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Applicationform 1

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0% found this document useful (0 votes)
48 views2 pages

Applicationform 1

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SAVITRIBAI PHULE PUNE UNIVERSITY

Application Form No.

22 Jul 2024 12404064366


APPLICATION FORM FOR PHOTOCOPY/XEROX COPY OF ANSWER BOOKS

1.The Application form shall be printed and preserved with candidate only.
2.Don't send hard copy of the Application form to Savitribai Phule Pune University /
College.

DIRECTOR,
BOARD OF EXAMINATION &
EVALUATION,
SAVITRIBAI PHULE PUNE UNIVERSITY,
GANESHKHIND,PUNE 411007.

Sir,
I,the undersigned,requestyou to verify and issuexerox copy of my answer book(s) as
per details
given below:

Candidate Name SHIRSATH AISHWARYA SHYAMRAO


College SIDDHANT COLLEGE OF
ENGINEERING, SADUMBARE,Pune
Exam Month & Year 202404
No. of Subjects appeared: 2
Centre at which appeared 44
Seat No. F190440402
PRN No. 72317338K

(Subject(s) for Xerox Copy of Answer Book(s) [Theory Subjects only].)


Subject Code Subject Name Marks Obt. Photocopy
103004-1 103004 Basic 11 Photocopy/
Electrical Engineering Scancopy
107009-1 107009 Engineering 17 Photocopy/
Chemistry Scancopy
Processing Fees 30.00
Subject Fees 400.00
Total Fees 430.00

DECLARATION OF THE CANDIDATE

I here by declare that,


1. I have gonethrough therules for providing a xerox copy of answer book(s)
mentioned in the
application and it shall be binding on me.
Date:............................. Yours faithfully,
........................
(Signature of the Candidate)

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