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Application Form Number:: Application For Supplementary Convocation Degree Certificate

Sufyan Khan is applying for a supplementary degree certificate for his Bachelor of Engineering in Mechanical Engineering from K.K. Wagh Institute of Engineering Education & Research. He completed his examinations in April 2017 and his results were declared on July 12, 2017. He is providing his personal details including his address in Nashik, Maharashtra and contact information in the application. He paid the application fee of Rs. 990 online and is submitting the required documents to the Student Facilitation Center of Savitribai Phule Pune University.

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0% found this document useful (0 votes)
50 views

Application Form Number:: Application For Supplementary Convocation Degree Certificate

Sufyan Khan is applying for a supplementary degree certificate for his Bachelor of Engineering in Mechanical Engineering from K.K. Wagh Institute of Engineering Education & Research. He completed his examinations in April 2017 and his results were declared on July 12, 2017. He is providing his personal details including his address in Nashik, Maharashtra and contact information in the application. He paid the application fee of Rs. 990 online and is submitting the required documents to the Student Facilitation Center of Savitribai Phule Pune University.

Uploaded by

sean eagen
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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   Application Form Number:18156001157

Application For Supplementary Convocation Degree Certificate


Personal Data:

Surname: KHAN  First Name: SUFYAN   Middle Name: IQBAL  Mother's Name:   RASHEDA

Gender:  Male

Address for Correspondence: 266 HOWSON ROAD, OPP BUSINESS BANK, DEVLALI CAMP, NASHIK,  NASHIK, NASHIK, MAHARASHTRA
Pin Code:   422401

Phone: 02532492667 Mobile: 8983236283 Email ID: Sufi[email protected]

College/Institute Details:

Name of College /Institute : K.K. Wagh Institute of Engineering Education & Research (M.B.A.),

College Code: 1141  

Examination: Bachelor of Engineering  Faculty: Engineering


Month of Examination: April Year of Examination: 2017
Date of Result Declartion: 2017-07-12
Seat Number: B120130889 Permanent Registration Number (If Any): 71405135H

Special/ Principal/ Branch/ Method: Mechanical 


Optional or Subsidiary  a]:    b]:  
Subject for Restructured/Vocational:

Course:  General
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): Khan Sufyan Iqbal


Mother's Name(Marathi): Rasheda

Please sign inside


Place: Date:
box

Faculty Name:Engineering , Exam Code : Bachelor of Engineering (029 )


Note : Submit the Form with Stamped Challan / Online Payment Receipt & Final year Marksheet BY HAND to -
Student Facilitation Center, Savitribai Phule Pune University.
or By Post to -
Convocation Department, Examination Section, Savitribai Phule Pune University, Pune - 411007.
Online Payment Details
ApplicationID : 18156001157
Transaction ID : 0a39f39c7dd631e5739e
Amount : 990.00
Date & Time : Jan 2 2019 11:34PM
Result Description
CAPTURED
:

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