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This document is an application form for the Std. 11th Centralised Online Admission Process for the academic year 2025-26 in Maharashtra State. It contains personal details of the applicant, SAYYADA SHIFA KARIMUNNISA, including her educational background, contact information, and declaration of the accuracy of the provided information. The application is currently marked as incomplete and requires submission of original documents for admission.

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

Form

This document is an application form for the Std. 11th Centralised Online Admission Process for the academic year 2025-26 in Maharashtra State. It contains personal details of the applicant, SAYYADA SHIFA KARIMUNNISA, including her educational background, contact information, and declaration of the accuracy of the provided information. The application is currently marked as incomplete and requires submission of original documents for admission.

Uploaded by

cajivo8351
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 No. A0215258658

Version No. v1.0

Personal Details and Board Details of Applicant

SAYYADA SHIFA KARIMUNNISA


Full Name Mother's Name
NAZEERUDDIN SHAIKH TABASSUM

Gender F Date of Birth 09/05/2009

Month & Year of


Board SSC March 2025
Examination

Seat No. A021525 Residence THANE

10th School Name ANGELS PARADISE ENGLISH SHALA, MUMBRA, THANE

10th School UDISE


10th School Index Number 16.14.137 27211402102
Number

Address for Correspondence and Contact Details

B/101 IMRAN MANZIL, BOMBAY PUNE ROAD, OPP NOOR MASJID, NARAYAN
Correspondence Address
NAGAR, THANE

Alternative Mobile
Mobile No. 9892516848 9892516848
Number

E-Mail ID kartab65@gmail.com Phone No.

Reservation Details

Original Category General / Open Category for Admission General / Open

Do you have Caste Certificate issued by a Competent Authority N

Caste Certificate Issuing


Caste Certificate Issuing State - -
District

Other / Special Reservation Details

Does Applicant belong to Handicapped (Divyang) / Hearing Disability Category ? N

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 Category? N

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
N
2018, would you like to apply for 1% quota in the admission 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 ? N

10th Standard Examination Details

Passing Status PASS

Passed in Science
Passed in English Subject Y Y
Subject

English Marks 74/100 English Percentage 74.0

Science Marks 68/100 Science Percentage 68.0

Total Marks 362/500 Total Percentage 72.4

Documents Verification Details

Documents Verification Type Online

Documents Verification At -

Documents Verification List

Sr. No. Document Name Uploaded

1 10th Standard Marksheet. Y

2 School Leaving Certificate. Y

3 Undertaking of Student for Documents Submission. N

Payment Information

Registration Payment Date -

Transaction Reference Number -

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.

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

Place THANE

Date 05-06-2025 00:11:51 AM

Printed On 05-06-2025 00:11:51 AM

Last Modified On 2025-06-05 00:10:25.0

Last Modified By A0215258658 Applicant Signature


SAYYADA SHIFA NAZEERUDDIN
SHAIKH
Current Status Incomplete

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