"Empowerment through quality technical education"
Dr. D. Y. Patil Educational Enterprises Charitable Trust`s
DY PATIL SCHOOL OF ENGINEERING
AICTE ID : 1-3847411
(Formerly known as DY Patil School of Engineering)
AISHE Code : C-46648
(Approved By AICTE, Recognized by Gov. Maharashtra, Affiliated to
DTE Code : EN6732
Savitribai Phule Pune University)
SPPU PUN : CEGP015720
CAP Application For Admission : Diploma Third Year (TY)
PERSONAL DETAILS
Academic Year 2024-2025 Course Name DIPLOMA AI-ML ENGINEERING
ERP Unique Id DEN22199482 DTE Application Id DEN22199482
Student Name (As per Aadhaar) TANISHQ AJAY SHELAR
UID/Aadhaar No. 0 Mother Name ARCHANA SHELAR
Date of Birth 01-01-2000 (mm/dd/yy) Place of Birth WISHRANTWADI
Gender Male Religion Hindu
Caste MARATHA Category OPEN
Caste Certificate No Caste Validity No
NCL No Mother Tongue
Annual Family Income 0 Candidate Type 0
Nationality INDIAN Domicile MH
Region Urban Scholarship Type No
PARENT'S CONTACT DETAILS
Father Name 0 Father Email 0
Father Mobile No. 0 Father Occupation 0
Father Designation 0 Organization Name 0
Father Address 0
Mother Name 0 Mother Email 0
Mother Mobile No. 0 Mother Occupation 0
Mother Designation 0 Organization Name 0
STUDENT'S CONTACT DETAILS
Mobile No. 8830402175 Email TANISHQSHELAR1805@GMAIL.COM
Current Address SR. NO 114/3 PLOT NO 1, NEAR SHELAR GHAT,WISHRANTWADI PUNE
Taluka 0 District 0
Pincode 0 Anti Ragging Reference No.
STUDENT'S EDUCATIONAL DETAILS
No records available
DECLARATION BY THE STUDENT & FATHER / MOTHER / GUARDIAN
• We have filled all the required data in ERP.
• Also, we hereby undertake that we will fill the scholarship/EBC form on MAHADBT portal with
all supporting documents within prescribed time given by the government, if fail we will pay Full
balance fees.
• After successful completion of my education I will preferred one of the following education
outcome. (Tick: (✓) which is applicable)
Job Placement Heigher Studies in India UPSC/MPSC/Competative Exams
Heigher Studies Abroad Enterpreneur / Start Up
Signature of Student: __________________ Signature of Parents: __________________
Required (O) xerox copy documents and (C) Self Attested Copies: Please tick (✓)
Sr. Name of the Documents (O) (C) Sr. Name of the Documents (O) (C)
No. No.
Allotment Letter// FC / ARC / Non-Creamy Layer Certificate(If
1 11
Scrutiny verification Letter Applicable)
2 MHT- CET / JEE/ GATE Score Card 12 Migration Certificate (If Applicable)
S.S.C. (10th) Mark Sheet & Passing
3 13 EWS Certificate(If Applicable)
Certificate
H.S.C. (12th)/ Diploma Mark Sheet Educational Gap Affidavit(If
4 14
& Passing certificate (if applicable) Applicable)
B.E./B.Tech. /AMIE Mark Sheet &
5 Passing certificate (For ME 15 Other Affidavits / Undertakings
Candidates only)
6 LC / TC 16 Others (Income Certificate etc.)
7 Domicile Certificate 17 Bank Passbook First Page Xerox
8 Nationality Certificate 18 Aadhar Card Xerox
9 Caste Certificate(If Applicable) ME
Caste Validity Certificate(If Performa P (For Sponsored
10 19
Applicable) Candidate)
Performa Q (For Sponsored
20
Candidate)
Scholarship Section Account Section Student Section
Date & Remark :- Date & Remark :- Date & Remark :-
Registrar Principal Director-TC
Date & Remark :- Date & Remark :- Date & Remark :-
