Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
PREAMBLE
The application form for MHT-CET-2011 is common for all the above said
courses. However, the information brochures for Health Science Courses,
Engineering courses and Pharmacy course are separate. The results of MHT-CET
2011 will be made available at the website of Directorate of Medical Education
and Research (http://www.dmer.org) and of the Directorate of Technical
Education (http://www.dte.org.in).
Competent Authority
MHT-CET-2011
CLARIFICATION
The Honble Supreme Court (Bench of Hon. 7 judges) has delivered a judgment on 12/8/2005 in
Civil Appeal No.5041/2005 in SLP (C) No.9932/2004 in respect of rights and entitlement of
Government as against Private Professional Educational Institutions. This judgment expects
enactment of legislation by Central Government and in its absence, by State Government in this
regard. This process has been initiated. However it is not certain, as of this date, as to when
such legislation will come into force, as also its provisions.
In the meanwhile, in terms of the observations of the Honble Supreme Court from the
aforesaid judgment, at least at this stage, it appears that State Government cannot claim any
quota/seats in these colleges/institutions and consequently cannot effect admissions in these
Private Engineering/Technology Colleges/institutions, except to the extent agreed by certain
institutions, if any.
It is therefore made clear that on the aforesaid interpretation and advice given to the
State Government, this Brochure will not apply to the admissions to be effected in the academic
year 2011-2012 at the Private Engineering/Technology Colleges/Institutions, in so far as
undergraduate courses are concerned, with the above exception.
However, it is made expressly clear that if, after issuance of this Brochure, either on
account of any legislation or on account of any different interpretation/opinion/advice or due to
any judgment/order passed by any court of law or even otherwise, the State Government is
found entitled to any seat(s) in the Private Engineering/Technology Colleges/Institutions and
consequently entitled to effect the admission(s) to such seat(s), the rules and regulations set out
in this Brochure will be made applicable to such seat(s) and admission(s). In such event, a
separate intimation will be issued with appropriate details.
It is further clarified that separate information brochure will be issued at the time of
filling of Application form for Centralized Admission form/option form giving details as to
availability of number of seats, their institution wise, category wise distribution as also rules and
regulations governing such distribution and consequent allotment of seats of Government as also
Private Engineering/Technology Colleges / Institutions, if any.
It is also made hereby clear in no uncertain terms that the same Common Entrance Test
(MHT-CET-2011) that is proposed to be conducted in terms of this Brochure will govern such
admission(s), if any.
INDEX
1.0 Introduction 1
1.1 Abbreviations 2
1.2 Definitions 2
2.0 Eligibility Criteria 4
2.1 Eligibility of Maharashtra State and OMS candidate for appearing for MHT-CET 2011 4
2.2 Eligibility criteria for Maharashtra State and Outside Maharashtra State Candidate 4
2.3 Eligibility Criteria for All India (Paper-I of AIEEE-2011 qualified) candidates 5
Eligibility Criteria for Foreign National/Foreign student/ PIO/Children of Indian
2.4 5
workers in the Gulf countries/Children of NRI
2.5 Eligibility criteria for GOI nominees 5
2.6 Eligibility criteria for J & K Migrant candidates 6
2.7 Eligibility criteria for MKB candidates 6
Eligibility criteria for Candidates who are sons/daughters of Defence service
2.8 6
personnel
2.9 Eligibility criteria for Candidates who are Physically Handicapped 7
2.10 Other eligibility criteria for specialized branches of Engineering 7
Eligibility criteria of Candidates who have passed/passing Diploma in Engg/Tech and
2.11 8
seeking admission to First Year of Engg/Tech in Unaided Institutes
3.0 Type of Candidature 9
3.1 Types of Maharashtra State Candidates and Home Universities 9
3.2 Outside Maharashtra State candidate 10
4.0 Reservations 11
4.1 Reservation for Backward Class category Candidates 11
4.2 Reservation for sons/daughters of Defence service personnel 12
4.3 Reservation for Physically Handicapped Candidates 12
4.4 Reservation for Female candidates 13
Reservation of seats for the candidates belonging to the Maharashtra-Karnataka
4.5 13
Border (disputed area) MS Type-E candidates
5.0 Assignment of Merit Number 13
5.1 Merit Number For Maharashtra Candidates 13
5.2 Merit Number for AIEEE (Paper-I) Candidates 14
5.3 Merit Number for J&K Migrant Candidates 14
5.4 Change of Marks due to verification 14
6.0 Rules of Admission through Centralized Admission Process (CAP) 15
7.0 CONDUCT AND DISCIPLINE 16
ANNEXURES
I Maharashtra-Karnataka Disputed Border Area (MKB) Residents 17
Districts, Talukas and Villages included under MKB
II Documents to be attached along with Application Form for Centralized Admission to 20
Engineering
III Scheme of MHT-CET 2011 Examination 25
Sale of Application Form, Information Brochures, Admit Card Result of MHT-CET 26
IV
2011 etc.
A Divisional Authorities, Districts & Notified Colleges Under Their Jurisdiction 29
K District Codes 30
L Application for Verification of Marks 31
M Instruction for Filling Application Form for MHT-CET-2011 32
Specimen Copy of Application Form 34
Specimen Copy of MHT-CET 2011 front page of a Question Booklet 36
How to Mark In The OMR Answersheet 37
OMR Front Side Specimen Copy 38
OMR Back Side Specimen Copy 39
Proforma A L 40-47
Regional Offices of Directorate of Technical Education 48
Receipt - Cum - Identity Card 49
Part II :- Biology
a) Distribution of answer sheets 11.40 a.m.
b) Distribution of question booklets 11.50 a.m. - Long Bell
c) Examination commences 12.00 noon - Long Bell
d) Part II concludes at (All candidates should leave the 01.30 p.m. - Long Bell
examination hall after submitting Question booklet & OMR
Answersheet)
Part III :- Mathematics
o Entry in examination Hall :- 02.15 p.m. - Long bell
o Distribution of answer sheets 02.40 p.m.
o Distribution of question booklets 02.50 p.m.
o Examination commences 03.00 p.m. - Long Bell
o Last entry permitted in examination hall (No candidate will 03.00 p.m.
be permitted after 3.00 p.m. under any circumstances)
o Part III concludes at - 04.30 p.m. - Long Bell
Last date of submission of certificate/(s) for Additional Weightage 18/05/2011
Claim at the Office of Competent Authority, Mumbai (For Health
Science Courses Only).
Declaration of Result (on or before) 14/06/2011
Last date for representation regarding Verification of marks with Within Four Days of
prescribed fees. Declaration of Result
Declaration of Final Merit List (on or before) 25/06/2011
1.0 Introduction
The entrance examination for the selection to all Health Science Degree Courses,
Engineering/Technology and Pharmacy degree courses in State of Maharashtra for the
academic year 2011-12 shall be conducted by the Competent Authority appointed by Government of
Maharashtra. The Common Entrance Test (MHT-CET 2011) will be held on Thursday, 12th May
2011, at all the district headquarters in the State of Maharashtra.
The Selection Process shall however be separate for degree courses in Health Sciences,
Engineering/Technology and Pharmacy. The respective Competent Authorities shall devise the system
of Counseling/Allotment. This procedure shall be governed by the regulations and directions as
specified by the Government of Maharashtra from time to time.
This brochure gives the rules for the eligibility for appearing to the Maharashtra HealthTechnical
Common Entrance Test 2011 i.e. MHT-CET 2011, the eligibility for admission to first year of various
courses in Engineering/Technology in the State of Maharashtra and also gives definition of various
types of candidatures. These rules govern only the aspect of the Common Entrance Test and the
eligibility of the candidates to appear at this examination.
The rules and information regarding the Distribution of seats under various heads i.e. Home University,
Outside Home University, Institute Level Seats, Minority Seats, AIEEE Seats etc.; details of the
Reservation of Seats, Fees concession (if any) offered to eligible candidates, details of the Centralized
Admission Process (CAP), details of the Admission rounds, Institute/course wise Information etc. shall
be provided in a separate Information Brochure, which will be made available to the aspiring
candidates at the time of filling up of the Application Form for Admission to Engineering/Technology
Courses.
It is specifically made clear that the CET proposed to be conducted in terms of these rules will also
govern the admissions of the Autonomous Institutes including Institute of Chemical Technology (ICT),
Mumbai (Deemed University).
1.2 Definitions:
State Government means the Government of Maharashtra.
Director means the Director of Technical Education, Maharashtra State.
"Application Form" means prescribed form filled up by the candidate for appearing for MHT-CET
2011.
Appeal Committee means the Committee setup under the chairmanship of the Competent
Authority, it shall deal with the representations submitted by the candidates/parents relating to
grievances of the candidates with regard to MHT-CET 2011 examination and the selection process.
Competent Authority means the Authority designated or appointed by Government of
Maharashtra to conduct MHT-CET 2011, and declare the results. The respective Competent
Authorities will supervise and control the selection process for the admission to Health Sciences,
Engineering/Technology and Pharmacy degree courses and act as a chairperson of the Appeal
Committee for representations submitted by the candidates. The Competent Authority will issue
necessary executive instructions for implementation and provide relevant information to be
published or communicated.
Representative of the Competent Authority means an officer appointed to assist Competent
Authority for smooth conduct of Admission Process as per the directives of the Competent
Authority.
Center in-charge of the District means the District Collector or the officer(s) authorized by
the District Collector.
Candidate should be an Indian National and should have passed the HSC (Std.XII) examination of
Maharashtra State Board of Secondary and Higher Secondary Education or its equivalent examination
with subjects English, Physics, Chemistry and Mathematics AND Secured minimum 50% marks
i.e. not less than 150 marks out of 300 marks (minimum 45% marks i.e. not less than 135 marks
out of 300 marks in case of candidates of Backward class categories belonging only to Maharashtra
State) in the subjects Physics, Chemistry and Mathematics added together AND Obtained a
non zero score in subjects Physics, Chemistry and Mathematics added together at MHT-CET
2011.
2.3 Eligibility Criteria for All India (Paper-I of AIEEE-2011 qualified) candidates: [Both the
Maharashtra State Candidates and the OMS candidates]
Candidate should be an Indian National and should have passed the HSC (Std.XII) examination of
Maharashtra State Board of Secondary and Higher Secondary Education or its equivalent
examination with subjects English, Physics, Chemistry and Mathematics AND secured minimum
50% marks i.e. not less than 150 marks out of 300 marks (minimum 45% marks i.e. not less
than 135 marks out of 300 marks in case of candidates of Backward class categories belonging only
to Maharashtra State) in the subjects Physics, Chemistry and Mathematics added together AND
Candidate should have a valid AIEEE Score (i.e. total score should be positive) for the year 2011-12.
Maharashtra Paper-I of AIEEE-2011 qualified Candidates who have appeared for MHT-CET 2011
will be required to submit single Application and Option form for CAP. Such Candidates will be given
signle allotment through CAP as per their inter-se-merit.
2.4 Eligibility Criteria for Foreign National/Foreign student/ PIO/Children of Indian workers
in the Gulf countries/Children of NRI
Candidate should have passed the HSC (Std.XII) examination of Maharashtra State Board of
Secondary and Higher Secondary Education or its equivalent examination with subjects English,
Physics, Chemistry and Mathematics and secured minimum 50% marks i.e. not less than 150 marks
out of 300 marks in the subjects Physics, Chemistry and Mathematics added together.
The eligibility of the candidates passing the HSC (Std. XII) equivalent examination
from a school/college/Examination Board situate outside India shall be further
decided by the University Authorities to which the candidate is admitted. Hence such
candidates are advised to get their eligibility verified by the respective University
Authorities before seeking admission to the Engineering/Technology degree courses
in the State of Maharashtra.
The candidate belonging to this type is not required to appear for the MHT-CET
2011/AIEEE 2011.
Candidate should be an Indian National and should have passed the HSC (Std.XII) examination of
Maharashtra State Board of Secondary and Higher Secondary Education or its equivalent examination
with subjects English, Physics, Chemistry and Mathematics and secured minimum 50% marks i.e. not
less than 150 marks out of 300 marks (minimum 45% marks i.e. not less than 135 marks out of 300
marks in case of candidates of Backward class categories) in the subjects Physics, Chemistry and
Mathematics added together.
The candidate belonging to this type is not required to appear for the MHT-CET
2011/AIEEE 2011.
In addition to the basic eligibility criterion mentioned in rule no. 2.2, candidates who have appeared
& obtained a non zero score in the MHT-CET 2011 and belonging to the Maharashtra Karnataka
Disputed Border Area are required to fulfil following additional eligibility criterions.
Candidates have to be from such villages/towns, from the Maharashtra Karnataka disputed
border areas, on which Maharashtra puts its claim (Refer Annexure I).
The candidate should have passed SSC (or equivalent) and/or HSC (or equivalent) from an
Institution situate in the disputed border area. The candidate must produce a certificate from the
Principal/Head Master of the College/School stating that the candidate has passed SSC/HSC (or
equivalent) Examination from that Institution.
Mother tongue of the candidate must be Marathi. The candidate must produce a certificate from
the Principal/Head Master of the School from which he/she has passed the SSC (or equivalent)
Examination, stating that the candidates Mother tongue is Marathi as per the original School
record.
Candidate should have passed SSC or HSC (or equivalent) Examination with Marathi as one of
the subject.
2.8 Eligibility criteria for Candidates who are sons/daughters of Defence service personnel:
In addition to the basic eligibility criterion mentioned in rule no.2.2, candidates who have appeared
& obtained a non zero score in the MHT-CET 2011 and satisfying any one of the following criteria as
are eligible to seek admission against seats for sons/daughters of defence service personnel.
Candidate is a son/daughter of ex-service personnel who is domiciled in Maharashtra State
(Def-1).
Candidate is a son/daughter of active service personnel who is domiciled in Maharashtra State
(Def-2).
Candidate is a son/daughter of active service personnel (Def -3)
Diploma holders who have passed the Diploma course in Engineering/Technology with minimum of
50% marks and medium of instruction as English from the Polytechnics affiliated to MSBTE or AICTE
approved autonomous Polytechnics in Maharashtra State ( for Maharashtra State Candidates) or such
polytechnics situate inside/outside the State of Maharashtra ( for Outside Maharashtra State
Candidates).
Note:
1. To resolve a tie i.e. more than one candidate securing equal aggregate marks in Final year of the
Diploma exam, following order of preference shall be adopted: marks in Maths at SSC, Grand
Total at SSC.
2. Eligible Diploma candidates (rule 2.11) shall be considered for Admission against the Institute
level seats in Unaided Private Institutes only. The details of the admission process for filling
application for admission against institute level seats shall be made available in the separate
information brochure.
3. Such Diploma candidates (rule 2.11) are not eligible to appear for the MHT-CET 2011.
General Notes:
1. In case the maximum marks in individual subject is other than 100, convert the marks out of 100
for individual subject but do not round off these marks. If the sum of the converted marks of
three individual subjects without rounding off works out to be a figure with fraction then fraction
up to two decimal places will only be considered
Example: If a candidate obtains 101 marks out of 200 in Physics, 86 marks out of 150 in
Chemistry and 40 Marks out of 100 in Mathematics, then the sum of marks obtained works out
to be 227 out of 450 marks. If it is conveted out of 300, it works out to be 151.33. However if
the marks in individual subjecte are converted out of 100, then the marks are as 50.5 in Physics,
57.3333 in Chemistry and 40 in Mathematics. It means the sum of converted marks of individual
subject is 147.8333, which is 147.83 upto two fraction. Hence the candidate is not eligible for
admission under OPEN Category.
2. If letter grades are assigned instead of marks at SSC, HSC or its equivalent examination the
candidate must obtain the certificate of conversion of letter of grades into marks from the
competent authority where from the candidate has passed the examination. The candidate
should produce such certificate at the time of submission of application form. The Eligibility shall
be decided based on the equivalent marks submitted by such candidates.
Note: Type-D Candidates should produce Certificate in the proforma B regarding the
employment status of Father/ Mother at the time of submission of Application form for
Admission through CAP.
5 Type-E Refer Rules 2.2 and 2.8 for Candidates will only be
(Maharashtra eligibility criteria considered for 30% OHU
Karnataka disputed seats of Maharashtra State
Border Area of CAP. These candiadates
Candidates ) will also be eligible for the
seats remaining vacant in
Un-aided Institutes after the
CAP round and for additional
round of Government,
Government Aided,
University departments and
University managed
Institutes.
Note:
For claiming facility under Type A, B, C, D & E, it is binding for the candidates to produce the
documentary proof along with the application form for CAP to claim the facility.
Candidate can claim only one type of candidature while submitting the application form. e.g.
Candidates who are eligible to apply against the provision of Jammu & Kashmir Migrant
Candidate seats as well as against the Maharashtra State seats are only entitled to claim for one
of these seats.
The candidate should submit the applicable certificate in the necessary proforma at the time of
filling up of Application Form for CAP.
Eligible OMS candidates shall be considered on the basis of score of MHT-CET 2011, for
Admission to institute level seats in Unaided Private Institutes. The details of the
admission process for filling up seats at the institute level will be given in separate information
brochure at the time of filling of online application form for Admission through CAP.
4.0 Reservations:
All the reservations given below shall be applicable to candidates belonging to Maharashtra State
only subject to the fulfillment of the eligibility criteria specified by respective authorities from time to
time.
Note:
1. The reservation for backward class candidates shall be available in Unaided Non-Minority colleges
and it will be 50% of Maharashtra State CAP seats.
2. Reservation for backward class candidate i.e. 50% as stated above shall be available in
Government, Government Aided Institutes, University Dept. and University Managed Institutes.
3. Candidates belonging to Special Backward Class (SBC) will be offered reservation up to 2%
seats of the seats available for Maharashtra candidates which are coming under the purview of the
Competent Authority subject to condition that any seats remain vacant in the reserved category at
the end of stageI of allotment. These seats are carved out during the allotment stage-I and no
separate seats are earmarked before the start of the allotment process. SBC Candidates having
original category OBC will be considered at par with OBC Candidates.
4. Even if the candidate belonging to Backward Class Category secures admission against a seat
belonging to the General category by virtue of merit, such candidate has to produce all the
necessary documents in support of the category claimed both at the time of admission and while
filling up of the CAP admission form.
5. All OMS candidates are treated as GENERAL/OPEN candidates and are not eligible to claim
reservation for backward class category candidate.
Allotment of the seats reserved for the Physically Handicapped candidates shall be done on the basis
of a respective inter-se merit of respective category of such candidates. These seats are available
in Home University area seats only except for those colleges for which the admissions
are done at state level. The state level seats will only be made available for those
colleges for which the admissions are done at state level. These seats are available only
for Maharashtra Domiciled candidates.
Note:-
It should be noted that the physically handicapped candidates on admission to Engineering /
Technology degree course will not be given any exemptions or additional facilities in the academic
activities other than those which may be provided by the respective Universities. Further it is
specifically brought to the notice of Physically Handicapped candidates that, they should submit the
certificates strictly as per the Proforma F/F-1.
IMPORTANT: All such candidates who fail to substantiate claims made (such as
reservation category, PH, Defence etc.) with supporting necessary documents shall be
converted to GENERAL category and/or such applications will be rejected as the case
may be. Once such candidates are converted to GENERAL category and they will have to
fulfill the minimum eligibility criteria as set out for a GENERAL category candidate.
4.5 Reservation of seats for the candidates belonging to the Maharashtra-Karnataka Border
(disputed area) MS Type-E candidates-
These candidates will only be considered for 30 % Other than Home University (OHU) seats of
Maharashtra State of CAP. These candidates will also be eligible for the seats remaining vacant in
Un-aided Institutes after the CAP round and for additional round of Government, Government
Aided, University Departments and University Managed Institutes.
Note:
1. Merit list of Maharashtra State Candidates so prepared shall indicate a State level
General Merit No., State level Category Merit no. (as applicable), Home University
General Merit No., Home University Category Merit no. (as applicable) etc.
2. Assignment of a Merit number does not indicate or ensure admission to any seat.
Note:
While converting the marks, if the converted marks work out to be a figure with fraction, fraction up
to two decimal places will only be considered.
For the academic year 2011-12, the Competent Authority shall conduct total Four (4) rounds of
Centralized Admission. The CAP shall consist of first three (3) rounds of Centralized Allotment
wherein eligible candidates of respective rounds (both Maharashtra and AIEEE) will fill & confirm
separate/fresh Online Option forms for respective rounds. Fourth round of CAP shall be conducted by
way of counseling, only for the eligible Maharashtra State candidates. Details of eligibility for each
round of CAP, filling of option form(s), method of reporting after each round, availability of seats for
each round and such other details will be given in a separate Information Brochure.
Major Steps in the CET, Admission through CAP and tentative schedule are summarized below:
1. Fill in and Submit Application Form for MHT-CET 2011
2. Appear for the MHT-CET 2011as per the schedule
3. Declaration of the result of MHT-CET 2011
4. Document Verification, Fill in the Online Application Form for Centralized Admission to
Engineering/Technology i.e. CAP and Confirm it at the Application form Receipt Centers
(ARCs) by eligible MHT-CET 2011 and AIEEE-2011 (Paper-I) qualified candidates (in June
2011)
5. Display of Merit List of candidates who have confirmed the online Application Form for
Centralized Admission to Engineering/Technology on website www.dte.org.in/fe2011.
(in June 2011)
6. Fill in and confirm the Online Option Form(s) for CAP Round(s) I/II/III (by candidates
eligible to participate in these CAP rounds) on the website www.dte.org.in/fe2011. (in June-
July-August 2011)
7. Display of Allotment(s) of respective CAP Round(s) I/II/III on the website
www.dte.org.in/fe2011. (in June-July-August 2011)
8. Reporting to respective Institutes as per allotment of CAP Round(s) I/II/III.
(in June-July August 2011)
9. Conduction of CAP Round-IV by counseling and Reporting to respective Institute.
(in July-August 2011)
Note:
Above mentioned schedule and procedure is tentative and shall be taken as a suggestive guideline. A
notification giving details such as schedule, procedure of Centralized Admission will be displayed on
the website and published in leading newspapers.
Details of the eligibility for participating in each round of CAP, method of reporting after each CAP
round, availability of seats for each CAP round and other such details are given in the separate
Information Brochure.
Failure of the candidate in making full and correct Statements in the application form and/or
suppression of any information and/or submission of false documents shall lead to
disqualification of the candidate for MHT-CET 2011 or even at later date during the Admission
Process. Such a candidate will be debarred from the examination as well as the entire selection
process. Therefore the candidate is required to make only such claims which could be substantiated
by relevant original documents.
Adopting any unfair means or engaging in malpractice in the examination shall render a candidate
liable for punishment under, Maharashtra Prevention of Malpractices Act, Universities, Board and
Other Specified Examination Act, 1982 and disqualify him/her for MHT-CET 2011 examination.
If any person(s) or officer(s) dealing with the conduct of the MHT-CET 2011 are found engaged in
act(s) that would result in the leakage of question paper or attempt to use or help in the use of
unfair means in this examination he/she shall be liable to prosecution under Indian Penal Code.
Any issue not dealt here-in above will be dealt with, when arising, fully and finally by the Competent
Authority.
ANNEXURE-I
The names of villages under the disputed MKB areas in the above stated Talukas and
Districts (as per Government Letter No. MED-1007/CR-54/Edu-2, dated 14th November,
2007).
A) Belgaum District
1. Athani Taluka
Village Names: (1) Lokur (2) Mangasuli (3) Bamnal (4) Ugarkh (5) Samnvargi (6) Jambagi (7)
Arlihatti (8) Shirur (9) Padegaon.
2. Belgaum Taluka - Village Names: (1) Belgaum Rural (2) Madhaopur (3) Angol (4) Sheriyadval
(5) Wadgaon (6) Dhamne S. Belgaum (7) Tammanai Kanhatti (8) Kakti (9) Yeramale (10) Yellur (11)
Zadshahpur (12) Macche (13) Majagaon (14) Jaitanmal (15) Uchagaon (16) Gojage (17) Bekkinkere
(18) Ativad (19) Marnahol (20) Kangrali Bk. (21) Mannur (22) Ambewadi (23) Sulage (Uchagaon)
(24) Hindalga (25) Benakanhalli (26) Savagaon (27) Mandoli (28) Hangargi (29) Kuttalawadi (30)
Navaje (31) Somanaikanhatti (32) Santibastawad (33) Waghawade (34) Sulage (Yellur) (35)
Rajahansagad (36) Nagenhatti (37) Nandihalli (38) Hosagondanhatti 3(9) Desur (40) Susgoudanhatti
(41) Rankunede (42) Kiniye (43) Dhatourwadi (44) Karle (45) Bakanur (46) Badasinam (47)
Belavatti (48) Bijagarni (49)Rakaskop (50) Yelebail (51) Sonoli (52) Dhamne S. Bailur (53) Belgundi
(54) Doknur (55) Kudremani (56) Kallehol (57) Bachi (58) Turmuri (59) Kangrli Kh. (60) Agasge (61)
Kadoli (62) Chalvenhatti (63) Mahalenhatti (64) Kednur (65) Honage (66) Handignur (67)
Bodkenhatti (68) Bambarge (69) Kattnbhavi (70) Kurihal B K. (71) Kurihal K.H. (72) Bharmyanhatti
(73) Idalhond (74) Bandiholi (75) Chandgad (76) Ashte (77) Muchandi (78) Kalakhamb (79)
Kanabargi (80) Alatage (81) Yamanapur (82) Gaudwad (83) Siddanbhavi (84) Kondaskop (85)
Bastawad (86) Shaganmabbi (87) Mudage (88) Alarwad (89) Mastamaro (90) Basarikiatti (91)
Shindholi (92) Kudachi (93) Nilgi (94) Haoage (95) Sambare (96) Khangaon K. H. (97) Tarihal (98)
Kamkarhatti (99) Kolikop (100) (City) Belgaum (Town Group).
3. Chikodi Taluka - Village Names: 1) Adi 2) Akol 3) Barwad 4) Denadi 5) Bhivashi 6) Budihal 7)
Hanchinal K. Savegaon 8) Jatrat 9) Kasnal 10) Kondi 11) Kurli 12) Lakhnagpur 13) Mangur 14)
Amaizari (Nipani) 15) Padlihal 16) Soundalaga 17) Shidnal 18) Bhatngnur 19) Gondikoppi 20) Hadnal
21) Mitivade 22) Shendur 23) Shiraguppi 24) Suligaon 25) Yarnal 26) Budalmikh 27) Kunnur 28)
Manakapur 29) Pangeri A. 30) Taudi 31) Pangire 32) Pattanakudi 33) Chikhalwhal 34) Peerwadi 35)
** Domicile certificate:
Domicile certificate issued by the Maharashtra States appropriate authorities will be considered valid.
The domicile certificate of Mother of the candidate shall be supported with marriage certificate and
legal proof of change in name if any. Such candidates will be required to submit birth certificate clearly
mentioning the name of the mother.
No documents are needed at the time of filling up of form for MHT-CET 2011. However no change in
the information once filled is permitted at a later date.
Candidates are required to keep the documents ready at the time of filling up of Application Form for
Admission. (Tentatively scheduled in the month of June 2011)
IMPORTANT NOTE: Admission under constitutional reservation seat will be governed by the
Maharashtra Schedule Castes, Scheduled Tribes, Denotified Tribes (Vimukta Jatis), Nomadic Tribes,
Other Backward Classes and Special Backward Category (Regulation of Issuance and Verification of)
Caste Certificate Act, 2000 (Mah. Act No.XXIII of 2001) as below:
Para 10: (Benefits secured on the basis of false Caste Certificate to be withdrawn)
(1) Whoever not being a person belonging to any of the Scheduled Castes, Scheduled Tribes,
Denotified Tribes, De-notified tribes, (Vimukta Jatis), Nomadic Tribes, Other Backward Classes or
Special Backward Category secures admission in any educational institution against a seat reserved for
such Castes, Tribes or Classes, or secures any appointment in the Government, local authority or in
any other company of Corporation, owned or controlled by the Government or in any Government
aided institution or Co-Operative Society against a post reserved for such Castes, Tribes or Classes by
producing a false Caste Certificate shall, on cancellation of the Caste Certificate by the Scrutiny
Committee, be liable to be debarred from the concerned educational institution, or as the case may be,
discharged from the said employment forthwith and any other benefits enjoyed or derived by virtue of
such admission or appointment by such person as aforesaid shall be withdrawn forthwith.
(2) Any amount paid to such person by the Government or any other agency by way of scholarship,
grant, allowance or other financial benefit shall be recovered from such person as an arrears of land
revenue.
(3) Notwithstanding anything contained in any Act for the time being in force, any Degree, Diploma or
any other educational qualification acquired by such person after securing admission in any educational
institution on the basis of a Caste Certificate which is subsequently proved to be false shall also stand
cancelled, on cancellation of such Caste Certificate, by the Scrutiny Committee.
(4) Notwithstanding anything contained in any law for the time being in force, a person shall be
disqualified for being a member of any statutory body if he has contested the election for local
authority, Co-operative Society or any statutory body on the seat reserved for any of Scheduled
Castes, Scheduled Tribes, De-notified Tribes, (Vimukt jatis), Nomadic Tribes, Other Backward Classes
or Special Backward Category by procuring a false Caste Certificate as belonging to such Caste, Tribe
or Class on such false Caste Certificate being cancelled by the Scrutiny Committee; and any benefits
obtained by such person shall be recoverable as arrears of land revenue and the election of such
person shall be deemed to have been terminated retrospectively.
Categor
Documents required for
y of Authority issuing the
Sr. No. supporting the backward class
Reserva document.
reservation claim
tion
1. Caste Certificate stating that the
caste is recognised under Executive Magistrate in
backward class category in Maharashtra State
S.C. Maharashtra State.
1.
Divisional Caste Certificate
Scrutiny Committee of the
2. Caste Validity Certificate
respective Divisional Social
Welfare Office.
1. Caste Certificate stating that the
caste is recognised under Executive Magistrate in
backward class category in Maharashtra State
2. S.T. Maharashtra State.
Director / Deputy Director,
2. Caste Validity Certificate Tribe Scrutiny Committee of
respective Region
1. Caste Certificate stating that the
caste is recognised under Executive Magistrate in
backward class category in Maharashtra State
VJ/DT / Maharashtra State.
N.T.(B)/ Divisional Caste Certificate
N.T.(C)/ 2. Caste Validity Certificate Scrutiny Committee of the
3.
N.T.(D)/ respective Divisional Social
O.B.C./ Welfare Office.
S.B.C.
Sub Divisional Officer /
3. Non-creamy layer Certificate valid
Deputy Collector / Collector of
upto 31st March 2012.
the district.
ANNEXURE-III
ANNEXURE-IV
Mode of Sale:
A single Application form and three information Brochures for MHT-CET 2011 (Health Science,
Engineering/Technology and Pharmacy) will be available at Junior College/High School where student
has studied for HSC (12th Std examination). Prescribed application forms as per the requirement shall
be obtained by Head Master/Principal of the college from the Principal/Dean of the notified college in
the district as shown in Annexure-A. The cost of application form along with the Information
Brochures of MHT-CET 2011 and the Examination fee is Rs.700/- for open category, and Rs.500/-
for reserve category candidate. This amount is not refundable. The School/Junior College should
submit two separate demand drafts / pay orders, one for open category candidates, another for
reserve category candidates drawn in favour of Competent Authority (MH-CET), Mumbai, on
any scheduled commercial Bank, payable at Mumbai, to the Notified College while collecting application
forms. Duly filled application form should be submitted by the candidate to the same Junior
College/School, from where he/she has passed / appearing for HSC or equivalent examination, on or
before the prescribed date.
All the Defence category candidates who are appearing/have appeared for qualifying examination
(HSC or equivalent) from outside Maharashtra State and are otherwise eligible as per the rules to
appear at MHT-CET 2011, should obtain the brochures and application form on payment of fee of
Rs.900/- by Demand Draft/Pay order drawn on any scheduled commercial Bank in favour of
Competent Authority, MH-CET, Mumbai payable at Mumbai, from respective Divisional
Authorities.
Instructions for filling and submission of application form (refer Annexure M):
The application form must be filled by the candidate in his/her own handwriting using black ink ball
point pen. Filling up of application form by the candidate shall be done under active guidance of the
Principal or teacher authorized by the Institution. The application should be submitted by the candidate
on or before the prescribed date, to the Principal of concerned Jr. College/ High school.
The application forms complete in all respects shall be submitted by the Principal of School/Junior
College to the Dean / Principal of the notified College of the concerned District as shown in
Annexure-A on or before the last date prescribed for the same.
It will be responsibility of the Head Master/Principal of High School/Junior College to verify and certify
that the information provided in the application form by the candidate is correct.
For Candidates who have passed HSC or Equivalent exam from outside Maharashtra, the place of
submission of application form, receiving of Receipt cum Identity card, Admit Card and Mark sheet
shall be as given in the following table.
All the Outside Maharashtra State (OMS) candidates mentioned in above table should show relevant
documents of a) photo identity b) Date of birth proof and c) SSC or equivalent examination marks to
the Divisional/Notified authority at the time of submission of application form.
The candidates desirous of claiming the constitutional and / or specified reservations must have
claimed the same in the original application form of MHT-CET 2011, failing which the claim will not be
entertained subsequently. A candidate belonging to backward class from Maharashtra state only, is
eligible for claiming seat under reserved category.
Incorrect/incomplete Application Form will be rejected.
Application forms sent by post/courier will be rejected.
A Candidate shall submit only one and only one Application Form. In case, the candidate submits more
than one application form, he/she shall be disqualified.
MHT-CET- 2011 Admit Card & Receipt-cum-Identity Card: The Principal/Head of the
institute where the application form is submitted shall issue Receipt-cum-Identity card attesting the
photograph of the candidate with his/her signature and stamp. The candidate must preserve the
Receipt-cum-Identity-card and must bring it at the time of MHT-CET 2011 examination as well as
at the time of filling up of the preference form and admission.
The Admit Cards for the MHT-CET 2011 will be distributed by the Principal/Head of the institute where
the Application form was submitted. In case the candidate does not receive Admit Card on or before
the prescribed date (or if he/she has lost his/her admit card), he/she should approach the Center
Incharge of the district with the original Receipt cum Identity Card for getting a Duplicate Admit Card.
Please note that the issue of Admit Card is just an enabling provision for appearing at MHT-CET and
does not imply that the candidate is eligible for admission.
Bonafide certificate / Affidavit stating Gap in the Education (Not required for the candidates appearing
for H.S.C. or equivalent examination in March 2011):-
1. Bonafide Certificate:- This is for those candidates who have passed HSC/12th Standard in March
2010 or before and presently studying in a course/institution not affiliated to Maharashtra
University of Health Science, Nashik. (To be issued by the concerned institution).
2. Affidavit (Gap Certificate):- This is for those candidates who have passed HSC/12th Standard in
March 2010 or before and presently not studying in any course/institution.
Legal jurisdiction: All disputes pertaining to the conduct of examination and selection shall fall within the
jurisdiction of Courts, at Mumbai only. The Competent Authority shall be the legal person in whose name
the Government of Maharashtra may sue or may be sued.
ANNEXURE - A
Divisional Authorities, Districts & Notified Colleges Under Their Jurisdiction
Divisional Authority Districts Notified Colleges for the concerned Districts Authorities
Mumbai Urban Grant Medical College, Sir J.J. Hospital, Byculla, Mumbai-400 008
1) Dean, Grant Medical Mumbai
R.A. Podar Ayurved College, Dr. Annie Besant Rd., Worli, Mumbai - 400 018
College, Mumbai. Suburban
PH-(022) 23735555 Thane Rajiv Gandhi Medical College & Cht. Shivaji Maharaj Hospital, Kalva, Thane-400 065
Raigad KES Chandrakant Hari Keluskar Homoeopathic College, Alibaug, Dist.Raigad-402 201
2) Dean, B.J.Medical Pune B. J. Medical College, Pune- 411 001
College Pune Ahmednagar Gangadhar Shastri Gune Ayurvedic Mahavidyalaya, Vishrambaug, Ahmednagar
PH-(020) 26128000 Satara SCM Aryangla Ayurvedic College, ITI Road, Gendamal, Satara-415 002.
Ext 385
Or (020) 26130991 Solapur Dr.Vaishampayan Memorial Medical College, In-front of District Court,Solapur-413 003.
Sangli Govt. Medical College, Pandharpur Rd., Miraj, Dist - Sangli - 416 410
3) Dean, Govt. Medical
Kolhapur R.C.S.M. Govt. Medical College, CPR Hosp. Compound, Kolhapur-416 002.
College, Miraj,
Dist.Sangli R.P.Gogate College of the Science and R.V.Jogalekar College of Commerce, A/P -
Ratnagiri
PH-(0233) 2232090, Ratnagiri, T/D - Ratnagiri - 415 612.
2231959 Bhaisaheb Sawant Ayurvedic Mahavidyalaya, Khaskilwada, Sutikgruha Complex,
Sindhudurga
Sawantwadi, Dist. Sindhudurga-416 510.
4) Dean, SBH Govt. Dhule, Shri. Bhausaheb Hire Government Medical College, Mumbai-Agra-Highway,
Medical College, Nandurbar Chhakarbardi Campus, Near Residency Park, Dhule-424 301.
Dhule Nashik Ayurvedic College, Ganeshwadi, Near Garge Maharaj Bridge, Panchawati, Nashik- 03
PH-(02562) 239407 Jalgaon Chaitanya Ayurvedic College, Sakegaon, Tal. Bhusaval, Dis. Jalgaon.
Aurangabad Government Medical College, Panchakki Road, Aurangabad-431 001.
5) Dean Govt. Medical
Government Dental College & Hospital, Govt. Medical College Campus, Dhanwantari
College, Jalna
Nagar, Aurangabad- 431 001.
Aurangabad
PH-(0240) 2402412-17 Beed Swami Ramanand Teerth Rural Medical College, Ambajogai, Dist-Beed- 431 517
Osmanabad Government Ayurved College, Solapur Road, Osmanabad-413 501.
6) Dean, Dr. Parbhani, Hingoli P.D. Jain Homoeopathic College, Vakil Colony, Parbhani-431 401
Shankarrao Chavan Latur Government Medical College, Civil Hospital Campus, Latur-412 513.
Govt Medical
College, Nanded Nanded Dr. Shankarrao Chavan Government Medical College, Vazirabad, Nanded- 431 601
PH-(02462) 238527
Nagpur Government Medical College, Hanuman Nagar, Nagpur-440 003.
Wardha Indira Gandhi Medical College, Central Avenue Road, Nagpur-440 018.
7) Dean Govt. Medical
Bhandara Government. Dental College & Hosp., Medical College Campus, Nagpur-440 003.
College, Nagpur
PH-(0712) 2743588 Gondia Mahadeorao Shivankar Ayurvedic College, Kudwa, Dist- Gondia-441 614.
2701580 / 2700256 Purushottam Bagla Homoeopathic College & Hospital, Bagle Nagar, Babu Peth,
Chandrapur
Chandrapur-442 403
Gadchiroli Government Polytechnic, MIDC Road, Gadchiroli - 442 605.
Yavatmal Shri. Vasantrao Naik Government Medical College, Yavatmal-445 001.
8) Dean, Govt. Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Shivaji Nagar,
Amravati
Medical College, Amravati-444 603.
Akola Akola, Washim Government Medical College, General Hospital Campus, Akola - 444 001
PH-(0724) 2431960 Panchasheel Homoeopathic Medical College, Kalanagar, Khamgaon, Buldhana - 444
Buldhana
303.
N.B. The notified colleges shall be responsible for supply of information brochures/ application
forms, receipt of application forms, dispatch of admit cards & mark sheets to the
candidates through their respective Jr. Colleges / High schools.
MKB Area: Candidates of Maharashtra-Karnataka Disputed Border (MKB) Area from Bidar &
Gulbarga should submit their application forms to Dean Govt. Medical College, Latur
and residents of Belgaum & Karwar districts should submit the application forms to
Dean, R.C.S.M. Government Medical College, Kolhapur.
Mumbai 11 Beed 29
Mumbai Sub Urban 12 Osmanabad 30
Thane 13 Nanded 31
Raigad 14 Parbhani 32
Ratnagiri 15 Latur 33
Sindhudurga 16 Hingoli 34
Jalgaon 17 Buldhana 35
Dhule 18 Akola 36
Nandurbar 19 Washim 37
Nashik 20 Amravati 38
Ahmednagar 21 Yavatmal 39
Pune 22 Wardha 40
Satara 23 Nagpur 41
Sangli 24 Bhandara 42
Kolhapur 25 Gondia 43
Solapur 26 Chandrapur 44
Aurangabad 27 Gadchiroli 45
Outside Maharashtra
Jalna 28 91
State(OMS)
ABBREVIATIONS
MHT-CET : Maharashtra Health Science & Technical Common ROM : Rest of Maharashtra
Entrance Test AIEE : All India Entrance Examination
MUHS : Maharashtra University of Health Science HA : Hilly Area
MBBS : Bachelor of Medicine & Bachelor of Surgery S.C. : Scheduled Caste
BDS : Bachelor of Dental Surgery S.T. : Scheduled Tribes
BAMS : Bachelor of Ayurvedic Medicine & Surgery V.J./D.T. : Vimukta Jati/De - Notified Tribes
BHMS : Bachelor of Homoeopathic Medicine & Surgery N.T. : Nomadic Tribes
BUMS : Bachelor of Unani Medicine & Surgery OBC : Other Backward Class
BOTh : Bachelor of Occupational Therapy SBC : Special Backward Class
BPTh : Bachelor of Physiotherapy DEF : Defence Category
BASLP : Bachelor of Audiology & Speech, Language PH : Physically Handicapped
Pathology MCI : Medical Council of India
BP&O : Bachelor in Prosthetics and Orthotics
DCI : Dental Council of India
B.Sc. Nursing: Bachelor of Science Nursing CCIM : Central Council of Indian Medicine
MAFSU : Maharashtra Animal & Fishery Science University CCH : Central Council of Homoeopathy
MKB : Maharashtra Karnataka Disputed Border Area
INC : Indian Nursing Council
NCC : National Cadet Corps
DMER : Directorate of Medical Education &
HGL : Hyderabad/Goa Liberation Movement Research.
FF : Freedom Fighter DTE : Directorate of Technical Education
GOI : Government of India OMS : Outside Maharashtra State Candidate
SSC : Secondary School Certificate BPMT : Bachelor of Paramedical Technology
HSC : Higher Secondary School Certificate
ANNEXURE - L
DIRECTORATE OF MEDICAL EDUCATION AND RESEARCH, MUMBAI
MHT-CET 2011
Application for Verification of Marks
Name : ...............................................................................................................................................
Address of Candidate : ...................................................................................................................
(With Tel. No. /Mobile no.) ...........................................................................................................
MHT-CET Roll No. ....................................... Application Form No. ............................................
State Merit List No............................................ Category .................................................................
Demand Draft No....................................... Amount Rs.500/- Drawn in Favour of Competent
Authority, MH-CET, Mumbai Payable at Mumbai.
Date :
Forwarded to the Competent Authority, MHT-CET 2011, Mumbai For Necessary Action
Cut here
Acknowledgement
Received Application for Verification of Marks Along with Demand Draft of Rs.500/- from Mr./Ms.
...................................................................... MHT-CET Roll No. ....................................... State Merit
No. ...........................
Date :
Father's/Husbands Name N A R A Y A N
Last Name(Surname) P A W A R
Mother's Name K A L P A N A
or Mobile : 09869545647 : 0 9 8 6 9 5 4 5 6 4 7
Day and Date: Thursday, 12th May, 2011 Duration: 1 hour 30 Minutes.
Total Marks : 100
This is to certify that, the entries of MHT-CET Roll No. and Answer Sheet No. have been correctly written
and verified.
1. Use only BLACK ink ball point pen to darken/mark the appropriate circle.
2. Mark should be dark and should completely fill the circle.
3. Mark/darken only one circle for each entry. The answer once marked is final, any change in the
option once marked, done by any method, will amount to a invalid/incorrect response.
4. A lightly/faintly marked/darkened circle may also be treated as a incorrect/wrong
method of marking and may not be read by the Optical Scanner.
5. Marking should only be done in the space provided.
6. Please do not fold the answer sheet and do not make any stray marks on it.
Marking of Responses:-
There will be four answer options for each question. The candidate will indicate his/her response to the
question by darkening the appropriate circle completely with BLACK ink ball point pen.
The correct answer is C Heart. The candidate will locate the place for response to Q.no.152 in the
OMR Answer sheet and darken the circle where the option C is printed as shown below :-
152. A B D
Candidate should not use any other method for answering i.e. Half circle, dot. tick mark, cross etc. This
may not be read by the scanner.
The candidates must fully satisfy themselves about the accuracy of the answer before
darkening the appropriate circle, as no change in the Answer once marked is allowed. The
answer once marked is final, any change in the option once marked, done by any method, will
amount to a invalid/incorrect response.
Pro forma A (To be issued on the Printed Letter Head of the concerned office)
(For Type C Candidates)
(For sons and daughters of Central Government / Government of India undertaking
employees)
CERTIFICATE
This is to certify that Shri / Smt. .. ..is an employee
in the capacity of ..in
( Designation ) (Name of the Organisation /Establishment/Department)
.. This Organisation /Establishment / Department is under .
Pro forma B (To be issued on the Printed Letter Head of the concerned office)
(For Type D Candidates)
(For sons and daughters of Maharashtra State Government/Maharashtra State Government
undertaking employees)
CERTIFICATE
This is to certify that Shri / Smt. .. is an employee in the capacity of
. in .
Designation ) ( Name of the Organisation /Establishment / Department)
This Organisation/Establishment /Department is under .
Department of Maharashtra State Government/Maharashtra State Government undertaking.
Shri / Smt. .. is transferred to/from
In/out of Maharashtra State vide transfer order No Dated
He / She has joined duty in/out of Maharashtra State on . and is currently working in the
same post.
This certificate is issued for the purpose of his/her son/daughter ..s
admission to First Year of Four Year Degree course in Engineering/Technology for the academic year
2011-12.
Pro forma C (To be issued on the Printed Letter Head of the concerned office)
(For Def-1, Def-2 and Def-3 Candidates)
( For sons and daughters of defence service personnel )
CERTIFICATE
This is to certify that Shri. / Smt ,
( Full Name of the Employee with Rank of the employee )
is / has been a member of Armed forces of India. He / She has put in .. years of service in
Indian Army / Indian Navy / Indian Air Force from to .. and is currently working /
retired from services on .. / permanently disabled since / killed in action on
..
This certificate is issued for the purpose of his / her son / daughter .s admission to
First Year of Four Year Degree course in Engineering/Technology for the academic year 2011-12.
Note:- This certificate is not to issued for the Civilian Staff working in the Indian Army/Navy/Airforce.
Pro forma D(To be issued on the Printed Letter Head of the concerned office)
(For Def-3 candidates)
(For sons and daughters of Active defence service personnel not domiciled in Maharashtra
State)
CERTIFICATE
This is to certify that Shri / Smt. .. is a member of
( Full Name of the Employee with Rank of the employee )
Armed forces of India, and is currently working in Indian Army / Indian Navy / Indian Air Force.
Shri / Smt. .. is transferred to .
(Place of posting) in
Maharashtra State vide transfer order No Dated
He / She has joined duty in Maharashtra on . And is currently working
( Date of Joining )
in the same post.
This certificate is issued for the purpose of his / her son / daughter .s admission to
First Year of Four Year Degree course in Engineering/Technology for the academic year 2011-12.
Seal Of the
Office
Note : This pro forma is to be accompanied by attested copy of
1) Transfer order
2) Joining report
Note:- This certificate is not to be issued for Civilian Staff working in the Indian Army/Navy/Airforce.
Pro forma E (To be issued on the Printed Letter Head of the concerned office)
(For Def-3 candidates)
(For sons and daughters of Active defence service personnel not domiciled in Maharashtra
State but retained their family accommodation)
CERTIFICATE
This is to certify that Shri / Smt. .. is a member of
( Full Name of the Employee with Rank of the employee )
Armed forces of India, and is currently working in Indian Army / Indian Navy / Indian Air Force .
Shri / Smt. .. is presently posted at .
( Place of
posting )
His / Her previous posting was at in Maharashtra State.
He / She has retained family accommodation in in Maharashtra State on account of
posting in non family station / for education purpose of son / daughter.
This certificate is issued for the purpose of his / her son / daughter .s admission to
First Year of Four Year Degree course in Engineering/Technology for the academic year 2011-12.
Pro forma F (To be issued on the Printed Letter Head of the concerned office)
(For P1/ P2/ P3 Candidates)
(For Physically Handicapped Candidates)
CERTIFICATE
This is to certify that I have examined Mr. / Miss .
on He / She has Photograph of the
.. candidate showing
( Name of the Physical Disability) the Physical
which comes under the sub category Blindness (P1)/Speech & Hearing disability
impaired(P2)/Orthopedic disorder (P3)
Certified that:
1. The percentage of handicap is not less than 40% and is equal to .%.
2. The disability is permanent in nature.
3. The candidate is capable of carrying out all activities related to theory and practical works as
applicable to degree course in Engineering/Technology without any special concessions and
exemptions.
4. This Certificate is issued as per the provisions given in the Person with Disability Act, 1995 and its
amendments.
This certificate is issued for the purpose of his/her admission to First Year of Four Year Degree course in
Engineering/Technology for the academic year 2011-12.
CERTIFICATE
Name :
Age :
Date of Birth :
Fathers Name :
WISC ( R ) Verbal IQ :
Performance IQ :
Global IQ :
Interpretation:
Recommendations:
(Name and Signature
of Issuing Authority)
Pro forma G1 (To be issued on the Printed Letter Head of the concerned office)
(For Candidates from Maharashtra and Karnataka disputed Border Area)
CERTIFICATE
This is to certify that Shri / Smt. ..
Father / Mother of the candidate . is a resident of Village in
. District. This village is a village which exists in Maharashtra Karnataka disputed border area.
OR
This certificate is issued for the purpose of his / her wards / candidates admission to First Year of Four
Year Degree course in Engineering/Technology for the academic year 2011-12.
OR
This is to certify that Shri / Smt. .
Father / Mother of the candidate .. is a domicile of Maharashtra/Karnataka State and
is a resident of in Maharashtra/Karantaka.
OR
This is to certify that Shri / Smt . (Candidate himself/
herself) is a domicile of Maharashtra/Karnataka State and is a resident of in
Maharashtra/Karantaka..
This certificate is issued for the purpose of his / her wards / candidates admission to First Year of Four
Year Degree course in Engineering/Technology for the academic year 2011-12.
Pro forma G2 (To be issued on the Printed Letter Head of the concerned office)
( For Candidates from Maharashtra and Karnataka Border Area)
CERTIFICATE
This is to certify that Mr. /Miss . is a student of this school /
Junior College. He / She has passed Std. X/ Std. XII examination from this school located in disputed
border area. His / Her mother tongue is Marathi and he / she has passed Std. X / Std. XII examination
with Marathi as one of the subjects.
This certificate is issued for the purpose of his / her admission to First Year of Four Year Degree course in
Engineering/Technology for the academic year 2011-12.
Pro forma J (To be issued on the Printed Letter Head of the concerned office)
( For sons and daughters of Defence / Paramilitary force / I.A.S. / I.P.S. / I.F.S. / J& K Police
officials posted in Jammu / Kashmir to combat terrorist activities )
CERTIFICATE
Ref. No. Date:
This certificate is issued for the purpose of his/her son/daughter ..s admission
to First Year of Four Year Degree course in Engineering/Technology for the academic year 2011-12.
Place :
Seal of the Office
____________________________________________________________________________
Proforma K (To be issued on the Printed Letter Head of the concerned office)
( For Jammu / Kashmir Migrant Candidates )
(Migrants staying in refugee camps)
CERTIFICATE
Ref. No. Date:
This is to certify that Mr./ Miss. .. belongs to a family residing in this refugee
camp after being displaced after 1990 due to terrorist activities in Jammu and Kashmir. The details of
refugee status is as under.
This certificate is issued for the purpose of his / her admission to First Year of Four Year Degree course in
Engineering/Technology for the academic year 2011-12.
Pro forma L (To be issued on the Printed Letter Head of the concerned office)
(For Refugees staying with relatives)
(Displaced Jammu / Kashmir Candidates staying with relatives / friends in India other than
Migrant / Refugee camp)
CERTIFICATE
Ref. No. Date:
This certificate is issued for the purpose of his / her admission to First Year of Four Year Degree course in
Engineering/Technology for the academic year 2011-12.
Pro forma M
MEDICAL FITNESS
A candidate must be medically fit to undergo the professional course applied for. The medical fitness
must be certified by a Registered Medical Practitioner in the prescribed proforma, as given below on a
Letterhead :
Registration No.
Date :
R e g io n a l Of f ic es o f D i rect o rat e of T ec hn i ca l E du ca ti on
Name & Address Contact Nos./Email District
Mumbai Region
Joint Director, Technical Education Phone: (022)-26474892 Mumbai,Thane, Raigad,
Regional Office, Government Fax : (022)-26471619 Ratnagiri, Sindhudurg
Polytechnic Campus, 49-Kherwadi, Email:-romumbai.dte@gmail.com
Ali Yawar Jung Marg, Bandra(East),
Mumbai-400 051
Pune Region
Joint Director, Technical Education Phone: (020)- 25678973, Pune,Kolhapur, Satara,
Regional Office,412-E, 25656234 Sangli,Solapur
Shivaji Nagar, Bahirat Patil Chowk, Fax : (020)-25656234
Pune- 411 016 Email:- ropune.dte@gmail.com
Nashik Region
Joint Director, Technical Education Phone: (0253)-2461479, Ahmadnagar, Jalgaon,
Regional Office, Government 2460114 Dhule, Nashik, Nandurbar
Polytechnic Campus, P.O. Box. 219, Fax : (0253)-2455301
Sumangaon Road, Nashik Road, Email:- ronashik.dte@gmail.com
Nashik-422 101
Aurangabad Region
Joint Director, Technical Education Phone: (0240)-2334216, Aurangabad, Beed, Jalna,
Regional Office, Near Government 2334769 Latur, Nanded, Parbhani,
Polytechnic, Station Road, Fax : (0240)-2356820 Hingoli, Osmanabad
Osmanpura, P.O. Box No.119 Email:- roaurangabad.dte@gmail.com
Aurangabad-431 005
Amravati Region
Joint Director, Technical Education Phone: (0721)- 2573027 Amravati, Akola, Buldhana,
Regional Office Government Fax : (0721)- 2573027 Yawatmal, Washim
Polytechnic Campus , V. M.V. Road, Email:- roamravati.dte@gmail.com
Gadgenagar, Amravati-444 603
Nagpur Region
Joint Director, Technical Education Phone: (0712)-2565143,2549387 Bhandara, Chandrapur,
Regional Office, Government Fax : (0712)-2561663 Gondhia, Gadchiroli,
Polytechnic Campus, Sadar Bazar, Email:- ronagpur.dte@gmail.com Nagpur, Wardha
Nagpur-440 001
Note: - Candidates are instructed to approach above mentioned Regional Offices to seek clarificatin
regarding eligibility, admission procedure, submit grievances etc.
Date:
Place:
Signature of
Signature of Signature of Receiving Officer
Candidate Receiving Clerk Seal of the College
Mandatory check list for the candidate while submitting the application form (to be verified by
the receiving clerk) :