7/4/2019 State Common Entrance Test Cell, Maharashtra State, Mumbai

State Common Entrance Test Cell, Maharashtra State, Mumbai

8th Floor, New Excelsior Building, A.K. Nayak Marg,Fort,Mumbai-400001.(M.S.)
Printable Application Form for Admission to First Year Post Graduate
Technical Course in in Master of Computer Applications Admissions Viz. MCA
for the year 2019 - 2020
Application ID : MC19205786 Version :7
PERSONAL DETAILS

Full Name SHRADHA VIJAYKUMAR SHARMA

Nationality Indian

Gender Female Date of Birth 19/11/1997

Orphan NO

Caste-Category (Sr.No.) OPEN Religion Hindu

Mother Tongue Hindi Annual Family Income ( ) 1,50,001 - 2,00,000

PWD Type N.A.
Type of Candidature Maharashtra State Candidate - Type A
Home University Swami Ramanand Teerth Marathwada University
Religious Minority / Linguistic Minority N.A.
Economically Weaker Section (EWS) Type N.A

Select the District from which Candidate has passed H.S.C.(Std. XII)/ Equivalent Examination Parbhani
Select District from which Candidate has Passed / Appearing for Graduation Parbhani
Payment Details
Payment Status Successful Application Fee Paid (Rs.) ₹ 1000/-
EXAM DETAILS
Sr. No. Examination Name Roll No Total Score
1 MAH-MCA-CET 4210000033 36
QUALIFICATION DETAILS
Qualification Marks Obtained Marks Out of Percentage
12th/H.S.C./Diploma Aggregate 422 650 64.92
10th/S.S.C. Aggregate 396 500 79.20
SSC Mathematics 80 150 53.33
SSC Science 82 100 82.00
SSC English 83 100 83.00

GRADUATION DETAILS
Swami Ramanand Teerth Marathwada
Graduation Faculty B.C.A. Graduation University
University
Place of Passing/Appearing for
India Graduation Type Full-Time
Graduation
Graduation Passing Year 2019 Graduation Status Passed
Graduation Marks Type Percentage
Qualification Marks Obtained Marks OutOf Percentage
Graduation Aggregate Marks 2669 3800 70.24

Mathematics At Higher Level

Subject Name Marks Obtained Marks Out Of Percentage
statistical tech. 69 100 69.00

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7/4/2019 State Common Entrance Test Cell, Maharashtra State, Mumbai
Note : Candidate shall carry printed copy of Application Form, Original documents and one set of Photo copies of the required documents. FC shall verify all
documents from Original and put FC stamp with date & Signature on Photo copies and return original and verified documents along with Receipt-cum-
Acknowledgment of application form. (Candidate shall submit FC stamped & verified set of documents to ARC for re-verification after the allotment and then to the
Institute at the time of reporting).

Sr. No. List of Documents Required to be submitted at the time of verification at FC as per mentioned in Information Brochure
1 Statement of marks obtained at 10th/SSC or its Equivalent Examination
2 Statement of marks obtained at 12th/HSC or its Equivalent Examination.
3 School Leaving Certificate after passing Qualifying Examination.
4 Birth Certificate of the Candidate indicating the place of birth in India.
5 Birth Certificate of the Candidate indicating the place of birth in Maharashtra.
6 Graduation Marksheet

Declaration:
I have read all the rules of admission and on understanding these Rules, I have filled this Application Form for consideration of submission of Application Form at FC for the
admission to First Year Post Graduate Technical Course in in Master of Computer Applications Admissions Viz. MCA for the academic Year 2019 - 2020. 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 : 04-07-2019

Signature of the Candidate

Place :
(SHRADHA VIJAYKUMAR SHARMA)

Last modified by : MC19205786 Printed By : MC19205786

Last modified on : 04-07-2019 10:44:02 AM Printed On : 04-07-2019 10:55:44 AM
Note: The Candidates are required to produce the documents in original for verification and Confirmation of Application Form at FC. It is mandatory on the Candidates part to
produce all original documents in support of the claim made by the Candidate in the application form. Candidates are advised to keep the necessary documents ready at the time of
Documents verification stage as per the notified schedule.All FCs shall remain open on all days including holidays and Sundays during the schedule between 10.30 A.M. to 5.30 P.M.
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