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Convocation Form

Vikash Aditya has applied for a supplementary convocation degree certificate. He studied a Master of Business Administration program in Financial Management at Siddhant Institute of Business Management between April 2012 and the present. Vikash provides his personal details including his address in Bihar, India, and declares that all information provided in the application is true and correct. He has paid the application fee online.

Uploaded by

Rajan Singh
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
148 views

Convocation Form

Vikash Aditya has applied for a supplementary convocation degree certificate. He studied a Master of Business Administration program in Financial Management at Siddhant Institute of Business Management between April 2012 and the present. Vikash provides his personal details including his address in Bihar, India, and declares that all information provided in the application is true and correct. He has paid the application fee online.

Uploaded by

Rajan Singh
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Convocation Form

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http://www.unipune.ac.in/UAT/printform.aspx

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Application Form Number:14156752590

Application For Supplementary Convocation Degree Certificate


Personal Data:
Surname: ADITYA First Name: VIKASH

Middle Name:

Mother's Name:

MIRA

Gender: Male
Address for Correspondence: S/O-CHADRA SHEKHAR SINGH, NAGAR PALIKA MAIN ROAD, RAXAUL, EASTCHAMPARAN,

BIHAR
Pin Code:

845305
Mobile: 9955106887

Phone:

Email ID: [email protected]

College/Institute Details:
Name of College /Institute : Siddhant Institute of Business Management,
College Code: 0793
Examination: Master of Business Administration

Faculty: Management

Month of Examination: April

Year of Examination: 2012

Seat Number: 24836

Permanent Registration Number (If Any): 2051002423

Special/ Principal/ Branch/ Method:


Optional or Subsidiary a]:

Financial Management

b]:

Subject for Restructured/Vocational:


Course: NA
Whether Passed Partly by Papers & Partly by Research (For M.Sc/M.E. Students Only) : No
Whether Re-appeared & Passed Under Provision of Class Improvement Scheme : No
Application Fee Details: (Payment Mode : Online Payment)
Declaration:
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and
belief.
I understand that in the event of any information being found false or incorrect, my candidature is liable to be cancelled or
rejected.

Name in Devnagari Script (Marathi):


Mother's Name(Marathi):

Place:

Date:

Please sign
inside box

Faculty Name:Management , Exam Code : Master of Business Administration (046 )


Note : Attach Photocopy of last Marksheet

6/2/2014 11:43 AM

Convocation Form

2 of 2

http://www.unipune.ac.in/UAT/printform.aspx

Online Payment Details


ApplicationID : 14156752590
Transaction ID : 2917020401141530
Amount : 900.0
Date & Time : Jun 2 2014 11:42AM
Result Description : CAPTURED
Print This Form

6/2/2014 11:43 AM

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