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Ganges H War

This document is an application form for online registration for MHT-CET-2025, submitted by Gangeshwar Ram Suryawanshi. It includes personal details, qualification information, and examination preferences, along with a declaration of the accuracy of the provided information. The application fee of Rs. 800 has been paid, and the candidate is domiciled in Maharashtra belonging to the ST category.
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0% found this document useful (0 votes)
15 views2 pages

Ganges H War

This document is an application form for online registration for MHT-CET-2025, submitted by Gangeshwar Ram Suryawanshi. It includes personal details, qualification information, and examination preferences, along with a declaration of the accuracy of the provided information. The application fee of Rs. 800 has been paid, and the candidate is domiciled in Maharashtra belonging to the ST category.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Online Registration For MHT-CET-2025 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 Online Registration For MHT-CET-2025

Application No. : 251389980 Version No : 1


Personal Details
Candidate's Full Name GANGESHWAR RAM SURYAWANSHI

Father's Name RAM

Mother's Name SANGITABAI

Marital Status UnMarried

Spouse's Name -
Gender Male

Date of Birth 01/06/2007

Religion Hindu

Region Rural
Mother Tongue Marathi
Annual Family Income 15,001 - 50,000

Nationality Indian
MHT-CET-2025 Application Fee Paid (Rs . ) 800/-
Permanent Address
Address Line 1 Nandarkhe
Address Line 2 POST Nandarkhe
Address Line 3 --
State Maharashtra District Nandurbar
Taluka Nandurbar Village Nandarkhe
PIN Code 425412
Address for Correspondence
Address Line 1 Nandarkhe
Address Line 2 POST Nandarkhe
Address Line 3 --
State Maharashtra District Nandurbar
Taluka Nandurbar Village Nandarkhe
PIN Code 425412
Telephone No - 9699257596
Domicile and Category Details
Are you Domiciled in the State of Maharashtra? Yes
Category ST
Belongs to Caste Kokni
Do you possess Caste Certificate Available
Do you possess Caste Validity Not Applied
Are you Person With Disability ? No
Belongs to Minority Category No
Linguistic Minority NA
Religious Minority NA
Orphan Details
Are you Orphan? No
Qualification Details
SSC / Equivalent Details
SSC/Equivalent Passing Year 2023
SSC/Equivalent Percentage 71.20
SSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
State From Which you Passed SSC/Equivalent Maharashtra
HSC / Equivalent Details
Are you Appearing /Appeared 12th (HSC) exam in 2025 Yes
MHT-CET-2025 Examination Details
Subject Group for MHT-CET-2025 PCM (Physics, Chemistry and Mathematics)
Language for the Question Paper English
Exam Center District at Preference Number 1 Nandurbar
Exam Center District at Preference Number 2 Dhule
Exam Center District at Preference Number 3 Jalgaon
Exam Center District at Preference Number 4 Nashik
Document Uploaded
Sr. No. Document Name
1. Aadhaar Card
Note :
• You are required to Upload the Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the Caste is recognised as backward class
in the State of Maharashtra at the time of Centralised Admission Process(CAP 2025).
• You are required to Upload the Caste / Tribe Validity Certificate in the name of the Candidate, issued by the caste validity committee of Maharashtra State at the time
of Centralised Admission Process(CAP 2025).
Declaration
I agree to the following conditions
I have gone through the information brochure and understand the eligibility and qualifying criteria.
The information filled by me is true to the best of my knowledge.
I understand I will be liable for penal action for submitting incorrect information.
Date : 22/02/2025

Last Modified By : 251389980, 106.210.151.248:62710

Last Modified On : 15/02/2025 10:42:39 AM


Signature of Applicant
Printed On : 22/02/2025 8:53:14 AM ( GANGESHWAR RAM SURYAWANSHI )

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