431.00 600.00 71.83
SSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
SSC Passing Year 2020 SSC Seat Number A049969
Qualifying Exam HSC HSC Passing Status Passed
HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
HSC Passing Year 2022 HSC Seat Number M014744
MHT-CET 2022 Details:- PATIL ADITYA ANAND (Name As Per MHTCET Result)
Application Number 221356065 Roll No 2221430722
Physics 41.5214782 Chemistry 42.3758099
Mathematics 73.0117590 Total PCM 59.4192464
JEE (Main) 2022 Paper-1 NTA Score:-
Appeared for JEE No
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 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
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.
Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the caste is
3.
recognised as backward class in the State of Maharashtra.
Caste / Tribe Validity Certificate in the Name of the Candidate, issued by the Caste / Tribe Validity Committee of
4.
Maharashtra State.
Non-Creamy Layer Certificate issued by Sub Divisional officer or Deputy Collector of the District in addition to the
5.
Caste Certificate, valid upto 31st March 2023.
Income Certificate of Parents issued by competent authority of Govt. Of Maharashtra having Annual Income upto
6.
Rs. 8 Lacs.
7. Statement of Marks or Certificate of Passing SSC / Equivalent Examination.
Statement of Marks or Certificate of Passing HSC / Equivalent Examination / Passing Marksheet/Certificate of 3
8.
years Diploma in Engineering and Technology .
9. Score Card of MHT-CET 2022.
Declaration
I have read all the rules of admission and Information brochure for admission to UG courses 2022 and on understanding these
Rules, I have filled this Application Form for Admission to First Year of Under Graduate Technical Courses in Engineering and Technology for
the Academic Year 2022-23. 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 forgery/Xerox copy 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 : 23/09/2022
Printed On : 23/09/2022 10:17:01 PM
Last Modified On : 23/09/2022 10:16:16 PM Signature of Applicant
Last Modified By : EN22154177, 103.145.19.227:55285 (PATIL ADITYA ANAND)
