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First Year Diploma Application Form

The document is a receipt and acknowledgement from the Directorate of Technical Education in Maharashtra for admission of Butte Ketan Madhukar to a post-SSC diploma program in engineering or technology for the 2020-2021 academic year. It provides details of his personal information like name, gender, date of birth; academic qualifications from SSC including subject-wise marks; category and family income; and documents submitted for verification. The candidate has signed to acknowledge reading the admission rules and declaring that the information provided is true.

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Lakhan Das
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1K views2 pages

First Year Diploma Application Form

The document is a receipt and acknowledgement from the Directorate of Technical Education in Maharashtra for admission of Butte Ketan Madhukar to a post-SSC diploma program in engineering or technology for the 2020-2021 academic year. It provides details of his personal information like name, gender, date of birth; academic qualifications from SSC including subject-wise marks; category and family income; and documents submitted for verification. The candidate has signed to acknowledge reading the admission rules and declaring that the information provided is true.

Uploaded by

Lakhan Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

8/25/2020 Directorate Of Technical Education ,Maharashtra State, Mumbai

GOVERNMENT OF MAHARASHTRA
DIRECTORATE OF TECHNICAL EDUCATION, MAHARASHTRA STATE
3, Mahapalika Marg, Elphinstone Technical Highschool Campus, Mumbai -
400001.
Receipt-cum-Acknowledgement for Admission to First Year Post SSC Diploma
Technical Courses in Engineering and Technology Admissions for the year 2020-
2021
Application ID : DEN20140545 Version : 1 Mode Of Scrutiny : E-Scrutiny

Payment Details
Payment Date : 25-08-2020 Amount(In Rs.) : 400/-

Personal Details :
Full Name : BUTTE KETAN MADHUKAR

Gender : Male Date of Birth : 27-09-2004

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

Category For Admission OPEN

Mother Tongue : Marathi Family Income ( ) : 50,001 - 1,00,000

Nationality Indian Region Rural


Applied For Orphan No
Type of Candidature Maharashtra Candidature Type A
Religious Minority/Linguistic Minority : N.A
PWD Type : N.A.
Defence Type : N.A.
Applied For TFWS : Yes
Applied For EWS No
District from which Candidate has Passed SSC Pune
Home District Pune
Qualification Details ( Marks is displayed from SSC board data )
Examination Marks Obtained Marks Out of Percentage
10th/S.S.C. Mathematics 88 100 88.00
10th/S.S.C. Science 80 100 80.00
10th/S.S.C. English 82 100 82.00
10th/S.S.C. Aggregate 413 500 82.60
SSC Others Details
Maharashtra State Board of Secondary and Higher Secondary Education,
SSC Board SSC Seat No. C130968
Pune
SSC
SSC Passing Year 2020 NO
Technical
HSC Not Applicable/Failed ITI NO
Intermediate Grade
NO
(Drawing)
Sr. No. List of Submitted Documents at the time of verification at FC
1 Latest School Leaving Certificate
2 The School Leaving Certificate indicating the Nationality of the Candidate as 'Indian' Or The Place Of Birth In India.
3 Income Certificate of Parents having Annual Income upto 8 Lacs.
FC Remark : Confirmed by FC
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 SSC Diploma Technical Courses in Engineering and Technology Admissions
for the academic Year 2020 - 2021. 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 : 25-08-2020

https://poly20users.dtemaharashtra.org/diploma20/index.php/arc_controller/receipt_cum_ack?id=MTQwNTQ1 1/2
8/25/2020 Directorate Of Technical Education ,Maharashtra State, Mumbai

Signature of the Candidate


Place :
(BUTTE KETAN MADHUKAR)
Confirmed On: 25-08-2020 11:27:02 Confirmed By: Printed On: 25-08-2020 11:30:30
Printed By: DEN20140545
AM FC201302 AM

FC USE ONLY
Last modified on: 25-08-2020
Last modified by: Seal of FC2013 Signature of FC201302
11:24:39 AM

https://poly20users.dtemaharashtra.org/diploma20/index.php/arc_controller/receipt_cum_ack?id=MTQwNTQ1 2/2

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