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Priya

This document is an online admission application form for the 2025-26 academic year for a student named Priya Harishchandra Chakrawarti, who is applying for admission to Std. 11th in Maharashtra. The application includes personal details, academic performance, reservation status, and college choices. The applicant has passed the 10th standard with a total percentage of 91.6 and has selected Tarapur V.&J. College for admission.

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0% found this document useful (0 votes)
9 views2 pages

Priya

This document is an online admission application form for the 2025-26 academic year for a student named Priya Harishchandra Chakrawarti, who is applying for admission to Std. 11th in Maharashtra. The application includes personal details, academic performance, reservation status, and college choices. The applicant has passed the 10th standard with a total percentage of 91.6 and has selected Tarapur V.&J. College for admission.

Uploaded by

arovaking3553
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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Directorate of Education,Secondary and Higher

Secondary Maharashtra State


Std. 11th Centralised Online Admission Process 2025-26

Application Form
A1413466607
No.

Version No. v1.0

Personal Details and Board Details of Applicant

Full Name PRIYA HARISHCHANDRA CHAKRAWARTI Mother's Name SHAKUNTALADEVI

Gender F Date of Birth 02/01/2010

Month & Year of


Board SSC March 2025
Examination

Seat No. A141346 Residence PALGHAR

10th School Name TARAPUR VIDYAMANDIR, M.I.D.C.AREA, TARAPUR, THANE

10th School Index 10th School UDISE


18.07.024 27361115609
Number Number

Address for Correspondence and Contact Details

Flat no 001 D- wing gr flr mahavir dham shiv nagar saravali


Correspondence Address
boisar

Alternative Mobile
Mobile No. 9552709031 9545901951
Number

E-Mail ID [email protected] Phone No.

Reservation Details

Original Category Other Backward Class (OBC) Category for Admission General / Open

Do you have Caste Certificate issued


N
by a Competent Authority

Caste Certificate Issuing


Caste Certificate Issuing State - -
District

Other / Special Reservation Details

Does Applicant belong to Handicapped (Divyang) / Hearing Disability


N
Category ?

Does Applicant belong to Earthquake or Project Affected ? N

Has Applicant's Parent been Transferred to Online Process Area ? N

Whether Applicant's Grandparents Freedom Fighters? N

Does Applicant's Parent(s) belong to Serviceman / Ex-Serviceman


N
Category?

Does Applicant belong to Sports Category ? N

Level of Participation Rank Obtained

If you are falling under category of orphan as per the provisions in GR dated
2nd April 2018, would you like to apply for 1% quota in the admission N
process ?

Minority Quota Admission

Do You belong to Minority Category ? N


Linguistic Minority -

Religious Minority -

Inhouse Quota Admission

Do you want to take admission through Inhouse Quota ? Y

10th Standard Examination Details

Passing Status PASS

Passed in Science
Passed in English Subject Y Y
Subject

English Marks 82/100 English Percentage 82.0

Science Marks 91/100 Science Percentage 91.0

Total Marks 458/500 Total Percentage 91.6

Payment Information

Registration Payment Date 30/05/2025 14:03:10

Transaction Reference Number 23ed140c-b595-48d2-b934-8e437cabd927

Collage Choices Info

Stream Code College Name & Address Block Stream Status Medium Fees

TARAPUR V.&J.COLLEGE MIDC , P 17 MIDC PALGHA Self


3114923102 TARAPUR BOISAR TAL AND DIST PALGHAR R Science Finance English 37700
401506 (273611) d

Declaration

I hereby declare & understand that,

1. All the information furnished by me in this online application form is true, complete and correct to the best of my knowledge and belief.

2. Entire information furnished by me in this application is final and binding to me.

3. If any information furnished by me here, is found to be false or incorrect, I shall be liable for appropriate legal action and my admission will be

cancelled as per rules.

4. All the preferences and options given by me in this option form are given after reading all the rules of admission.

5. Allotment of junior college entirely depends on my merit, reservation, order of preferences given by me in this option form and available

vacancies in respective junior colleges.

*Note : I will submit all the original documents required for admission (uploaded and not uploaded) while taking admission.

Place PALGHAR

Date 31-05-2025 13:05:05 PM

Printed On 31-05-2025 13:05:05 PM

Last Modified On 30/05/2025 20:27:58

Last Modified By A1413466607 Applicant Signature


PRIYA HARISHCHANDRA
CHAKRAWARTI
Current Status Complete And Locked

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