DIRECTORATE OF TECHNICAL EDUCATION, MAHARASHTRA STATE
3, Mahapalika Marg, Elphinstone Technical Highschool Campus, Mumbai - 400001.
Printable Application Form for Admission to First Year Post SSC Diploma Technical Courses in
Engineering and Technology for the Year 2025-2026
Application ID : DEN25233222 Version : 13 Mode of Scrutiny : E-Scrutiny
ALLOTED eFC DETAILS
eFC CODE eFC NAME eFC CO-ORDINATOR CONTACT NO ALLOTED ON
FC3009 Government Polytechnic, Ratnagiri PHANSOPKAR TARANNUM PARVEZ SAJJAD 7276588469 2025-06-19 14:30:59
Personal Details
Full Name RAJ AJAY DABHOLKAR
Gender Male Date of Birth 23/04/2007
Category-Caste NT 1 (NT-B) - Gavali [36] Religion Hindu
Mother Tongue Marathi Family Income ( ) 50,001 - 1,00,000
Nationality Indian Region Rural
Type of Candidature Maharashtra Candidature Type A
Person with Disability N.A.
Defence Type Not Applicable
Applied For TFWS Yes
Minority Candidature Type-Religious/Linguistic Minority Not Applicable
District from which Candidate has Passed SSC Ratnagiri
Home District Ratnagiri
Qualification Details
Examination Marks Obtained Marks Out of Percentage
10th/S.S.C. Mathematics 82 100 82.00
10th/S.S.C. Science 77 100 77.00
10th/S.S.C. English 92 100 92.00
10th/S.S.C. Aggregate 421 500 84.20
SSC Others Details
SSC Board Maharashtra State Board of Secondary and Higher Secondary Education, Pune
SSC Status Passed SSC Passing Year 2023
SSC Seat No. B011404 SSC Technical NO
HSC Status Passed With Science ITI Status NO
Intermediate Grade (Drawing) NO
Payment Details
Payment Date : 19-06-2025 Total Amount( ) : 400 /-
Bank Reference ID: order_QixQeWMIvVKTmq Payment ID: pay_QixR7qb8gPU7OP Transaction Amount: 300 /-
Bank Reference ID: order_QkFwrBNEdzkEUr Payment ID: pay_QkFxjKxynbKw6i Transaction Amount: 100 /-
List of Required Documents to be Submited at the time of admission in the institute
Sr. No. Document Name Status
1 Statement of Marks or Certificate of Passing SSC / Equivalent Examination. Uploaded
2 Statement of marks obtained at 12th/HSC. Uploaded
3 Latest School Leaving Certificate Uploaded
4 The School Leaving Certificate indicating the Nationality of the Candidate as 'Indian' Or The Place Of Birth In India. Uploaded
Caste Certificate clearly mentioning the Category of the Candidate and also the remarks that the caste is recognized as backward class in
5 Uploaded
the State of Maharashtra.
6 Non-Creamy Layer Certificate valid upto 31st March 2026 Not Uploaded
7 Income Certificate of Parents having Annual Income upto 8 Lacs. Uploaded
Note : As per your selection of scrutiny mode[e-Scrutiny Mode] - Your application will be processed by the allocated eFC. In
case of any discrepancy in the application form the list of discrepancies will be visible in your login dashboard.
Declaration: I have read all the rules of admission and on understanding these Rules, I have filled this Application Form for consideration of submission of Application Form at FC
for the admission to First Year Post SSC Diploma Technical Courses in Engineering and Technology Admissions for the academic Year 2025 - 2026. 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 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.
Signature of the Candidate
Date : 25-06-2025 Place :
(RAJ AJAY DABHOLKAR)
Last modified by : FC300903 Printed By : DEN25233222
Last modified on : 24-06-2025 03:14:50 PM Printed On : 25-06-2025 10:08:19 PM
