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Application Form
Printed on

9/23/2013 6:53:02 PM

Course

Bachelor of Engineering
(Information Technology)

Free Ship , 2013-2014
Vimukta Jat Nomadic Tribes

Application Number

APPA2038394M20082013

Appilcation type

Renewal

Please Paste
Passport Size
Photograph

Renewal Course Year

2010

Student SSC Details
SSC Board

MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION

Passing Year

2008

SSC Seat No

A203839

SSC Marks Obtained

77.23

Applicant's Details
Mother's Name

Applicant Name ATUL

TUKARAM

ZORE

Date of Birth

Gender

Male

Is Resident of Maharashtra Maharashtra

Maritial Status

No

Caste Category

16-11-1992

Application Date 04-09-2013
Caste

Dhangar (29)

Orphan

ASHWINI

Vimukta Jat Nomadic Tribes

Sub Caste

No

Is Disabled

No

Disability Type

Is Applicant Salaried ? NO

Applicant's
Annual Income

0.00

Total Annual Income 544645.00

Is Staying at Hostel ?

Has Applied For Hostel ?

No

N.A.

No

Student Prequalifying Details
Academic Year

Institute

Course

Course Year

Percentage

Result

2012 - 13

Principal, Atharva College Of
Engineering, Malad (W), Mum

Bachelor of Engineering
(Information Technology)

3

60.00

Pass

2011 - 12

Principal, Atharva College Of
Engineering, Malad (W), Mum

Bachelor of Engineering
(Information Technology)

2

60.00

Pass

2010 - 11

Principal, Atharva College Of
Engineering, Malad (W), Mum

Bachelor of Engineering
(Information Technology)

1

57.80

Pass

Institution Details
Name of School/College/Institute where Admitted

Principal,Atharva College Of Engineering, Malad (W), Mum

Course Name

Bachelor of Engineering (Information Technology)

Course Year

4

CAP Number

N.A

UID Number

763401395257

EID Number
Subject

Academic Year

2013-2014

College Adm.No EN3203069

Admission Dt.

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