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Receipt-cum-Acknowledgement of Option/Preference Form For CAP Round I for Admission to Direct Second Year of Four
Year Degree Courses in Engineering & Technology for the year 2018-19

Mode of Qualification : Diploma Application ID : DSE18107833 Version : 1

Full Name GEDAM PREMSAGAR LAXMAN
Type of Candidature A TFWS : No
Gender Male Caste-Category (Sr.No.) ST - Pardhan [37]
PWD Type N.A. Defence Type N.A.
Religious Minority Type N.A. Linguistic Minority Type N.A.
Diploma Course (Sub-Group) Computer Science and Engineering ( 301 )
Diploma Merit Status
All India General Merit No : 8881 State Level General Merit No : 8820 Diploma Percentage : 80.97 %
Option/Preferences given by the Candidate

Pref
Choice Code Course Name Institute Name
No.
1 100224210 Computer Science and Engineering Government College of Engineering, Amravati
2 400424210 Computer Science and Engineering Government College of Engineering, Chandrapur
3 402524210 Computer Science and Engineering Government College of Engineering, Nagpur
Instructions:-
जर उमेदवारास या या वक प नमु यातील प ह या पसंती मांकावरील जागेचे वाटप झा यास असे वाटप णालीतून आपोआप गोठ वले जाईल व
उमेदवार या जागेचा वीकार करेल. असे उमेदवार क भूत वेश ये या (कॅप) पुढ ल फेर म ये सहभागी हो यास पा नसतील. असे उमेदवार वेश
उप थती क ावर जागा वीकृती क रता कागदप ाची पडताळणी व जागा वकृती शु क भर यासाठ हजर होतील. तदनंतर असे उमेदवार वाटप
कर यात आले या जागेवर वेश घे यासाठ वाटप कर यात आले या सं थेम ये हजर होतील. असे उमेदवार जर वेश उप थती क ावर जागा वीकृती
क रता हजर झाले नाहीत तर ते यांना वाटप कर यात आले या जागेवरील ह क आपोआप गमावतील आ ण ती जागा पुढ ल वाटपासाठ उपल ध
होईल.अ या उमेदवारांक रता कर यात आलेले हे जागावाटप अं तम असेल.

If a candidate is allotted the seat as per his first preference, such allotment shall be auto freezed and the candidate shall
accept the allotment so made. Such candidate shall then be not eligible for participation in the subsequent CAP rounds. Such
candidates shall then report to ARC for verification of documents and payment of seat acceptance fee. Thereafter such
candidates shall report to the allotted institute and seek admission on the allotted seat. If such candidate does not report to
ARC for confirmation of seat acceptance, their claim on the allotted seat shall stand forfeited automatically and the seat shall
become available for fresh allotment. For such candidate, the allotment so made shall be the final allotment.
Declaration
I have read all the rules of admission and on understanding these Rules, I have filled and Confirmed the Online Option/Preference Form of CAP Round I for the admission to Direct Second
Year of Four Year Degree Courses in Engineering & Technology for the Academic Year 2018-19.
The information given by me in this Option/Preference form is true to the best of my knowledge & belief. I am fully aware that I will be responsible for any further consequences arises
due to my mistake.
I also herewith undertake that, at later stage, if it is found that I have submitted false certificate(s)/document(s), I am aware that my admission stands cancelled and fees paid by me will
be forfeited. Further I will be subjected to legal and/or penal action as per the provisions of the law.

Date : 26-07-2018 Signature of the Candidate

(GEDAM PREMSAGAR LAXMAN)

The Option/Preference Form for CAP Round I for Admission to Direct Second Year of Four Year Degree Courses in Engineering & Technology for the Academic Year
2018-19 is confirmed as per the choices given above. We hereby acknowledge the confirmed Option/Preference Form.
Last modified on : 26-07-2018 02:36:19 PM
Confirmed on : 26-07-2018 02:49:09 PM (Anand E. Rayate)IAS
Printed on : 26-07-2018 02:56:24 PM Commissioner,State CET Cell, Maharashtra State, Mumbai

Last modified by : DSE18107833

Confirmed By : DSE18107833
Printed By : DSE18107833