First Year Degree in Engineering/Technology Admissions 2023-24 Application Form
GOVERNMENTOFMAHARASHTRA
STATECOMMONENTRANCETESTCELL,MAHARASHTRASTATE
8th Floor, New Excelsior Building, A.K.Nayak Marg, Fort, Mumbai-400001. (M.S.)
Application Form for Admission to First Year Under Graduate Technical
Courses in Engineering and Technology (4 Years) & Master of
Engineering and Technology (Integrated 5 Years) Admissions A.Y. 2023-
24
Application ID : EN23169463 Version No : 1
Booked Slot Date (DD/MM/YYYY) and
Time 30/06/2023 - 4:00PM - 5:00PM
SC5121 - K. K. Wagh Institute of Engineering Education and
Research, Nashik
SC Name and Address
Hirabai Haridas Vidyanagari, Amrutdham, Panchavati, Nashik –
422003
Personal Details
Candidate's Full Name AKHIL KATLAGUNTA
Father's Name NAGESWARARAO KATLAGUNTA
Mother's Name PRAVEENA KATLAGUNTA
Gender Male
Date of Birth 30/01/2006
Candidature Type Maharashtra - Type C
Home University Savitribai Phule Pune University
Category Open
Category for Admission Open
Applied for EWS No
Person with Disability Not Applicable
Defence Type Not Applicable
Is Orphan Candidate No
Applied for TFWS Seats No
Minority Candidature Type Not Applicable
Whose Proforma - A You are Submitting at SC? Father
District where Father or Mother of Candidate is Posted Nashik
Nationality India
MHT-CET Application Fee Paid (Rs . ) 800/- Online Application Fee Paid (Rs . ) 0/-
Qualification Details:-KATLAGUNTA AKHIL (Name As Per HSC Result)
Qualification Marks Obtained Marks OutOf Percentage
HSC Physics Marks 48.00 100.00 48.00
HSC Mathematics Marks 43.00 100.00 43.00
HSC Chemistry Marks 42.00 100.00 42.00
HSC Computer Science (D9) Marks 147.00 200.00 73.50
HSC English Marks 66.00 100.00 66.00
HSC Aggregate Marks 346.00 600.00 57.67
SSC Board Central Board of Secondary Education, Delhi
SSC Passing Year 2021 SSC Seat Number 20206488
Qualifying Exam HSC HSC Passing Status Passed
HSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
HSC Passing Year 2023 HSC Seat Number S009056
MHT-CET 2023 Details:- AKHIL KATLAGUNTA (Name As Per MHTCET Result)
Application Number 231582813 Roll No 2317272916
Physics 72.3644933 Chemistry 43.6567164
Mathematics 68.0322074 Total PCM 63.3857031
JEE (Main) 2023 Paper-1 NTA Score:-KATLAGUNTA AKHIL (Name As Per JEE Result)
Appeared for JEE Yes Application No 230310709057
Physics 60.3386987 Chemistry 81.4088482
Mathematics 35.0361465 Total 67.7171120
List of Documents Required at the time of Document Verification and Confirmation at Scrutiny Center
Sr. No. Document Name
1. Certificate of Indian Nationality in the Name of the Candidate.
2. Certificate from Employer in the Proforma - A.
3. Statement of Marks or Certificate of Passing SSC / Equivalent Examination.
Statement of Marks or Certificate of Passing HSC / Equivalent Examination / Passing Marksheet/Certificate of 3 years
4.
Diploma in Engineering and Technology.
5. Score Card of JEE Main (Paper - 1) 2023.
6. Score Card of MHT-CET 2023.
Declaration
I have read all the rules of admission and Information brochure for admission to UG courses 2023 and on understanding these Rules, I
have filled this Application Form for Admission to First Year of Under Graduate Technical Courses in Engineering and Technology for the
Academic Year 2023-24. The information given by me in this application is true to the best of my knowledge & belief. If at later stage, it is
found that I have furnished wrong information and/or forgery/Xerox copy 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 subject to legal and/or penal action as per the provisions of the law.
Place : Date : 30/06/2023
Printed On : 30/06/2023 12:31:15 PM
Last Modified On : 26/06/2023 7:57:40 PM Signature of Applicant
Last Modified By : EN23169463, 117.195.32.221:56820 (AKHIL KATLAGUNTA)
