STATE CET CELL, MAHARASHTRA STATE, MUMBAI

FORMAT OF UNCONDITIONAL UNDERTAKING BY THE CANDIDATE

To,
Hon’ble, Photo of the
Commissioner & Competent Authority, Candidate

State Common Entrance Test Cell, Mumbai

Subject: - Request for Appearing MHT-CET 2019 Online examination

by Tendering Unconditional Undertaking.

My details Mentioned in the MHT-CET 2019 Hall Ticket are as under: -

1. Name of the Candidate -----------------------------------------------

2. Date of Birth of the Candidate: -------------/--------------/--------------------

3. Application Number: -----------------------------------------------

4. Roll Number : -----------------------------------------------

5. Candidate's Address: -----------------------------------------------

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6. Exam Center Details: -----------------------------------------------

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It is clearly understood by me that (i) Name* (ii) Address* (iii) Photo* (iv) Signature* (v) Date of
Birth *(VI) Gender (Correct/Incorrect) Printed on the Hall Tickets application form is filled wrong
by me by mistake. CET Cell is permitting me to appear for MHT -CET 2019 by verifying my
Name/Address/ Photo/Signature/Date of Birth displayed on the ORIGINAL ID PROOF
Incorrect Information - ……………………..………………………………………………………………...
Correct information - ..…………………………………………………………………………………………

I am aware that, in case, the information so given is found to be incorrect or documents

shown and submitted found to be false, I will be fully responsible. My MHT-CET 2019 result will be

*Strike off Not Applicable. * Attached Relevant Document

1
 Declared only after obtaining the report of TCS Representative and Venue Officer regarding my

candidature. The final decision will be taken by Admission Regulating Authority, which will be

binding on me. I solemnly affirm that I will abide by the decision of Admission Regulating

Authority.

The information stated above is correct to the best of my knowledge and belief.

Self-attested copy of the document is enclosed

……………………………………………………………………………………...…..…….

Date:- …./…./2019
Place:- ---------------
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Signature of the Candidate/ Parent/ Guardian Full Name of the Candidate/ Parent/ Guardian

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Signature of the Parent/ Guardian Full Name of the Parent/ Guardian

Attested by
Gazette Officer /Signature of the Principal
Seal/ Stamp

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Signature of the On Duty Venue Officer Signature of On Duty TCS Officer

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Full Name of Venue Officer Full Name of the TCS Officer

……………………………………………………………………………………………………………………..
Space for use of State CET Cell Office.