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    For Academic Year 2019-2020: Sandip Institute of Technology and Research Center

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    np180 p
    1. The document is a student enrollment form for Nitish Mahendra Prajapati from the Sandip Institute of Technology and Research Center. 2. It provides details about the student such as personal information, contact details, academic qualifications, payment details, and declarations signed by the student and parent. 3. The form shows that Nitish is enrolled in the BE Computer branch for the 2019-2020 academic year and has some backlogs from previous years that he needs to clear.

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    For Academic Year 2019-2020: Sandip Institute of Technology and Research Center

    Uploaded by

    np180 p
    45 views2 pages
    1. The document is a student enrollment form for Nitish Mahendra Prajapati from the Sandip Institute of Technology and Research Center. 2. It provides details about the student such as personal information, contact details, academic qualifications, payment details, and declarations signed by the student and parent. 3. The form shows that Nitish is enrolled in the BE Computer branch for the 2019-2020 academic year and has some backlogs from previous years that he needs to clear.

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    Original Title

    7_1_2019 12_00_00 AM

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    1. The document is a student enrollment form for Nitish Mahendra Prajapati from the Sandip Institute of Technology and Research Center. 2. It provides details about the student such as personal information, contact details, academic qualifications, payment details, and declarations signed by the student and parent. 3. The form shows that Nitish is enrolled in the BE Computer branch for the 2019-2020 academic year and has some backlogs from previous years that he needs to clear.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views2 pages

    For Academic Year 2019-2020: Sandip Institute of Technology and Research Center

    Uploaded by

    np180 p
    1. The document is a student enrollment form for Nitish Mahendra Prajapati from the Sandip Institute of Technology and Research Center. 2. It provides details about the student such as personal information, contact details, academic qualifications, payment details, and declarations signed by the student and parent. 3. The form shows that Nitish is enrolled in the BE Computer branch for the 2019-2020 academic year and has some backlogs from previous years that he needs to clear.

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    SANDIP FOUNDATION'S Every candidate

    is required to
    Sandip Institute of Technology and Research Center affix his/her
    photograph. The
    P.O Mahiravani.Trimbak Road Tal & Dist: Nashik-422213 Ph:(02594) 222551 photograph
    /52/53/54 Fax (02594) 222555 Toll Free No.: 1800 233 2714 Approved by must be
    AICTE,New Delhi, and Affiliated to Savitribai Phule Pune University, Pune
    FormNo: 10803

    Student ID 112016134 Course B.E Branch Computer

    Quota CAP Class BE


    For Academic Year 2019-2020
    1. Name Of The Student NITISH MAHENDRA PRAJAPATI

    2. Mother's Name

    3. Religion Hindu 4. Adhar No 376992954405

    5. a] Category OBC b] Sub Cast Kumbhar (82)

    6. Date Of Birth 07/05/1998 7. Gender Male

    8. Nationality Indian 9. Mobile No 8007060099

    FlatNo.0 ATPOST TALASARI UDWAROADNEAR NO 08


    10. Correspondence Address

    Taluka Nashik Dist Nashik


    11. Details of University Result (For FE,SE,TE,M.E-I Students)

    Exam Year Exam Month & Year Marks Obtained Percentage No Of BackLog Result

    FE-1 October-November-2016 435 58.00 Pass

    FE-2 May-June-2017 472 62.93 Pass

    SE-1 October-November-2017 420 60.00 Pass

    SE-2 May-June-2018 392 56.00 Pass

    TE-1 October-November-2018 490 70.00 ATKT

    TE-2 May-June-2019 0 ATKT

    12. Challan Transaction ID 10192001221 Date 19/06/2019 Amount 48,670

    Bank Name BOI Branch Name Bank Of India

    13. Declaration (to be signed by student and Parent/Guardian)


    1. I/We will abide by all the rules and regulation of GOVT of Maharashtra/DTE Mumbai/Pune University/Sandip
    Foundation/SITRC .
    2. I, the Student, Shall be regular in attendance all lectures,tutorials,test,practicals,workshops
    And examination conducted. I am also aware that minimum 75% attendance is compulsory for appearing in University
    Examination.
    3. I, the Student, have not been debarred from appearing for any examination conducted by any Government Constituted
    or any other Statutory Examination Authority in India.
    4. I/We will pay Fees and other charge by due date. If the fee structure is revised by the Fees Regulating Authority, I will
    pay the difference in fees as per the directives of Shikshan Shulka Samati within three weeks and as when notified by
    the Institute. In the event of default ,the Principal of the Institute shall take any action as he might deem fit againt
    me/us.
    5. I must preserve receipt as no provision for Duplicate Receipt.
    6. All the information provided in this form is truth and correct. I/We would be liable to be punished if the information
    provided found false. Mandatory for us to sign Anti-Ragging Affidavit.
    7. I/We give an acceptance to receive the message, information from Sandip Foundation on our Contact Nos. and mail
    account

    Signature of Student Signature of Parent / Guardian

    Place Date / /20

    For Office Use Only

    1 7/1/2019
    SANDIP FOUNDATION'S Every candidate
    is required to
    Sandip Institute of Technology and Research Center affix his/her
    photograph. The
    P.O Mahiravani.Trimbak Road Tal & Dist: Nashik-422213 Ph:(02594) 222551 photograph
    /52/53/54 Fax (02594) 222555 Toll Free No.: 1800 233 2714 Approved by must be
    AICTE,New Delhi, and Affiliated to Savitribai Phule Pune University, Pune
    FormNo: 10803

    1. Challan Transaction ID 10192001221 Date 19/06/2019 Amount 48,670

    Account Section Student Section Principal

    2 7/1/2019

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