Convocation Form 712mg

Savitribai Phule Pune University Application for a Regular Convocation Degree certificate

*17044748*

Application ID :

17044748 Personal Information Full Name

NIKUMBH AISHWARYA HEMANT

Mother's Name

SAVITA

E-mail

[email protected]

No

9270985888

Gender

Female

Correspondence B-07 SHRAMPUNJI SOCIETY NEAR SAI AKSHADA MANGAL KARYALAY SAINATH Address NAGAR INDIRANAGR NASHIK 422009 Pincode

422009 College / Institute Details

Name of College/Institute :

CAAN017440

Maratha Vidya Prasarak Samaj KRT Arts BH Commerce and AM Science College (KTHM) Nashik Addr: Shivajinagar, Gangapur Road, Nashik Ta: Nashik Dist: Nashik

Faculty :

Science

Exam Code

0062

Examination :

B.Sc.

Month of Examination :

April

Year of Examination :

2017

Seat No. :

16094

PRN ( If Any ) :

1171504830

Special/Principle/Branch/Method :

Statistics

Optional or Subsidiary ( If Any ) a] : Mathematics b] :

Physics

Subject for Restructured/Vocational : Class or Grade Obtained :

First Class with Distinction

Whether ed Partialy By Papers & Partly By Research (For M.Sc/M.E. Student only) : Declaration I have carefully read and noted the Instruction to the candidates before filling in this form. I declare that the information given above is true and correct to the best of my knowledge and belief. I undertake that I shall be responsible for any omossion/errors and wrong/incomplete entries made be me in this form.

Name in Devnagari Script ( Marathi ) :

Ǔ“€ǕȲ—g杙ȡ[¡ȯ˜Ȳ

Mother's Name :

 ͪȡ

Please note, No physical submission of this application form is required at university / SFC. This print is for applicant͛s reference only.

Savitribai Phule Pune University Ganeshkhind,Pune-411 007. Cash

Applicant Copy Savitribai Phule Pune University

Print Time:21/Sep/2017 23:23:57

Ganeshkhind,Pune-411 007.

Bank Name : Bank of Maharashtra

*17010447455*

Challan No. : 17010447455

Fee Type

Amount

Cash

260.00

Name of Student and Application Number: NIKUMBH AISHWARYA HEMANT [ 17044748 ]

Application Type : Convocation PRN : 1171504830

Total Amount :

260.0000

Course : B.Sc.

Total Amount : Two Hundred Sixty rupees only

Faculty : Science Seat No : 16094

ing Month Year : April 2017

This receipt is valid subject to realization of the payment instrument. Cut here

Savitribai Phule Pune University

Bank Copy

Ganeshkhind,Pune-411 007.

Print Time:21/Sep/2017 23:23:57

*17010447455*

Bank Name : Bank of Maharashtra

Challan No. : 17010447455

A/C 60078206551 by fee collection menu

Name of Student

Name of A/C Holder : Finance & s Officer , Savitribai Phule Pune University, Pune-7.

NIKUMBH AISHWARYA HEMANT

Total Amount : 260.0000

Mode of payment:

Total Amount : Two Hundred Sixty rupees only

Cash Details: _____________________ _____________________

Received. By

Deposited By

This Challan is Valid Up to 9/26/2017 11:23:40 PM Note : Date Format MM/DD/YYYY For Online Convocation Application no need to submit university copy of challan. Therefore third copy of challan is discontinued. Applicants are requested to preserve applicant copy of challan as it is needed at the time of degree certificate collection in Convoaction/Graduation Day Cermony.