8/10/2017 https://dse17.dtemaharashtra.org/dse17/institute_report.php/option_controller/optionprint_v_course?

round=3&id=MTE1NzQ1

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL
305,Government Polytechnic Building,49,Kherwadi,Bandra(E),Mumbai–400051.(M.S.).
Receipt-cum-Acknowledgement of Option/Preference Form For CAP Round III for Admission to Direct Second Year of Four
Year Degree Courses in Engineering / Technology for the year 2017-18

Mode of Application : Diploma Application ID : DSE17115745 Version : 1

Full Name GAIKWAD MAYUR BHARAT
Type of Candidature Maharashtra State Candidate - Type A TFWS : No
Gender Male Caste-Category (Sr.No.) SC - Burud [8]
PWD Type N.A. Defence Type N.A.
Religious Minority Type N.A. Linguistic Minority Type N.A.
Diploma Course (Sub-Group) Chemical Engineering ( 101 )
Diploma Merit Status
All India General Merit No : 20840 State Level General Merit No : 20697 Diploma Percentage : 75.15 %
Option/Preferences given by the Candidate
Pref
Choice Code Course Name Institute Name
No.
1 303350710 Chemical Engineering[First Shift] Dr. Babasaheb Ambedkar Technological University, Lonere
2 303352710 Petro Chemical Engineering[First Shift] Dr. Babasaheb Ambedkar Technological University, Lonere
3 318950710 Chemical Engineering[First Shift] Bharati Vidyapeeth College of Engineering, Belpada, Kharghar, Navi Mumbai
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 III for the
admission to Direct Second Year of Four Year Degree Courses in Engineering / Technology for the Academic Year 2017-18.
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 : 10-08-2017 Signature of the Candidate

(GAIKWAD MAYUR BHARAT)

The Option/Preference Form for CAP Round III for Admission to Direct Second Year of Four Year Degree Courses in Engineering / Technology for
the Academic Year 2017-18 is confirmed as per the choices given above. We hereby acknowledge the confirmed Option/Preference Form.
Last modified on : 10-08-2017 11:28:05 PM
Confirmed on : 10-08-2017 11:28:55 PM (Chandrashekhar Oak)IAS
Commissioner,State CET Cell, Maharashtra State, Mumbai
Printed on : 10-08-2017 11:29:03 PM
Last modified by : DSE17115745
Confirmed By : DSE17115745
Printed By : DSE17115745

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