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Applicatio Form

1) The document is an online application form submitted by Shubham Pradiprao Tekale for admission to the First Year of the Three Year Degree Course in Law (LL.B.) for the 2020-2021 academic year in Maharashtra. 2) It provides personal details of the applicant such as name, date of birth, gender, address, contact details, educational qualifications, social category, domicile status, and payment details. 3) The applicant has completed SSC in 2012 with 91.27% marks, HSC in 2014 with 64.77% marks, and graduation in arts in 2019 with 50.06% marks through distance/correspondence mode.

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Shubham Tekale
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0% found this document useful (0 votes)
403 views

Applicatio Form

1) The document is an online application form submitted by Shubham Pradiprao Tekale for admission to the First Year of the Three Year Degree Course in Law (LL.B.) for the 2020-2021 academic year in Maharashtra. 2) It provides personal details of the applicant such as name, date of birth, gender, address, contact details, educational qualifications, social category, domicile status, and payment details. 3) The applicant has completed SSC in 2012 with 91.27% marks, HSC in 2014 with 64.77% marks, and graduation in arts in 2019 with 50.06% marks through distance/correspondence mode.

Uploaded by

Shubham Tekale
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
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Application Print E-Receipt Print

GOVERNMENT OF MAHARASHTRA
340136
State Common Entrance Test Cell
Online application for Admissions to First Year of Three Year Degree Course in Law
leading to LL.B. (3Yrs.) (Regular-Full Time-Course) 2020-2021

Registration Number : 8917425

Full Name of the Candidate : SHUBHAM


PRADIPRAO TEKALE

Social Category : OBC

Have you completed your Graduation Degree : YES


Examination from the state of Maharashtra ? OR
Are you Appearing for Graduation Examination
from the State of Maharashtra ?

Have you completed your Post Graduation Degree : NO


Examination from the state of Maharashtra ? OR
Are you Appearing for Post-Graduation
Examination from the State of Maharashtra ?

Have you completed Post Graduation Degree : NO


Examination from the University which is Out Side
Maharashtra State?
OR
Are you Appearing for Post-Graduation Degree
Examination from the University which is Out Side
Maharashtra State?

Are you a domicile of Maharashtra ? : YES

Are you born in Maharashtra? : YES

Is your Father or Mother is domiciled in the State of : YES


Maharashtra ?

Is your Father or Mother is an employee of the : YES


Government of India or Government of India
Undertaking who is posted and reported to duty in
Maharashtra State before the last date for
submitting the Application Form for CAP : ?

Is your Father or Mother is an employee of the : YES


Government of Maharashtra or Government of
Maharashtra Undertaking : ?
2/5
Have you passed Graduation & or Post Graduation : NO
Examination qualifying Examination from a
recognized institution from a disputed Maharashtra-
Karnataka Border Area and your Mother tongue is
Marathi ?
Do you belong to Maharashtra State Candidature / : YES
Outside Maharashtra State Candidature / Jammu
and Kashmir Migrant Candidature : ?

if Yes, please select the type : Maharashtra State


Candidature

Are you a person with benchmark disability of 40% : NO


and above ?

Type of Disability : -

Sub Type of Disability : -

Do you need compensatory time at the time of : -


examination?

Are you suffering from cerebral palsy and your : -


writing speed is affected

If Yes, Do you need compensatory time at the time : -


of examination?

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time : -


of examination?

Do you intend to use the services of a scribe ?. : -

Religion to which you belong : Hindu

Do you belong to Religious Minority Community : NO


Belonging to Maharashtra State ?

Do you belong to Linguistic Minority Community : NO


belonging to the State of Maharashtra ?

Do you have Caste Certificate from the State of : YES


Maharashtra ?

Do you have Valid Non-Creamy Layer Certificate : YES


valid up to 31st March 2021

Do you have "Caste Validity Certificate" issued by : YES


the Scrutiny Committee of the Social Welfare
Department ?

Do you have "Tribe Validity Certificate" issued by : -


the Scrutiny Committee of Tribal Department

Have you passed the prescribed basic qualification : NO


i.e. SSC/10th Std./ Secondary Schooling Certificate
Examination, in a single sitting examination, without
having basic qualification(i.e.1 to 9th std. of
schooling) : ?

Following which mode have you Completed your : Regular mode


SSC /10th Std. Examination ?

Following which mode have you Completed your : Regular mode


HSC /12th Std. or Equivalent Examination ?
3/5
Have you Passed your SSC /HSC/Pre- University : NO
Examination before the Year 1975 ?

"Have you Completed Graduation Degree : Distance Mode/Open


Examination through Regular Mode/ Distance Mode/Correspondence
Mode/Correspondence Mode ? OR Are you Mode
Appearing for Graduation Degree Examination
through Regular Mode/ Distance
Mode/Correspondence Mode ?"

Have you Completed Post-Graduation Degree : NA


Examination through Regular Mode/ Distance
Mode/Correspondence Mode ? OR Are you
Appearing for Post-Graduation Degree
Examination through Regular Mode/ Distance
Mode/Correspondence Mode ?

Citizen of (Country) : India

Centre of Examination Preference 1 : Buldhana

Centre of Examination Preference 2 : Nagpur

Centre of Examination Preference 3 : Akola

Application Fee / Intimation charges

Payment In : ONLINE

Amount : 600.00

Payment Status : PAID

Reference ID : SSBI8733581124

Transaction Date : 23-04-2020

Personal Details

Date of Birth : 25-02-1996

Age completed as on 01.08.2020 : 24

Gender : MALE

Marital Status : Unmarried

Father's Name : PRADIPRAO TEKALE

Mother's Name : VIMAL

Spouse's Name : -

Address for Correspondence

Address 1 : SARASWATI NAGAR

Address 2 : CIRCULAR ROAD

Address 3 : BULDANA

District : BULDANA

State : MAHARASHTRA
4/5
Pincode : 443001
Permanent address

Address 1 : SARASWATI NAGAR

Address 2 : CIRCULAR ROAD

Address 3 : BULDANA

District : BULDANA

State : MAHARASHTRA

Pincode : 443001

Contact Details

Mobile No : +91 8208361360

Alternative Number : +91 9422883477


(Mobile No/Landline No)

Email ID : [email protected]

Educational Qualification(as on 01.07.2020)

Exam Degree/Subject/Stream/Discipline Appearing Date of Aggregate Maximum % of Class /


Passed / Passed Passing marks marks Marks Grade
obtained

10th / SSC - - 13-06- 502 550 91.27 First


2012 Class

12th / HSC SCIENCE - 02-06- 421 650 64.77 Second


2014 Class

Graduation Arts Passed 22-06- 901 1800 50.06 Second


2019 Class

Declaration:

I SHUBHAM PRADIPRAO TEKALE have read all the rules of admission and on understanding these rules, I have
filled this On Line Application form for admission to First Year of Three Year Degree Course in Law leading to LL.B.
(3Yrs.) (Regular-Full Time-Course) 2020-2021. The information given by me in this Application is true to the best of
my knowledge and belief. If at latter 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
subjected to legal and / or penal action as per the provision of the law. I further declare that I will bring with me my
valid Original Photo ID (Aadhar Card, Pan Card, Driving Licence, Latest College Identity Card (2020-2021)) and
Change of Name Document in original in case of Married/Adopted candidates at the time of CET Examination. I have
downloaded and read the Information Brochure and understand that I fulfil the eligibility criteria including details of
Category, Candidature Type, Educational qualification details mentioned in the Brochure and I have filled in the
Information for which I have the proper documentation. If it proved to be otherwise at any stage, my admission will be
cancelled by the authority admitting me.
5/5

Date: 23-04-2020 Signature of Candidate

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