Yeshwantrao Chavan College of Engineering

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General Info

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*CAP Application Kit No

*Mr/Ms :

*First Name :

*Father's Name :

*Last Name :

Student Full Name : (As Per Last Qualify Exam)

*Mother's Name :

*Date of Birth :

Date of Birth in word :

Gender : Male Female

Marital Status : Single Married

*Student Mobile :

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Physical Challenged:

Aadhar No. :

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Admission Details

*Date of Admission :

*Seat Type :

*Degree :

*Year :

*Admission Batch :

*Shift Type :

*Branch :

*Semester :

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*Programme Type :

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Academic Details

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Name of Examination

Name of Board/University

Name of School/College

Year of Passing

Examination Seat no.(Last)

Degree/Passing Certificate No.

Total Marks Obtained

Out of

Percentage

*Std 10th

*Std 12th

*10th Passing Medium

*10th English Mark :

*12th English Mark :

*Last School/College Attended

Std. 12th PCM / PM Other Tech. Vocational details :
Subject	Physics	Chemistry	Maths	Biology/ BioTechnology/ Technical Vocational	PCM Total	PCM Percentage
Marks Obtained
Out Of

Entrance Exam Scores

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JEE ( MAIN )
Roll No.	All India Merit No.	Physics	Chemistry	Maths	Marks Obtained	Out of

MHT-CET
Roll No.	State Merit No.	Physics	Chemistry	Maths	Marks Obtained	Out of

CAP Registration Details

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All India Merit Number :

Address and Contact Details

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Permanent Address

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Guardian's Address

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Father, Mother And Guardian Details

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Total annual income :

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Personal Information

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Other Language :

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Urban/Rural : Urban Rural

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