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S.R.T.M.University - Convocation Form

This document is an application form for a convocation ceremony at Swami Ramanand Teerth Marathwada University. It contains details about the applicant such as their registration number, personal details including name and address, examination details, fees paid, and a signature confirming the accuracy of the information. The applicant is applying to attend a convocation ceremony to receive their B.Sc. in CS degree which they obtained with distinction in the summer of 2022.

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Shubham
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0% found this document useful (0 votes)
306 views

S.R.T.M.University - Convocation Form

This document is an application form for a convocation ceremony at Swami Ramanand Teerth Marathwada University. It contains details about the applicant such as their registration number, personal details including name and address, examination details, fees paid, and a signature confirming the accuracy of the information. The applicant is applying to attend a convocation ceremony to receive their B.Sc. in CS degree which they obtained with distinction in the summer of 2022.

Uploaded by

Shubham
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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Swami Ramanand Teerth Marathwada University, Nanded

Application Cum On - Line Registration Details


Application Cum Registraion No. 50875
Registration Date
Receipt Number( For Office use only ) Convocation Form type Presentia

Personal Details

Seat Number ZC15955 UID/Elgibility No. 029/1/2019/264/9


Name the Student LOKHANDE SHITAL NAGORAO
Name of Examination Passed B.Sc.(CS)
Class Obtained First Class With Distinction
Grade Obtained O
Year SUMMER - 2022
Mobile Number 8010717910 e - mail Address [email protected]
Optional Subject or Specialisation
College Code 264

Residential Address

Flat/Area Basmat
Area/Street Basmat At. Post. Basmat
Tq. Basmat Dist. Hingoli
State Maharashtra Pin Code Number : 431512

Fees Details

University Receipt No. / Bank D.D. No.     Date   


      
Amount
Name of Bank
I have read & understood the instructions carefully and undertake to abide by the Same.

IDENTITY CERTIFICATE

 I ( wirte name of the person who attested photogrphy )

hereby certify that the marginal photography of LOKHANDE SHITAL NAGORAO has been attested
by me and that the applicant has signed in my Presence

Signature of Attesting Person

Photography to be attested by the Principal/Teacher of an with Stamp


affillated college,Teacher of the Campus School

Write Your Name ( In Devnagri Script e.g. Marathi,Hindi etc., )

Note : Print the Application Cum Online Registration form and Submit it with necessary fees and essential documents .A Certified copy of the statement of marks of
all the years, Internship Certificate or Training Certificate as the case may be along with application form on College or Convocation Section of ; S.R.T.M.University
as per Notification issued time to time.
I here by declear that, the above information is verifyed and found correct, I will not modified information after ther printing of application

Signature of Applicant

Print
Cancel (SRTinsertstudent.php)

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