Savitribai Phule Pune University

*214999934802*Application ID: 214999934802

Course Name [ S.E.(2014 PAT.)(MECHANICAL) ]

Instructions to the Candidate:1.This Exam form along with fee amount should be submitted to the respective college .2.Repeater students shall attach attested true copy of the last mark sheet alongwith this form.3.This form will be considered ONLY AFTER Approval from the concern College.

To,The Controller of Examinations, Savitribai Phule Pune University, Pune-411 007.Madam/Sir, I request permission to present myself at the examination courses, mentioned below

1.Personal Details:Name of the Applicant CHAVAN JAGDISH MAHADUName of the Applicant's Mother DHONDIBAIGender MALECategory STAddress for Communication MAHAVIR AVENUE APT. C-08C,VASAN

MARG,VASAN NAGAR,PATHRDI ROAD,NASHIK,NASHIK,422009

Contact Number 8108710021Permanent Registration Number:(PRN ) FRESH11 digit UNIPUNE ID. (Eligibility No.) 00Email-ID jagchavan@gmail.comSports Info / Extra Information NA

Is Physically Disabled Not Applicable

Those students who desire to claim benefit under 0.163 will have to submit their prescribed form with requisite fees of Rs. 10/- and necessary certificates thereof through the Principal of their College before the commencement of this examination only. Prescribed forms are available in the College Office. After the declaration of the Result such application will not be accepted.

2. Examination Details

College Name BRAMHAVALLEY EDUCATION CAMPUSNASIK =(CEGN018360 )

Last Appearance

Year Month SeatNoNA NA S000

Applied Subjects Information :

Sem Sub Code Subject Name Termwork Theory Practical Oral3 202041 MANUFACTURING PROCESS-I - Y - -

3 202042 COMPUTER AIDED MACHINE DRAWING - - Y -

3 202043 THERMODYNAMICS - Y - Y

Oct/Nov 2015

Total Fees :880

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3 202044 MATERIAL SCIENCE Y Y - -

3 202045 FLUID MECHANICS - Y - Y

3 202046 WORKSHOP PRACTICE II Y - - -

3 202047 SOFT SKILLS Y - - -

3 207002 ENGINEERING MATHEMATICS III Y Y - -

3. Fee Details

Fee Type Fee Amount Remarks

Form Fee 30

Exam Fee 600

Statement of Marks Fee 125

CAP Fee 125

Passing Certificate Fee 0

Project Fee 0

Late Fee 0

Fine Fee 0

N.S.S. Fee 0

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

Place : ________________ Date : ________________ Signature of the Candidate

Place : ________________ Date : ________________ Stamp & Signature of the Principal

Total Fee to Be Paid:

8/28/2015 4:54:22 PM

880

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