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    Application Form No.: MU222058976 Version No.: 8

    Uploaded by

    prashant mhatre
    This document is an application form for an 11th standard admission process in Mumbai. It contains personal details of the applicant named Rathod Snehal Dharasing including name, gender, date of birth, school details, address, contact information, reservation category, and document verification status. The form notes that unless the application is verified by the applicant's secondary school, the option form to select courses cannot be filled. It also contains a declaration by the applicant stating the information provided is true.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form No.: MU222058976 Version No.: 8

    Uploaded by

    prashant mhatre
    34 views1 page
    This document is an application form for an 11th standard admission process in Mumbai. It contains personal details of the applicant named Rathod Snehal Dharasing including name, gender, date of birth, school details, address, contact information, reservation category, and document verification status. The form notes that unless the application is verified by the applicant's secondary school, the option form to select courses cannot be filled. It also contains a declaration by the applicant stating the information provided is true.

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    This document is an application form for an 11th standard admission process in Mumbai. It contains personal details of the applicant named Rathod Snehal Dharasing including name, gender, date of birth, school details, address, contact information, reservation category, and document verification status. The form notes that unless the application is verified by the applicant's secondary school, the option form to select courses cannot be filled. It also contains a declaration by the applicant stating the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views1 page

    Application Form No.: MU222058976 Version No.: 8

    Uploaded by

    prashant mhatre
    This document is an application form for an 11th standard admission process in Mumbai. It contains personal details of the applicant named Rathod Snehal Dharasing including name, gender, date of birth, school details, address, contact information, reservation category, and document verification status. The form notes that unless the application is verified by the applicant's secondary school, the option form to select courses cannot be filled. It also contains a declaration by the applicant stating the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Office of the Deputy Director of Education, Mumbai Division

    Std. 11th Centralised Online Admission Process 2022-23

    शिक्षण उपसंचालक कार्यालय, मुंबई विभाग


    इयत्ता ११ वी कें द्रीय ऑनलाइन प्रवेश प्रक्रिया २०२२-२३

    Application Form No. : MU222058976


    Version No. : 8
    Personal Details, Type of Candidature and Board Details of Applicant

    Full Name RATHOD SNEHAL DHARASING Mother's Name ASHABAI

    Gender Female Date of Birth 26/03/2006

    Board SSC Month & Year of Examination March, 2022

    Seat No. A064776 Residence Outside MMR Area

    10th School Name GURU NANAK ENG.HIGH SCHOOL, RAMBAUG, KALYAN, THANE

    10th School Index Number 16.17.134 10th School UDISE Number 27210602604

    Address for Correspondence and Contact Details

    Correspondence Address YOGIDHAM COMPLEX ,PHASE 3 ,ONYX BLDG ,FLAT 203,2ND FLOOR, KALYAN, KALYAN, Thane, Maharashtra, 421301

    Mobile No. 9321871740, 7715842381 Phone No. --

    E-Mail ID rathodsnehal380@gmail.com

    Reservation Details

    Original Category VJ-A Category for Admission VJ-A

    Original Other Category --

    Other Category for Admission --

    Admission under Technical Reservation (25% for HSVC & Bifocal Courses)

    Have you opted any of the Pre-Vocational Courses or Subjects offered under NSQF at 10th Examination ? No

    Admission for Inhouse Quota

    Do you want to take admission through Inhouse Quota ? No

    Documents Verification Details

    Documents Verification Type Online

    1617134 - GURU NANAK ENG.HIGH SCHOOL, RAMBAUG, KALYAN, THANE


    Documents Verification At
    (Contact Person : , Contact No. : 9702177475, Contact Timing : 11:00 AM to 05:00 PM)

    Required Documents List

    Sr. No. Document Name Original Category Verified Category Verification Status Verification Date

    1. Caste Certificate. (Self) VJ-A -- Pending --

    2. Non-Creamy Layer Certificate. -- -- Not Verified 21/06/2022

    Undertaking of Student for Documents


    3. -- -- Not Verified 21/06/2022
    Submission.

    Note :
    1. You need to get your form verified from your secondary school / selected guidance centre. For this purpose, you can contact to the school / guidance centre over
    phone which is mantioned in your print out. It is not required to visit the school / guidance centre personally.

    2. Unless and until the application form is verified by respective school / guidance centre, you can not proceed to fill the option form.

    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.
    *Note : I will submit all the original documents required for admision (uploaded and not uploaded) while taking admission.

    Place :                                                                       
    Date : 21/06/2022

    Printed On : 21/06/2022 1:47:19 PM

    Last Modified On : 21/06/2022 1:46:56 PM


    Applicant Signature

    Last Modified By : MU222058976, N/103.178.126.17/Chrome/Windows 7 (RATHOD SNEHAL DHARASING)

    Current Status : Locked | Not Verified by Secondary School / Guidance Centre

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