Sei sulla pagina 1di 3

04/03/2018 ADMISSION TO FIRST YEAR / DIRECT SECOND YEAR (SEPARATE DIVISION & LATERAL ENTRY) OF THREE-YEAR FULL TIME

IME POST …

GOVERNMENT OF MAHARASHTRA STATE COMMON ENTRANCE TEST CELL360133


ADMISSION TO FIRST YEAR / DIRECT SECOND YEAR (SEPARATE DIVISION &
LATERAL ENTRY) OF THREE-YEAR FULL TIME POST GRADUATE DEGREE COURSE
IN MASTER OF COMPUTER APPLICATIONS (MCA) FOR THE ACADEMIC YEAR 2018-
19

Registration Number : 980011815


Full Name : DARSHAN JAIRAM NISHANDAR

Social Category : SBC


Are you a Person with Disability : NO
Type of Disability : -
Sub Type of Disability : -
Percentage of disability : -
Do you need compensatory time at the time of : -
examination?
Are you suffering from cerebral palsy and your : -
writing speed is affected
If Yes, Do you need compensatory time at the : -
time of examination?
Whether your dominant (Writing) hand is affected : -
If Yes, Do you need compensatory time at the : -
time of examination?
Do you intend to use the services of a scribe? : -
Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO


Domicile of Maharashtra State ? : YES
Do you belong to Maharashtra State /Outside : YES
Maharashtra State (OMS) / J & K Migrant
candidates ?
if Yes, please select the type ? : Maharashtra State
Do you come under Non-Creamy Layer Group ? : YES
Nationality : Indian
Do you hold Aadhaar Card ? : YES
Aadhaar Card No. : 995869218156
Centre of Examination Preference 1 : NAVI MUMBAI
Centre of Examination Preference 2 : THANE
Centre of Examination Preference 3 : MUMBAI
http://ibps.sifyitest.com/gmscmcafeb18/registration_print.php?q=ZDhjNDA2MTk1NzAxZjUyN2FmNGI4NDA4ZDBmMzI2OTd8OTgwMDExODE1 1/3
04/03/2018 ADMISSION TO FIRST YEAR / DIRECT SECOND YEAR (SEPARATE DIVISION & LATERAL ENTRY) OF THREE-YEAR FULL TIME POST …

Home State : MAHARASHTRA


Bank A/c no : 50100096213009
IFSC code : HDFC0002680
Bank Name : HDFC BANK
Branch : URAN

Application Fee / Intimation charges


Amount : 800.00
Payment Status : PAID
Reference ID : LHMP6104633487
Transaction Date : 04-03-2018

Personal Details
Date of Birth : 20-07-1998
Age completed as on 05.03.2018 : 19
Gender : MALE

Marital Status : Unmarried


Father's Name : JAIRAM KAMLYA NISHANDAR
Mother's Name : ARTI JAIRAM NISHANDAR
Spouse's Name : -
Address for Correspondence : SHREENATHJI RESIDENCY
PLOT NO. 60
Address 2 : B 301 M.C.C.H. SOCIETY NEAR
PUROHIT
Address 3 : HOSPITAL OLD PANVEL
District : RAIGAD
State : MAHARASHTRA
Pincode : 410206
Permanent address : SHREENATHJI RESIDENCY
PLOT NO. 60
Address 2 : B 301 M.C.C.H. SOCIETY NEAR
PUROHIT
Address 3 : HOSPITAL OLD PANVEL
District : RAIGAD
State : MAHARASHTRA
Pincode : 410206

Contact Details
Mobile No : +91 9702282858
Alternative Number : +91 8655157936
(Mobile No/Landline No)
Email ID : darshannishandar777@gmail.com

http://ibps.sifyitest.com/gmscmcafeb18/registration_print.php?q=ZDhjNDA2MTk1NzAxZjUyN2FmNGI4NDA4ZDBmMzI2OTd8OTgwMDExODE1 2/3
04/03/2018 ADMISSION TO FIRST YEAR / DIRECT SECOND YEAR (SEPARATE DIVISION & LATERAL ENTRY) OF THREE-YEAR FULL TIME POST …

Educational Qualification(as on 05.03.2018)

Have you Studied Mathematics as one : YES


of the subjects at (10+2) level or at
Graduate level Examination ?
Have you passed Bachelor Degree in : NO
Computer Applications or Science
(Information Technology or Computer
Science) ?

Exam Degree/ Appearing Date of Duration Aggregate Marks / Maximum % of Class /


Passed Subject / / Passed Passing Marks / Grade Marks / Marks Grade
Stream Score by Obtained Grade
Points

10 + 2 Level Others - - 27-05- - Aggregate 398.00 650.00 61.23 First


SCIENCE 2015 Marks Class
Graduation Science Appearing - - - - - - -

Declaration:
I have read all the rules of admission and on understanding these Rules, I have filled this Application Form for CET for
ADMISSION TO FIRST YEAR / DIRECT SECOND YEAR (SEPARATE DIVISION & LATERAL ENTRY) OF THREE-YEAR
FULL TIME POST GRADUATE DEGREE COURSE IN MASTER OF COMPUTER APPLICATIONS (MCA) FOR THE
ACADEMIC YEAR 2018-19. 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 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.

Date: 04-03-2018 Signature of Applicant

http://ibps.sifyitest.com/gmscmcafeb18/registration_print.php?q=ZDhjNDA2MTk1NzAxZjUyN2FmNGI4NDA4ZDBmMzI2OTd8OTgwMDExODE1 3/3

Potrebbero piacerti anche