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  • G O M S C E T C M S: Application No.: 221365862 Version No: 1

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    Phillip Burgess
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    The document is an online application form for MHT-CET 2022 submitted by Prashik Balu Gaikwad. It contains personal details like name, gender, date of birth, address, family income, qualifications and exam details. Prashik is applying for the Physics, Chemistry, Biology group and has provided details of SSC and HSC exams along with preferred exam center and documents uploaded like Aadhaar card. He has declared that the information provided is true and understands the eligibility criteria.

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    The document is an online application form for MHT-CET 2022 submitted by Prashik Balu Gaikwad. It contains personal details like name, gender, date of birth, address, family income, qualifications and exam details. Prashik is applying for the Physics, Chemistry, Biology group and has provided details of SSC and HSC exams along with preferred exam center and documents uploaded like Aadhaar card. He has declared that the information provided is true and understands the eligibility criteria.

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    30 views2 pages

    G O M S C E T C M S: Application No.: 221365862 Version No: 1

    Uploaded by

    Phillip Burgess
    The document is an online application form for MHT-CET 2022 submitted by Prashik Balu Gaikwad. It contains personal details like name, gender, date of birth, address, family income, qualifications and exam details. Prashik is applying for the Physics, Chemistry, Biology group and has provided details of SSC and HSC exams along with preferred exam center and documents uploaded like Aadhaar card. He has declared that the information provided is true and understands the eligibility criteria.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
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    of 2

    Online Registration For MHT-CET 2022 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 2022

    Application No. : 221365862


      
    Version No : 1
    Personal Details
    Candidate's Full Name GAIKWAD PRASHIK BALU

    Father's Name BALU

    Mother's Name SANGITA

    Gender Male

    Date of Birth 01/03/2004

    Religion Buddhist

    Region Urban

    Mother Tongue Marathi

    Annual Family Income 50,001 - 1,00,000

    Nationality Indian

    MHT-CET Application Fee Paid (Rs . ) 600/-  


    Permanent Address
    Address Line 1 Shree ram ,houshing society
    Address Line 2 Mhetrewasti, chickhali
    Address Line 3 Pune
    State Maharashtra District Pune
    Taluka Haveli Village Pimpri Chinchwad (M Corp.)
    PIN Code 412114
    Address for Correspondence
    Address Line 1 Shree ram ,houshing society
    Address Line 2 Mhetrewasti, chickhali
    Address Line 3 Pune
    State Maharashtra District Pune
    Taluka Haveli Village Pimpri Chinchwad (M Corp.)
    PIN Code 412114
    Telephone No -
    Domicile and Category Details
    Do You Belong to State of Maharashtra? Yes
    Category SC
    Do you possess Caste Certificate Available
    Do you possess Caste Validity Not Applied
    Are you Person With Disability ? No
    Qualification Details
    SSC / Equivalent Details
    Have you passed SSC or Equivalent Exam from India? Yes
    SSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
    SSC/Equivalent Passing Year 2020
    SSC/Equivalent Percentage 84.60
    State From Which you Passed SSC/Equivalent Maharashtra
    District From Which you Passed SSC/Equivalent Pune
    Taluka From Which you Passed SSC/Equivalent Haveli
    School Name of SSC/Equivalent GEETA MATA ENGLISH MEDIUM HIGH SCHOOL
    HSC / Equivalent Details
    Are you Appearing /Appeared 12th (HSC) exam in 2022 Yes
    HSC/Equivalent Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
    HSC Passing Year NA
    State Where your 12th(HSC)College is Situated Maharashtra
    District Where your 12th(HSC)College is Situated Pune
    Taluka Where your 12th(HSC)College is Situated Haveli
    HSC School/College Name SHRI MAHALSAKANT JR COLLAGE AKURDI
    MHT-CET Examination Details
    Subject Group for MHT-CET PCB (Physics, Chemistry and Biology)
    Language for the Question Paper English
    State for MHT-CET 2022 Examination Center Maharashtra
    Exam Center at Preference Number 1 Pune
    Exam Center at Preference Number 2 Buldhana
    Exam Center at Preference Number 3 Aurangabad
    Exam Center at Preference Number 4 Ahmednagar
    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 2022).
    • 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 2022).
    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 : 28/03/2022

    Last Modified By : 221365862, 152.57.195.40:49170

    Last Modified On : 28/03/2022 9:26:24 PM


    Signature of Applicant

    Printed On : 28/03/2022 9:26:32 PM (GAIKWAD PRASHIK BALU)

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