et, MAHARASHTRA STATE BOARD OF TECHNICAL EDUCATION was: (Autonomous) — (ISO 9001:2015) _ (LSO/TEC27001:2013) th Floor, Govt. Polytechnic, Bldg, 49, Kherwadi, Bandra (E), Mumbai-400 0S1 Tel.No.: 022-62542100 Email:[email protected] web: wow.msbte.org.in No, MSBTE/D-40/Exam form/S-2024/ 13} Date: 02 APR 2028 Important Circular Te, Principal All Institutes affiliated to MSBTE Subject: - Special provision for filling examination form for Summer 2024 Exam The last date for filling and confirmation of Exayn form for Summer 2024 examination was 07/03/2024. However those students who have missed the last date but are willing to appear for Summer 2024 exam, such students and their institutes are requesting for extended dates to fill examination forms. In the interest of student community, a special provision is made by MSBTE as a last chance to fill and confirm the examination form as per schedule below; Activity Date Institute confirmation: Accepting examination form fee and penalty along with duly filled, signed and parent endorsed mandatory undertaking Annexure - I from the student followed by confirmation of the student filled examination form from the institute login. 10/04/2024 RBTE confirmation: Accepting examination form fee and penalty for all the students whose examination forms under special provision for Summer 2024 are confirmed by the institute along with the student’s undertaking | 10/04/2024 and 12/04/2024 Annexure I, Institute’s undertaking Annexure IT in original followed by confirmation of institute confirmed examination forms from RBTE Login. Last date of exam form confirmation by RBTE is 12/04/2024 upto 4:00 PM ‘The filling of examination form under special provision is permitted subj conditions. 1, The penalty for each examination form is Rs.5000/- 2, Student and Institute shall ensure that the question paper code for which the student is appearing for Summer 2024 exam is available in Summer 2024 Final Time Table as well in the Question Paper Inventory for the Exam center. 3. Alll institute shall contact RBTE and pay exam fees & penalty for exam forms confirmed by Institute during special provision and submit the undertaking as per Annexure-I and Annexure-II and get all exam form confirmed from RBTE as per the above schedule. 4, Hall ticket and separate non-theory e-mark sheets of these students will be made available in institute login on 15/04//2024. ct to following Page tof 45, Institute can conduct the non-theory term end exam for these candidates even before the availability of e-mark sheets. Mark sheet shall be filled & confirmed once made available in the login. ‘All concemed are hereby instructed to strictly adhere to the conditions in this circular, Enclosed: Annexure-I and Annexure-II (Dr. Mahendra R. Chitlange) Secretary, M.S. Board of Technical Education, Mumbai Copy to: . 1, Hon, Director, M. 8, Board of Technical Education, Mumbai for information. 2. Dy. Secretary, M, 8. Boatd of Technical Education, Regional Office, Mumbai /Pane /Nagpor JAurangabad for necessary action, sia [ere ey [awrerr [at-2a| soeee/ 376 f&. 02]04]2024- ar ~araney aesesrea serseite yf snaSo , fags gery parsreperete| arr ATES ‘sprejaett faerop STAT Specia) provision for filling <.a~0 evra fev s-82Re €sca™ ~aracper PT eqyeyeoe— were] apfpeareeyer pee Dy. Secretary Mah. State Board of Tech, Edue~* Regione! > “tenAnnexure-| Proforma for undertaking from candidate (To be submitted on plain paper) 1 (Name of Candidatey ___ Enrollment number Institute Code _ hereby submit this underteking for submission of Summer 2024 examination form under Special provision, Tam aware of the fact that. 1, Lam eligible to attend the examinations which are scheduled after the date of generation of my hall ticket for Summer 2024 examinations. 2. Because of late submission of exam form if | get two theory examinations on the same day and same session, it is binding on me to choose any one of the examination. 3. The question paper code for which I have submitted late examination form, is available on the Summer 2024 Final Time table and is also available in the question paper inventory for Exam Center which I am appearing for examination. 4, Due to late submission of examination form, problems may arise in the generation of pre- examination documents resulting in RHR status in my examination result J accept all the above conditions for submission of Summer 2024 examination form under Controlled provision. Date - Signature - Place - Name - Enrollment No ~ Endorsement by parent of the can under Special pro 1 Father / Mother / Guardian of Enrollment No. is clearly aware of the undertaking given by my ward and accept all terms & conditions laid down for submission of late examination form for Summer 2024. late submitting Summer 2024 examination form Date: Signature: Place: Name: Attestation by the Principal of the Institute Signature of Principal Institute Name & Code: Page 3 of‘Annexure-I1 Proforma for undertaking by Institute (To be submitted on Institute letter head) UNDERTAKING BY EXAM CENTER, The candidate/ s is made aware of the conditions laid down by MSBTE under special provision, as mentioned in Annexure I. The exam form of following student s is to be confirmed at RBTE under the special provision made by MSBTE S. [Name of | Enrollment N. |Student | No. Course /¥ear/ Master Status (RIX) Paper codes for which the student intends appearing Exam Day & date as per Final Time table [hereby undertake that the question paper codes for which the above students are appearing are available in the Summer 2024 exam Final Time Table displayed by MSBTE on web portal as well as in the Question Paper Inventory for the Exam center. The Officer In- Charge Exam Center has verified the above fact and confirmed. Signature of Officer In-Charge EC Date: Place: Exam Center Name & Code: Seal of Center Signature of Chief Officer In-Charge EC Page 4 of 4