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

The document is an application form for the convocation of VIRALE ABHISHEK SANGRAM, who completed a B.E. degree in Summer 2020 from Swami Ramanand Teerth Marathwada University. It includes personal details, residential address, and a declaration of the accuracy of the provided information. The applicant is required to submit the form with necessary fees and documents to the university's Convocation Section.

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av8668436754
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29 views1 page

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

The document is an application form for the convocation of VIRALE ABHISHEK SANGRAM, who completed a B.E. degree in Summer 2020 from Swami Ramanand Teerth Marathwada University. It includes personal details, residential address, and a declaration of the accuracy of the provided information. The applicant is required to submit the form with necessary fees and documents to the university's Convocation Section.

Uploaded by

av8668436754
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. 13895
Registration Date
Receipt Number( For Office use only ) Convocation Form type Absentia (by post)

Personal Details

Seat Number ED17338 UID/Elgibility No. SE/MECH/2016/126/30


Name the Student VIRALE ABHISHEK SANGRAM
Name of Examination Passed B.E.
Class Obtained Pass Class
Grade Obtained A
Year SUMMER - 2020
Mobile Number 8668436754 e - mail Address [email protected]
Optional Subject or Specialisation
College Code 126

Residential Address

Flat/Area HINGOLI NAKA, BALAJI NAGAR, GOVIND KIRANA


Area/Street AIRPORT ROAD At. Post. ASHOK NAGAR
Tq. NANDED Dist. NANDED
State MAHARASHTRA Pin Code Number : 431601

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 VIRALE ABHISHEK SANGRAM 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 affillated with Stamp


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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