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Departmental Clearance Form (1) (2)

The document is a Departmental Clearance Form for engineering students to submit photocopies of various academic and extracurricular documents for departmental records. It includes fields for personal information, document descriptions, and a section for the receiving person's signature. The form is intended for students of SE, TE, or BE programs affiliated with Savitribai Phule Pune University and approved by relevant authorities.

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bhoyeakshay24
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18 views1 page

Departmental Clearance Form (1) (2)

The document is a Departmental Clearance Form for engineering students to submit photocopies of various academic and extracurricular documents for departmental records. It includes fields for personal information, document descriptions, and a section for the receiving person's signature. The form is intended for students of SE, TE, or BE programs affiliated with Savitribai Phule Pune University and approved by relevant authorities.

Uploaded by

bhoyeakshay24
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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Approved by AICTE, Delhi, DTE, Maharashtra, Affiliated by Savitribai Phule Pune University, Pune, NAAC Accredited

Department of ______________Engineering
Departmental Clearance Form

Name of Student: PRN No:


AY Year : Class: SE /TE /BE
Semester : I / II Roll No:
Email Id : Mobile No:

Subject: Documents / Certificates submitted for departmental record purpose.

Respected Sir / Madam,


I, the undersigned Mr./Ms. ______________________________________________ is / was a
bonafide student of SE /TE / BE ______________Engineering during the academic year _______to _______.
I am submitting photocopies of the following listed documents applicable to me for the institute / departmental
record purpose -
Submitted / Not Applicable Name and Signature of Person
Description of the Document
(NA) Receiving the Document
SE/TE/BE Marksheet (Sem-I / Sem-II)
Internship Completion Certificate/s
NPTEL Certificate/s
Higher Studies Offer Letter/s
Placement Offer Letter/s
Training / Workshop Certificate/s
Sports Participation Certificates
Technical Event Participation Certificates/s
Cultural Activities Participation Certificates
Mentor-Mentee Form
Professional Body Membership Certificate
Departmental Library
GATE Examination Certificate

Date: Signature of the Student

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