Savitribai Phule Pune University *113500648*
Examination Form Oct/Nov 2022 Form No :1135-00648
Course Name S.E.(2019 PAT.)(COMPUTER)
PRN. 72292538H Eligibility No. 12021234209 Total Fee to be Paid: 1000
PUNCODE CEGP011350 College (32) M.E.S. College of Engineering
Instructions to the Candidate:
1.This Exam form along with fee amount should be submitted to the concerned college .
2.Repeater students should attach attested true copy of the latest mark sheet alongwith this form.
3.This form will be considered ONLY AFTER APPROVAL from the concern College Login.
To,
Director,
Board of Examination & Evaluation, Savitribai Phule Pune University, Pune-411 007.
Sir/Madam,
I request permission to present myself at the examination courses, mentioned below .
1.Personal Details:
Name of the Applicant JADHAV SARTHAK PRABHASHANKAR
Name of the Applicant's Mother NIRMALA
Address for Communication Pathare Khurd Chawk, Pathare Khurd
Email-ID [email protected] Contact Number 7666960252
Gender Male Category OBC
Divyang/Learning Disable No Medium of Instruction English
ABCId
2.Applied Subjects Information :
Sem Sub Code Subject Name TW INSEM ONLIN TH PR OR GRD TUT
E
3 210241 DISCRETE MATHEMATICS - Y - Y - - - N
3 210242 FUNDAMENTALS OF DATA STRUCTURES - Y - Y - - - N
3 210243 OBJECT ORIENTED PROGRAMMING - Y - Y - - - N
3 210244 COMPUTER GRAPHICS - Y - Y - - - N
3 210245 DIGITAL ELECTRONICS & LOGIC DESIGN - Y - Y - - - N
3 210246 DATA STUCTURES LABORATORY Y - - - Y - - N
3 210247 OOP & COMP. GRAPHICS LAB. Y - - - Y - - N
3 210248 DIGITAL ELECTRONICS LABORATORY Y - - - - - - N
3 210249 BUSINESS COMMUNICATION SKILLS Y - - - - - - N
3 210250 HUMANITY & SOCIAL SCIENCE Y - - - - - - N
3 210251D SMART CITIES - - - - - - Y N
1 of 2 Print Date:10/20/2022 11:20:52 AM
Savitribai Phule Pune University *113500648*
Examination Form Oct/Nov 2022 Form No :1135-00648
3. Fee Details
Fee Type Fee Amount Remarks
Form Fee 30
Exam Fee 680
Passing Certificate Fee 0
CAP Fee 145
Statement Of Marks Fee 145
Project Fee/Dissertation 0
EVS Fee 0
Internal Marks Fee 0
Departmental Fee 0
Transcript Fee 0
Late Fee 0
Fine Fee 0
Total Fee to Be Paid: 1000
DECLARATION :
I hereby declare that I have gone through the Syllabus and the list of books prescribed for the examination for which I am
appearing. I SHALL BE RESPONSIBLE for any errors and wrong or incomplete entries made by me in the Examination
form.
I shall not request for special concession such as change in the time and/or day fixed for the University examination etc.
on religious or any other grounds.
Yours faithfully.
Note:Special Subject(s) should be verified by the subject teacher & signed.
Please, Select Optional Subject(s) carefully, because Optional Subject(s) are not editable.
Place :_______________ Date : ________________ Signature of the Candidate
Place :_______________ Date : ________________ Stamp & Signature of the Principal
2 of 2 Print Date:10/20/2022 11:20:52 AM
