STUDENT COPY
Mahatma Gandhi Adhyapak Mahavidyalay, Chhatrapati Sambhajinagar. (21155)
Application No :
Yashwantrao Chavan Maharashtra Open University 46425
Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
Academic Year: 2025-2026 Open and Distance Learning
ADMISSION FORM
Course Applied for : M83 - M.A. Education(with Credits) - Open and Distance Learning - 2023 Pattern - NEP - PRN:2014017001421827
Year-2 Semester III (M83)
Application Date : 18/07/2025 Payment Category : 8
Exam Center Name [Code] : - [-]
[Link] Information
Candidate's Name(Regional) :
THORAT RAHUL ASHOKRAO
Candidate's Name as printed on School
[*This name will appear on all University
leaving/Passing Certificate :
records/documents]
Father's/Husband's Name : ASHOKRAO Mother's Name : ARUNABAI
Marital Status : UnMarried Mother Tongue :
Place Of Birth : NA Gender : Male Date of Birth (DD/MM/YYYY) : 29/02/1988
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Amrawati Tehsil : Anjangaon City/Town/Village :
Available
Address (House
no,street/area/suburb AT POST GAWANDGAO BU Pin Code : 444705
etc.) :
Contact details
Mobile Primary Email ID:
9421477456
Number rahulashokraothorat@[Link]
[Link] Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
[Link] Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Semester III
EDU600 - Data analysis and report writing EDU601 - Teacher Education
EDU602 - Pedagogy, Andragogy and Self-Directed Learning EDU603 - Information and Communication Technology in
EDU605 - Language Education Education
EDU606 - Research Project
Semester IV
EDU607 - Open and distance learning EDU608 - Life Skills
EDU609 - Educational entrepreneurship EDU611 - Human Rights Education
EDU613 - Research Project
Medium of Instruction : Marathi
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 0
Identity Card Fees(N) - 0 E-Suvidha / E-Services Fees(N) - 70
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 10 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 450 Student Insurance Fees(N) - 20
Tuition Fees(N) - 6472 Adm Examination Fees(N) - 1620
Course Exemption Fees(N) - 0 Prospectus Fees(N) - 50
Tuition Fees(LSC - 2nd Year)(N) - 4500 Total : 13570
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
13570 Paid 18/07/2025 [Link] 415351752840554571 Online Payment
[Link] Information
Occupation of Guardian : Farmer Annual Income of Guardian : 30000
[Link] Details
Month Exam
Name of Name of Board/University Name of Certificate Mark
and Year Seat Out Of CGPA %
Examination and State of University School/College No. Obtained
of Passing No.
MAHARASHTRA STATE
Diploma : [Link] BOARD OF SECONDARY January
-- -- 1631.00 2000.00 -- - -- 81.55
Diploma AND HIGHER SECONDARY 2009
EDUCATION
MAHARASHTRA STATE
Diploma : [Link] BOARD OF SECONDARY January
-- -- 1631.00 2000.00 -- - -- 81.55
Diploma AND HIGHER SECONDARY 2009
EDUCATION
Your Last Qualifying Exam:
[Link] Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)
DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents. I admit to having
understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if
found guilty of ragging or sexual harassment I am liable for punishment according to the university regulations.
Place : Date :
( Signature of the Candidate )
[STUDY CENTER COPY]
Mahatma Gandhi Adhyapak Mahavidyalay, Chhatrapati Sambhajinagar. (21155)
Application No :
Yashwantrao Chavan Maharashtra Open University
Dnyangangotri Near Gangapur Dam, Nashik, Pin Code-422222, Maharashtra(India)
46425
Academic Year: 2025-2026 Open and Distance Learning
ADMISSION FORM
Course Applied for : M83 - M.A. Education(with Credits) - Open and Distance Learning - 2023 Pattern - NEP -
PRN:2014017001421827
Year-2 Semester III (M83)
Application Date : 18/07/2025 Payment Category : 8
Exam Center Name [Code] : - [-]
[Link] Information
Candidate's Name(Regional) :
THORAT RAHUL ASHOKRAO
Candidate's Name as printed on School
[*This name will appear on all University
leaving/Passing Certificate :
records/documents]
Father's/Husband's Name : ASHOKRAO Mother's Name : ARUNABAI
Marital Status : UnMarried Mother Tongue :
Place Of Birth : NA Gender : Male Date of Birth (DD/MM/YYYY) : 29/02/1988
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Amrawati Tehsil : Anjangaon City/Town/Village :
Available
Address (House
no,street/area/suburb AT POST GAWANDGAO BU Pin Code : 444705
etc.) :
Contact details
Mobile Primary Email ID:
9421477456
Number rahulashokraothorat@[Link]
[Link] Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
[Link] Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Semester III
EDU600 - Data analysis and report writing EDU601 - Teacher Education
EDU602 - Pedagogy, Andragogy and Self-Directed Learning EDU603 - Information and Communication Technology in
EDU605 - Language Education Education
EDU606 - Research Project
Semester IV
EDU607 - Open and distance learning EDU608 - Life Skills
EDU609 - Educational entrepreneurship EDU611 - Human Rights Education
EDU613 - Research Project
Medium of Instruction : Marathi
Admission Fee Payment
Fee Category : Regular Fees Over All Payment Status: : Paid
Details
Sports Fees(N) - 50 NSS Fees(N) - 10
Disaster Management Fees(N) - 10 Chancellor Office Events Fees(N) - 38
Registration Fee(N) - 200 Eligibility Fees(N) - 0
Identity Card Fees(N) - 0 E-Suvidha / E-Services Fees(N) - 70
Library Fee(N) - 10 DSW Fees(N) - 50
Alumni Fees(N) - 10 Sanvad Fees(N) - 10
Graduation/Convocation Fees(N) - 450 Student Insurance Fees(N) - 20
Tuition Fees(N) - 6472 Adm Examination Fees(N) - 1620
Course Exemption Fees(N) - 0 Prospectus Fees(N) - 50
Tuition Fees(LSC - 2nd Year)(N) - 4500 Total : 13570
Payment
Amount Transaction Date Transaction Number Transaction Type
Status
13570 Paid 18/07/2025 [Link] 415351752840554571 Online Payment
[Link] Information
Occupation of Guardian : Farmer Annual Income of Guardian : 30000
[Link] Details
Month Exam
Name of Name of Board/University Name of Certificate Mark
and Year Seat Out Of CGPA %
Examination and State of University School/College No. Obtained
of Passing No.
MAHARASHTRA STATE
Diploma : [Link] BOARD OF SECONDARY January
-- -- 1631.00 2000.00 -- - -- 81.55
Diploma AND HIGHER SECONDARY 2009
EDUCATION
MAHARASHTRA STATE
Diploma : [Link] BOARD OF SECONDARY January
-- -- 1631.00 2000.00 -- - -- 81.55
Diploma AND HIGHER SECONDARY 2009
EDUCATION
Your Last Qualifying Exam:
[Link] Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Statement of Marks of Qualifying Exam (पात्रता परीक्षेची गुण पत्रिका)
DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents. I admit to having
understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if
found guilty of ragging or sexual harassment I am liable for punishment according to the university regulations.
Place : Date :
( Signature of the Candidate )
Document printed on Fri Jul 18 2025 [Link] GMT+0530 (India Standard Time)
