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    7/12/23, 12:22 PM ..:: State Common Entrance Test Cell, Government of Maharashtra ::..

    First Year Degree in Pharmacy & First Year of Six Year Post Graduate Degree
    Application Form
    Course in Pharm. D. for the Academic Year 2023-24

    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 Admission to First Year of Four Year Degree Course in Pharmacy & First Year of Six Year Post Graduate
    Degree Course in Pharm. D. for the Academic Year 2023-24

    Application ID : PH23403519 Version No : 1


    Booked Slot Date (DD/MM/YYYY) and Time 12/07/2023 - 3:00PM - 4:00PM
    SC6356 - Tatyasaheb Kore College of Pharmacy, Warananagar
    SC Name and Address
    AT & POST: WARANANAGAR TALUKA: PANHALA DIST: KOLHAPUR 416113
    Personal Details
    Candidate's Full Name KATKAR BHUSHAN SAMBHAJI

    Father's Name SAMBHAJI KATKAR

    Mother's Name SAVITA KATKAR

    Gender Male

    Date of Birth 17/06/2005

    Candidature Type Maharashtra - Type A

    Home University Shivaji University

    Category NT 1 (NT-B)

    Category for Admission NT 1 (NT-B)

    Applied for EWS No

    Person with Disability Not Applicable

    Defence Type Not Applicable


    Is Orphan Candidate No
    Applied for TFWS Seats Yes
    Minority Candidature Type No
    District from which Candidate has Passed SSC Sindhudurg
    District from which Candidate has Passed HSC / Diploma Kolhapur
    Nationality India
    MHT-CET Application Fee Paid (Rs . ) 600/- Online Application Fee Paid (Rs . ) 0/-

    Qualification Details:-KATKAR BHUSHAN SAMBHAJI (Name As Per HSC Result)


    Qualification Marks Obtained Marks OutOf Percentage
    HSC Physics Marks 61.00 100.00 61.00
    HSC Chemistry Marks 80.00 100.00 80.00
    HSC Biology Marks 89.00 100.00 89.00
    HSC English Marks 71.00 100.00 71.00
    HSC Aggregate Marks 468.00 600.00 78.00
    SSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
    SSC Passing Year 2021 SSC Seat Number B028647
    HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
    HSC Passing Year 2023 HSC Seat Number X050530
    HSC Passing Status Passed

    MHT-CET 2023 Details:-KATKAR BHUSHAN SAMBHAJI (Name As Per MHTCET Result)


    Application Number 231093831 Roll No 2319070057
    Physics 95.8327980 Chemistry 95.1689580
    Mathematics -- Biology 97.4003169
    Total PCM -- Total PCB 97.1818922
    NEET 2023 Details :-
    Appeared for NEET No
    List of Documents Required at the time of Document Verification and Confirmation at Scrutiny Center
    Sr. No. Document Name
    1. Certificate of Indian Nationality in the Name of the Candidate.
    2. School Leaving Certificate of the Candidate showing his / her Place of Birth in the State of Maharashtra.
    Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the caste is recognised as backward class in
    3.
    the State of Maharashtra.
    4. Caste / Tribe Validity Certificate in the Name of the Candidate, issued by the Caste / Tribe Validity Committee of Maharashtra State.
    Non-Creamy Layer Certificate issued by Sub Divisional officer or Deputy Collector of the District in addition to the Caste Certificate, valid
    5.
    upto 31st March 2024.
    6. Income Certificate of Parents issued by competent authoirty of Govt. Of Maharashtra having Annual Income upto Rs. 8 Lacs.
    7. Statement of Marks or Certificate of Passing SSC / Equivalent Examination.
    8. Statement of Marks or Certificate of Passing HSC / Equivalent Examination.
    9. Score Card of MHT-CET 2023.
    Declaration
    I have read all the rules of admission and Information brochure for admission to UG courses 2023 and on understanding these Rules, I have filled this Application
    Form for Admission to First Year Under Graduate Technical Course in B.Pharmacy & Post Graduate Pharm.D Admissions 2023-24. The information given by me in this
    application is true to the best of my knowledge & belief. If at later stage, it is found that I have furnished wrong information and/or forgery/Xerox copy or submitted false
    certificate(s), I am aware that my admission stands cancelled and fees paid by me will be forfeited. Further I will be subject to legal and/or penal action as per the
    provisions of the law.
    Place : Date : 12/07/2023
    Printed On : 12/07/2023 12:22:51 PM
    Last Modified On : 12/07/2023 12:19:41 PM Signature of Applicant
    Last Modified By : PH23403519, 106.76.70.87:37519 (KATKAR BHUSHAN SAMBHAJI)

    https://ph2023.mahacet.org/CandidateModule/frmPrintApplicationForm 1/1

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