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 ( g[
Marathi ) :
Mother's Name : 
Please note, No physical submission of this application form is required at university / SFC. This
print is for applicants reference only.
 Savitribai Phule Pune University
Ganeshkhind,Pune-411 007.
Cash

Applicant Copy

Savitribai Phule Pune University

Ganeshkhind,Pune-411 007. Print Time:21/Sep/2017 23:23:57

Bank Name : Bank of Maharashtra

*17010447455* Fee Type Amount
Challan No. : 17010447455
Cash 260.00
Name of Student and Application Number:
NIKUMBH AISHWARYA HEMANT [ 17044748 ] Application Type : Convocation

PRN : 1171504830 Faculty : Science

Total Amount : 260.0000
Course : B.Sc. 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.

Cut here

Savitribai Phule Pune University Bank Copy

Ganeshkhind,Pune-411 007.

Print Time:21/Sep/2017 23:23:57

*17010447455* Bank Name : Bank of Maharashtra
Challan No. : 17010447455 A/C 60078206551 by fee collection menu
Name of Student Name of A/C Holder : Finance & Accounts Officer ,
Savitribai Phule Pune University, Pune-7.
NIKUMBH AISHWARYA HEMANT

Mode of payment: Total Amount : 260.0000

Total Amount : Two Hundred Sixty rupees only

Cash
Details: _____________________
_____________________
Received. 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.

Therefore third copy of challan is discontinued. 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.