Directorate of Education,Secondary and Higher
Secondary Maharashtra State
Std. 11th Centralised Online Admission Process 2025-26
Application Form
D0435763415
No.
Version No. v1.0
Personal Details and Board Details of Applicant
Full Name SIDDHANT KAILAS BACHHAV Mother's Name SHUBHANGI
Gender M Date of Birth 03/04/2009
Month & Year of
Board SSC March 2025
Examination
Seat No. D043576 Residence NASHIK
10th School Name TIRUPATI VALLEY ENGLISH MEDIUM SCHOOL DEOLA
10th School Index 10th School UDISE
13.03.044 27200300709
Number Number
Address for Correspondence and Contact Details
Correspondence Address At Post Kmamkheda, Taluka Deola, District Nashik
Mobile No. 7620115243 Alternative Mobile Number 8975581204
E-Mail ID bachhavsiddhant6@gmail.com Phone No.
Reservation Details
Nomadic Tribes
Original Category Nomadic Tribes (NT-C) Category for Admission
(NT-C)
Do you have Caste Certificate issued
Y
by a Competent Authority
Maharash Caste Certificate Issuing
Caste Certificate Issuing State NASHIK
tra District
Other / Special Reservation Details
Does Applicant belong to Handicapped (Divyang) / Hearing Disability Category
N
?
Does Applicant belong to Earthquake or Project Affected ? N
Has Applicant's Parent been Transferred to Online Process Area ? N
Whether Applicant's Grandparents Freedom Fighters? N
Does Applicant's Parent(s) belong to Serviceman / Ex-Serviceman Category? N
Does Applicant belong to Sports Category ? N
Level of Participation Rank Obtained
If you are falling under category of orphan as per the provisions in GR dated
N
2nd April 2018, would you like to apply for 1% quota in the admission process ?
Minority Quota Admission
Do You belong to Minority Category ? N
Linguistic Minority -
Religious Minority -
Inhouse Quota Admission
Do you want to take admission through Inhouse Quota ? N
10th Standard Examination Details
Passing Status PASS
Passed in Science
Passed in English Subject Y Y
Subject
English Marks 80/100 English Percentage 80.0
Science Marks 80/100 Science Percentage 80.0
Total Marks 425/500 Total Percentage 87.0
Payment Information
Registration Payment Date 02/06/2025 10:19:51
Transaction Reference Number ff063bf7-db75-4eaa-a2e3-d085b9ec72ca
Collage Choices Info
Stream Code College Name & Address Block Stream Status Medium Fees
LATE VILAS NANA SONAWANE SCIENCE &
COMMERCE JR COLLEGE DANGSAUNDANE , AT BAGLAN Self
556013421 Science Marathi 9200
POST DANGSAUNDANE, TAL BAGLAN DIST NASHIK (272001) Financed
423301
R B G ARTS SCIENCE AND COMMERCE COLLEGE
DAHIWAD TALUKA DEVLA , DAHIWAD UMARANA DEVLA Self 1260
556493422 Science English
ROAD DAHIWAD AT POST DAHIWAD TAL DEOLA (272003) Financed 0
DIST NASHIK
Declaration
I hereby declare & understand that,
1. All the information furnished by me in this online application form is true, complete and correct to the best of my knowledge and belief.
2. Entire information furnished by me in this application is final and binding to me.
3. If any information furnished by me here, is found to be false or incorrect, I shall be liable for appropriate legal action and my admission will be
cancelled as per rules.
4. All the preferences and options given by me in this option form are given after reading all the rules of admission.
5. Allotment of junior college entirely depends on my merit, reservation, order of preferences given by me in this option form and available
vacancies in respective junior colleges.
*Note : I will submit all the original documents required for admission (uploaded and not uploaded) while taking admission.
Place NASHIK
Date 02-06-2025 12:00:06 PM
Printed On 02-06-2025 12:00:06 PM
Last Modified On 02/06/2025 11:57:19
Last Modified By D0435763415
Applicant Signature
SIDDHANT KAILAS BACHHAV
Current Status Complete And Locked
