6/24/2016

DirectorateofTechnicalEducation,MaharashtraState,Mumbai

FirstYearDegreeinEngineering/TechnologyAdmissions2016

OptionForm

STATECOMMONENTRANCETESTCELL
305,GovernmentPolytechnicBuilding,49,Kherwadi,Bandra(E),Mumbai400051(M.S.)

ReceiptcumAcknowledgementofOptionFormforCAPRoundI/II/IIIforAdmissiontoFirstYearofUnderGraduate
TechnicalCoursesinEngineeringandTechnologyfortheAcademicYear201617

ApplicationID:EN16232482VersionNo:1
PersonalDetails
Candidate'sName KUMARANKIT
Father'sName UDAYKANTJHA
Mother'sName BABYDEVI
Gender Male
DateofBirth 10/01/1997
CandidatureType OMS
HomeUniversity OtherThanHomeUniversity
Category Open
CategoryforAdmission Open
PersonwithDisability NotApplicable
DefenceType NotApplicable
AppliedforTFWS No

OptionsGivenByCandidate
PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

PreferenceNumber ChoiceCode

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17

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Declaration
IhavereadalltherulesofadmissionandonunderstandingtheseRules,IhavefilledthisOptionFormforconsiderationforCAP
RoundI/II/IIIforAdmissiontoFirstYearofUnderGraduateTechnicalCoursesinEngineeringandTechnologyfortheAcademicYear201617.
TheinformationgivenbymeinthisOptionFormistruetothebestofmyknowledge&belief.Ifatlaterstage,itisfoundthatIhavefurnished
wrong information and/or submitted false certificate(s), I am aware that my admission stands cancelled and fees paid by me will be forfeited.
FurtherIwillbesubjecttolegaland/orpenalactionaspertheprovisionsofthelaw.
PrintedOn:24/06/201611:19:42PM
LastModifiedOn:24/06/201611:17:19PM
LastModifiedBy:EN16232482,103.51.209.20

SignatureofCandidate
(KUMARANKIT)

TheOptionFormforCAPRoundI/II/IIIforAdmissiontoFirstYearofUnderGraduateTechnicalCoursesinEngineeringand
TechnologyfortheAcademicYear201617isconfirmedasperthechoicesgivenabove.WeherebyacknowledgetheconfirmedOptionForm.

ConfirmedOn:24/06/201611:19:21PM
ConfirmedBy:EN16232482,103.51.209.20

http://fe2016.dtemaharashtra.gov.in/CandidateModuleCAPRound1/frmPrintOptionForm.aspx

(Dr.S.K.Mahajan)
Director,TechnicalEducation,
MaharashtraState,Mumbai

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