Directorate of Vocational Education and Training,

Maharashtra State
PROVISIONAL APPLICATION FORM : ITI ADMISSION 2018
CANDIDATE PROFILE DETAILS
REGISTRATION NUMBER 201806A739346

FIRST NAME SANDEEP LAST NAME/ SURNAME PATIL

FATHER/ HUSBAND NAME SUDHAKAR MOTHER NAME SEMA

GENDER Male DATE OF BIRTH 12-Mar-2000

NATIONALITY Indian MOTHER TONGUE Marathi

RELIGION Hindu CASTE CATEGORY Open

CASTE MARATHA NON CREAMY LAYER NA

PRIMARY MOBILE NUMBER 8668670461 SECONDARY MOBILE NUMBER

E-MAIL ID SP167722@GMAIL.COM AADHAAR NUMBER 33XX XXXX 6086

ADDRESS DETAILS
ADDRESS LINE 1 KANNAN NAGAR NAGLA PARK

ADDRESS LINE 2 KANNAN NAGAR NAGLA PARK

COUNTRY India STATE Maharashtra

DISTRICT Kolhapur TALUKA Karvir

CITY/ VILLAGE Kolhapur (M Corp.) PIN CODE 416003

PARENT/ GUARDIAN DETAILS

ORPHAN CANDIDATE NA

NAME OF ORPHANAGE

STATE DISTRICT TALUKA

PARTICULARS FATHER MOTHER

FIRST NAME SUDHAKAR SEMA

LAST NAME/ SURNAME PATIL PATIL

OCCUPATION/ RETIRED NOT EMPLOYEED NOT EMPLOYEED

STATE IN WHICH POSTED/ WORKING

DISTRICT IN WHICH POSTED/ WORKING

TALUKA WHICH POSTED/ WORKING

ANNUAL INCOME BELOW Rs. 1,00,000 BELOW Rs. 1,00,000

DOMICILED STATE Maharashtra Maharashtra

DOMICILED DISTRICT Kolhapur Kolhapur

DOMICILED TALUKA Karvir Karvir

DEFENCE CATEGORY DETAILS

DO YOU BELONG TO DEFENCE CATEGORY NA

DEFENCE CATEGORY

PERSON WITH DISABILITY CATEGORY DETAILS

DO YOU BELONG TO PERSON WITH DISABILITY CATEGORY NA DISABILITY PERCENTAGE NA%

PERSON WITH DISABILITY CATEGORY NA

Provisional Application Form : ITI Admission 2018 Registration number: 201806A739346

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 OTHER DETAILS
INTERMEDIATE DRAWING PASSED NA

EXTRA CURRICULAR ACTIVITIES

SPORTS CATEGORY NA SPORTS PARTICIPATION LEVEL NA

CANDIDATE PASSED FROM GOVERNMENT APPROVED & NA BOLSTER NA BOLSTER SCHOOL NA

RECOGNISED BOLSTER SCHOOL FROM MAHARASHTRA SCHOOL TALUKA
DISTRICT

PREVIOUS ITI DETAILS

HAVE YOU APPEARED FOR ITI PREVIOUSLY NA

YEAR OF ADMISSION YEAR OF PASSING

NAME OF ITI

NAME OF TRADE

STANDARD 10th/ SSC DETAILS

SCHOOL LOCATION DETAILS

SCHOOL LOCATED IN Maharashtra

SCHOOL DISTRICT Kolhapur SCHOOL TALUKA Karvir

SCHOOL CITY/ VILLAGE Kolhapur (M Corp.) SCHOOL LOCATION CATEGORY Maharashtra

SUBJECT AND MARKS DETAILS

DO YOU BELONG TO NATIONAL OPEN SCHOOL NA DO YOU BELONG TO BLIND/ HANDICAP SCHOOL NA

NOTE: CANDIDATE BELONGING TO NATIONAL OPEN SCHOOL/ BLIND SCHOOL/ HANDICAP SCHOOL SHALL ENTER ONLY TOTAL MARKS

ARE YOU 10th / SSC PASS Yes HAVE YOU TAKEN TECHNICAL SUBJECT AT 10th/ SSC NA

STANDARD 10TH / SSC MARKS DETAILS

Subject MARATHI/ HINDI/ ENGLISH/ SOCIAL SCIENCE MATHEMATICS SCIENCE TECHNICAL TOTAL
REGIONAL SANSKRIT OTHER (GEOGRAPHY & SUBJECT
LANGUAGE LANGUAGE LANGUAGE HISTORY)

OUT OFF 100 100 100 100 100 100 0 600

OBTAINED 56 53 41 65 35 59 0 309

TOTAL MARKS AT STANDARD 10TH/SSC COMPUTED IN PROPORTION TO 500 MARKS

OUT OF MARKS 500.0000 OBTAINED MARKS 257.5000

ADDITIONAL WEIGHTAGE
PASSING INTERMEDIATE DRAWING EXAMINATION NA

PARTICIPATION IN EXTRA CURRICULAR ACTIVITIES NA

PARTICIPATION IN SPORTS NA

BOLSTER SCHOOL CANDIDATE NA

ORPHANAGE CANDIDATE NA

SCHOOL IN RURAL AREA NA

TOTAL ADDITIONAL WEIGHTAGE NA

APPLICABLE ADDITIONAL WEIGHTAGE (MAXIMUM CEILING = 50 MARKS) NA

TOTAL MARKS AND WEIGHTAGE 257.5000

TOTAL MARKS FOR ITI ADMISSION MERIT LIST

TOTAL PERCENTAGE 51.5000
(MERIT LIST SHALL BE GENERATE ON BASIS OF TOTAL PERCENTAGE)

Provisional Application Form : ITI Admission 2018 Registration number: 201806A739346

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 CANDIDATE HOME TALUKA
HOME TALUKA SELECTED BY CANDIDATE CANDIDATE TYPE
Karvir A

UNDERTAKING BY CANDIDATE ‡êđĸĉęĭēĭýĸĞđıčũˆ

1. I have read all the rules of admission and on understanding these rules, I have filled this application.
đıŮęĸĚĭýĸĝęŊĮċĒđęĭýĕĸæĝijċĝĉēĮċĒđĭŃýĸđĕĭčIJĆŊčĆĸçøĕċĀĭĕĸçĞĸęćĉċŃćēđıŮęĸĚĭøēıćĭæÿŊĐēĕĭçĞĸ

2. The information given by me in this application is true to the best of my knowledge and belief
đĭǟĭŮęĸĚæÿĭŊćĮĉĕĸĕıđĭĮĞćıĞıđĭǟĭđĭĮĞćıċIJĝĭēęĮęʷĭĝĭŮđĭĆĸùēıçĞĸ
3. At a later stage, if it is found that I have furnished wrong information or submitted false certificate, I am aware that my
admission stands cancelled and fees paid by me will be fortified. I will be subject to legal and/ or penal action as per
provision of the law.
đıčIJēĮęĕĸĕıđĭĮĞćıùļĂıçĞĸĮøŃęĭčIJēĮęĕĸĕıŮđĭĆčũĸùļĂıçĞĸćæĝĸĮĝ̡ĉĀĭʞĭĝȑĭýęĸėĸĝđĭĀĭŮęĸĚēȞĞļéĕçĮĆđıĐēĕĸĕĸ
ŮęĸĚĚIJʋĚĭĝċĭĝÿđĭøĸĕĸÿĭéĕçĮĆĮċĒđĭċIJĝĭēđıøĭĒĉĸĚıēĮĚƗĸĝčĭũăĸēĸċĒĭýıđĕĭøʙċĭçĞĸ

Signature of Candidate êđĸĉęĭēĭýıˢĭƗēı



IMPORTANT INSTRUCTIONS TO CANDIDATE ‡êđĸĉęĭēĭŃċĭđĞȕĭljĭĝijýċĭˆ

1. Dear 201806A739346 SANDEEP PATIL you have completed application form for ITI Admission.
ĮŮĒêđĸĉęĭē201806A739346 SANDEEP PATIL çčĆçĒĂıçĒŮęĸĚĭĝĭăıčijĆŊæÿŊĐēĕĸĕĭçĞĸ
2. Your application is provisionally accepted
çčĕĭŮęĸĚæÿŊćĭȋIJēȑĭˢŜčĭćİˢøĭēĕĸĕĭçĞĸ
3. To CONFIRM your ͞APPLICATION FORM: ITI ADMISSION ϮϬϭϴ͟
çčĕĭçĒĂıçĒŮęĸĚæÿŊ­«¬³ĝIJĮċĮʮćøēǻĭĝĭăı€
3.1 Print Application Form and verify that all information is correct and complete
ŮęĸĚæÿĭŊýıþĭčıĕŮćûĸëċȑĭđĊıĕĝęŊđĭĮĞćıĒļƶçĮĆčijĆŊĐēĕĸĕıæĝʞĭýıùĭũıøēĭ
3.2 Visit nearest any Government or Private ITI
ÿęėljĭĚĭĝøıĒĮøŃęĭùĭÿúıçĒĂıçĒĕĭĐĸĂȨĭ
3.3 Candidate shall produce the Print out of the Application Form and all the Required Original Documents as per Annexure ʹϯof
Information Broacher to substantiate claim in the Application Form
êđĸĉęĭēĭċĸŮęĸĚæÿĭŊýıþĭčıĕŮććĝĸýđĭĮĞćıčIJİˑøĸćıĕŮčũ§͚ŮđĭĆĸĝęŊçęʴøđIJėøĭúĉčũĸĝŃ̾Ĉĸĝĝĭĉē
øēĭęıć
3.4 Candidate has to submit 1 Set of Photo copies of all Required Documents as per Annexure ʹϯof the Information Broacher
and Applicable Form Fees in cash
êđĸĉęĭēĭŃċĸđĭĮĞćıčIJİˑøĸćıĕŮčũ͚ŮđĭĆĸçęʴøæĝĕĸʞĭøĭúĉčũĭŃljĭþĭĒĭŃĮøćŮćıçĮĆĮċĊĭŊįēćæĝĕĸĕĸ
ŮęĸĚæÿŊĚIJʋēļùıċĸĐēĭęĸ
3.5 The ITI Admission Incharge shall verify and scrutinize the Online filled Application with Online Printed Copy of Application
Form and Original Documents produced by Candidate and after Verification shall confirm the Application form of the
candidate and shall issue the͟Receipt ʹcum ʹAcknowledgement͟of confirmation of Application Form
æÿŊİˢøĴćıøĸūĭŃęēæÿŊĮċʮćıĝĭăıęæÿĭŊćıĕĉĭʩĭljĭčĴʿĈŊêđĸĉęĭēĭŃċĸĝĭĉēøĸĕĸʞĭøĭúĉčũĭljĭđIJėŮćıęŜċ
òċĕĭéċĐēĕĸʞĭŮęĸĚæÿĭŊýıĮŮŃĂçëĂćčĭĝijċçĮĆþĭċċıøŜċŮęĸĚŮŢıĒĭŮđIJùĭċĸæÿŊĮċʮćøĸʞĭďĭďćýıêđĸĉęĭēĭĝ
čļĞý”Receipt ¨cum ¨Acknowledgement•ĉĸćıĕ
4. APPLICATION FORM FEE

Unreserved Category Rs. 150 Reserved Category Rs.100

Outside Maharashtra State Rs. 300 Non Residential Indian Rs. 500
ŮęĸĚæÿŊĚIJʋ

æēĭùıęŮęúŊêđĸĉęĭē Ŝ¬°« ēĭùıęŮęúŊêđĸĉęĭē Ŝ¬««


đĞĭēĭʼŌēĭǛĭďĭĞĸēıĕêđĸĉęĭē Ŝ®«« æĮċęĭĝıĐĭēćıĒêđĸĉęĭē Ŝ°««


Provisional Application Form : ITI Admission 2018 Registration number: 201806A739346

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5. Only Confirmed applications will be considered for all Admission Rounds. Unconfirmed Applications will be treated as Applications
not received
ǛĭêđĸĉęĭēĭŃċıŮęĸĚæÿŊĮċĮʮćøĸĕĸ æĝćıĕȑĭŃýĭæÿĭŊýĭčIJąıĕŮęĸĚŮŢıĒĸĝĭăıĮęýĭēøĸĕĭÿĭéĕǛĭêđĸĉęĭēĭŃċıŮęĸĚ
æÿŊĮċʮıćøĸĕĸĕĸ ċĝćıĕæĝĸæÿŊŮĭɑýĀĭĕĸċĭĞıćæĝĸĝđÿǻĭćĒĸéĕ
6. Candidate shall fill & submit only One Online Application form which shall be applicable for admission to any CTS Trade in all
Government and Private ITI for the Seats available through CAP and institute level seats at Private ITI
êđĸĉęĭēĭċĸĎƅðøýòċĕĭèċŮęĸĚæÿŊĐŝċĮċʮıćøēĭęĭĞĭæÿŊøŐūıĒŮęĸĚŮĮŢĒĸæŃćúŊćĚĭĝøıĒçĮĆùĭĝúı
çĒĂıçĒđĊıĕêčĕɩÿĭúĭęùĭÿúıçĒĂıçĒđȯĸĝŃ̾ĈĭˑēĭęēıĕÿĭúĭŃĝĭăıŤĭ˨ĊēǻĭćĒĸéĕ
7. Candidates Filling/ Confirming more than One Application will be treated as Duplicate Forms and shall be rejected without any
communication to the candidates and such candidates will be debarred from the CAP
êđĸĉęĭēĭŃċĸðøĭčĸƗĭæĮĊøæÿŊĐēʞĭĝĮċĮʮćøĸʞĭĝȑĭĝċſĕæÿŊĝđÿǻĭćĒĸéĕçĮĆæĝĸæÿŊêđĸĉęĭēĭĚı
øIJăʞĭĞıŮøĭēĸĝŃčøŊċĝĭĊćĭēȞøēǻĭćĒĸćıĕęæĚĭêđĸĉęĭēĭŃċĭøŐūıĒŮęĸĚŮŢıĒĸđȯĸŮęĸĚûĸǻĭĝŮĮćŃďŃĊøēǻĭŃć
Ēĸéĕ
8. All Admission related Information and also information after Admission to ITI/ Examination, etc shall be sent through SMS on
͞PRIMARY MOBILE NUMBER͟and hence ͞PRIMARY MOBILE NUMBER͟should be active throughout Admission Process and
thereafter. Hence Permanent Mobile Number should be entered as ͞PRIMARY MOBILE NUMBER͟
ĝŃčIJĆŊŮęĸĚŮĮŢĒĸďĭďćêđĸĉęĭēĭŃċĭęĸėļęĸėıSMS ̺ĉĭēĸøėĮęǻĭŃćĒĸéĕćĈĭĮčêđĸĉęĭēĭŃċıçčĕĭæȨĭęćűđĆȰċıŢđĭŃø
(Mobile Number) òċĕĭèċŮęĸĚæÿĭŊć͞Primary Mobile Number͟ʉĆIJċċļŃĉĮęĆĸçęʴøçĞĸćĝĸýĝĉēűđĆȰċıŢđĭŃø
ŮęĸĚŮĮŢĒĸĉēʄĭċďĉĕijċĒĸ
9. Candidates can submit Option Form (ITI wise and Trade wise Options and Preferences) for each Admission Rounds. Options Form for
First Admission Round shall be available after Application Confirmation Round. Kindly refer Admission Schedule for submitting
Round wise Option Form
êđĸĉęĭēŮȑĸøŮęĸĚĎĸēıĝĭăıĮęøʙæÿŊĐŝĚøćĭć
õŮĝŃ̾ĈĭęʩęĝĭĒĮċĞĭĒĮęøʙęŮĭĊĭɊĝĭĉēøēĭęĸ
ĕĭúćıĕŮęĸĚæÿŊĮċĮʮćøĸʞĭċŃćē(Confirmation) ŮĈđŮęĸĚĎĸēıýĭĮęøʙæÿŊêčĕɩĞļéĕêđĸĉęĭēĭċĸĮęĮĞć
ęĸėĭčũøĭċIJĝĭēĮęøʙĝĭĉēøēĭęĸć
10. If any candidate does not fill up option form for the next Admission Round then the option form submitted (if submitted) for
previous round shall be considered for next admission rounds
ÿēêđĸĉęĭēĭċĸčIJąıĕŮęĸĚĎĸēıĝĭăıĮęøʙæÿŊĝĭĉēøĸĕĭċĭĞıćēçĊıljĭŮęĸĚĎĸēıĝĭăıĮĉĕĸĕĸĮęøʙ
Įĉĕĸæĝʞĭĝ
Ťĭ˨ĊēǻĭćĒĸćıĕ
11. All the admissions in Government and Private ITI in the State are done through Centralized Online Admission Process. It is
mandatory to submit Online Application Form for admission against all seats available for Centralized Admission Process and
Institute Level Seats. It is mandatory to submit Online Application Form for all admission against Institute Level Seats at Private ITI
(Trade wise 20% Seats) and Vacant Seats available after 5th Round (Counselling Round) at Private ITI
ēĭǛĭćıĕĝęŊĚĭĝøıĒęùĭÿúıõŮĝŃ̾ĈĭŃćıĕŮęĸĚĞĸøŐūıĒòċĕĭéċč̡ĉćıċĸĞļćæĝijċøŐūıĒč̡ĉćıćêčĕɩÿĭúĭę
ĝŃ̾ĈĭˑēĭęēıĕÿĭúĭŃĝĭăıòċĕĭéċæÿŊĝĭĉēøēĆĸçęʴøēĭĮĞĕùĭÿúıõŮĝŃ̾ĈĭŃđȯĸĝŃ̾ĈĭˑēĭęēıĕÿĭúĭŃĝĭăı
ðøijĆ
ŮęĸĚƗđćĸljĭʩęĝĭĒĮċĞĭĒÿĭúĭęčĭýʩĭŮęĸĚĎĸēıċŃćē
ĝđIJčĉĸĚċĎĸēıùĭÿúıõŮĝŃ̾ĈĭŃđȯĸįēƅēĭĮĞĕĸʞĭ
ÿĭúĭŃĝĭăıĉĸİùĕøŐūıĒòċĕĭéċŮęĸĚŮĆĭĕıȪĭēĸýæÿŊĝĭĉēøēĆĸçęʴøçĞĸ
12. Candidates, Parents and All Industrial Training Institute should note that any admission done other than through Centralized
Admission Process shall not be approved under any circumstances
øļĆȑĭĞıčįēİ̾ĈćıćòċĕĭéċŮęĸĚŮĆĭĕıʩĮćįēƅŮęĸĚûĸĆĭ̴ĒĭêđĸĉęĭēĭŃýĸ ŮęĸĚŤĭ˨ĊēǻĭŃćĒĸĆĭēċĭĞıĒĭýıĝęŊ
êđĸĉęĭēčĭĕøęõŮĝŃ̾ĈĭŃċıċļŃĉƽĭęı
13. Candidate should not share their Admission Account Password with any one. Maintain complete confidentiality regarding Password
êđĸĉęĭēĭċĸȑĭljĭŮęĸĚùĭȑĭýĭčĭĝęĄŊøļĆĭĝĞıĉĸëċĒĸęčĭĝęĄŊĝŃďŃĊıĝŃčijĆŊúļčĮĆĒćĭčĭėĭęı

Provisional Application Form : ITI Admission 2018 Registration number: 201806A739346

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