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Savitribai Phule Pune University

Application for a Regular Convocation Degree certificate

Application ID :
*17044748*
17044748
Personal Information
Full Name NIKUMBH AISHWARYA HEMANT
Mother's Name SAVITA E-mail aishnikumbh97@gmail.com
Contact No 9270985888 Gender Female
Correspondence B-07 SHRAMPUNJI SOCIETY NEAR SAI AKSHADA MANGAL KARYALAY SAINATH
Address NAGAR INDIRANAGR NASHIK 422009

Pincode 422009

College / Institute Details
Name of College/Institute : CAAN017440 Maratha Vidya Prasarak Samaj KRT Arts BH
Commerce and AM Science College (KTHM) Nashik
Addr: Shivajinagar, Gangapur Road, Nashik
Ta: Nashik Dist: Nashik
Faculty : Science Exam Code 0062
Examination : B.Sc.
Month of Examination : April Year of 2017
Examination :
Seat No. : 16094 PRN ( If Any ) : 1171504830
Special/Principle/Branch/Method : Statistics
Optional or Subsidiary ( If Any ) a] : Mathematics
b] : Physics
Subject for Restructured/Vocational :
Class or Grade Obtained : First Class with
Distinction

Whether Passed Partialy By Papers & Partly By Research (For M.Sc/M.E.
Student only) :
Declaration
I have carefully read and noted the Instruction to the candidates before filling in this form. I declare that the information
given above is true and correct to the best of my knowledge and belief. I undertake that I shall be responsible for any
omossion/errors and wrong/incomplete entries made be me in this form.
Name in Devnagari Script ( Ǔ“€ǕȲ—g杙ȡ[¡ȯ˜Ȳ
Marathi ) :
Mother's Name :  ͪȡ
Please note, No physical submission of this application form is required at university / SFC. This
print is for applicant͛s reference only.

Pune-411 007. : 17010447455 Cash 260.00 Name of Student and Application Number: NIKUMBH AISHWARYA HEMANT [ 17044748 ] Application Type : Convocation PRN : 1171504830 Faculty : Science Total Amount : 260. Pune-7.Pune-411 007. Cash Applicant Copy Savitribai Phule Pune University Ganeshkhind. By Deposited By This Challan is Valid Up to 9/26/2017 11:23:40 PM Note : Date Format MM/DD/YYYY For Online Convocation Application no need to submit university copy of challan. Cut here Savitribai Phule Pune University Bank Copy Ganeshkhind. Print Time:21/Sep/2017 23:23:57 *17010447455* Bank Name : Bank of Maharashtra Challan No.Sc. NIKUMBH AISHWARYA HEMANT Mode of payment: Total Amount : 260. Seat No : 16094 Total Amount : Two Hundred Sixty rupees only Passing Month Year : April 2017 This receipt is valid subject to realization of the payment instrument. : 17010447455 A/C 60078206551 by fee collection menu Name of Student Name of A/C Holder : Finance & Accounts Officer . Savitribai Phule Pune University.0000 Course : B. Therefore third copy of challan is discontinued.Pune-411 007. . Print Time:21/Sep/2017 23:23:57 Bank Name : Bank of Maharashtra *17010447455* Fee Type Amount Challan No.0000 Total Amount : Two Hundred Sixty rupees only Cash Details: _____________________ _____________________ Received. Savitribai Phule Pune University Ganeshkhind. Applicants are requested to preserve applicant copy of challan as it is needed at the time of degree certificate collection in Convoaction/Graduation Day Cermony.