Online application for ADMISSIONS TO First Year of Three Year De... http://ibps.sifyitest.com/gmcettyllbmar17/registration_print.php?q=O...

GOVERNMENT OF MAHARASHTRA
STATE COMMON ENTRANCE TEST CELL, Maharashtra, Mumbai.
Online application for ADMISSIONS TO First Year of Three Year Degree Course in Bachelor
of Laws leading to LL.B (Regular- Full Time Course) 2017-2018

Registration Number : 182034112

Full Name : Aakash Bharat Bhagat

Social Category : OBC

Do you belong to Maharashtra State Candidature /Outside Maharashtra/Jammu : YES

and Kashmir Migrant Candidature : ?

if Yes, please select the type : Maharashtra State Candidature

Are you a Person with Disability : NO

Type of Disability : -

Sub Type of Disability : -

Percentage 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 Belonging to Maharashtra : NO

State ?

Do you come under Non-Creamy Layer Group : YES

Have you completed your SSC Examination or equivalent examination following : YES
Regular Mode : ?

Following which mode have you completed your HSC or equivalent : Regular
Examination?

Have you passed your XI std. Examination in Regular mode ? : -

Have you Completed / are you persuing your Graduation Through Regular or : Regular
Distance Mode

Have you Completed / are you persuing your Post -Graduation Through : Regular
Regular or Distance Mode

Are you passed the prescribed basic qualification i.e. 10thStd./ Secondary : -
Schooling Certificate Examination, in a single sitting examination, without
having basic qualification(i.e.1 to 9th std. of schooling) : ?

Citizen of (Country) : India

Do you hold Aadhaar Card ? : YES

Aadhaar Card No. : 704051021208

Centre of Examination Preference 1 : Kalyan/Dombivali

Centre of Examination Preference 2 : Thane

1 of 3 26/04/17, 10:14 PM
Online application for ADMISSIONS TO First Year of Three Year De... http://ibps.sifyitest.com/gmcettyllbmar17/registration_print.php?q=O...

Centre of Examination Preference 3 : Mumbai Suburban Western

Maharashtra State Candidature:-

Are you domicile of Maharashtra? : YES

Are you born in Maharashtra? : YES

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

Is your Father or Mother is an employee of the Government of India or : NO

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

Is your Father or Mother is an employee of the Government of Maharashtra or : NO

Government of Maharashtra Undertaking : ?

Have you passed SSC and or HSC Examination or Equivalent Examination : NO

from a recognized institution from a disputed Maharashtra-Karnataka Border
Area and whose Mother tongue is Marathi : ?

Application Fee / Intimation charges

Amount : 400.00

Payment Status : PAID

Reference ID : IUDC5322044273

Transaction Date : 26-04-2017

Personal Details
Date of Birth : 16-06-1995

Age completed as on 01.05.2017 : 21

Gender : MALE

Marital Status : Unmarried

Father's Name : Bharat sakharam bhagat

Mother's Name : Nirmala

Spouse's Name : -

Address for Correspondence : Baba banglow near

Address 2 : Kulswamini temple bander ali

road

Address 3 : diva west

District : Thane

State : MAHARASHTRA

Pincode : 400612

Permanent address : baba banglow near

Address 2 : kulswamini temple bander ali

road

Address 3 : diva west

District : Thane

State : MAHARASHTRA

Pincode : 400612

Contact Details
Mobile No : +91 8652195469

2 of 3 26/04/17, 10:14 PM
Online application for ADMISSIONS TO First Year of Three Year De... http://ibps.sifyitest.com/gmcettyllbmar17/registration_print.php?q=O...

Alternative Number : -
(Mobile No/Landline No)

Email ID : aakashbhagat166@gmail.com

Educational Qualification(as on 01.09.2017)

Exam Degree/Subject Appearing / Date of Aggregate CGPA Maximum Total % of Class /

Passed /Stream Passed Passing marks obtained marks CGPA Marks Grade
/Discipline Drop obtained
Down

Graduation Commerce Passed 02-04-2016 477 700 68.14 First

Class

Post Commerce Appearing -- --

Graduation

Declaration:

I Aakash Bharat Bhagat 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 Bachelor of Laws leading to LL.B (Regular- Full Time Course) 2017-2018. 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 (2016-2017)) 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.

Date: 26-04-2017 Signature of Applicant

3 of 3 26/04/17, 10:14 PM