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Singhania University: (Fill Up and Submit This Form)

1. Sameer Bhikaji Pawar submitted an examination form for the 6th semester of the BSc. Aircraft Maintenance Engineering course to be held in May 2020. 2. He provided his personal details like enrollment number, name, father's name, date of birth, address, email, mobile number, and course details in the form. 3. In the form, he opted for taking the online examination in Pune and declared that all the information submitted is true and correct.

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samepawar_76257301
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254 views1 page

Singhania University: (Fill Up and Submit This Form)

1. Sameer Bhikaji Pawar submitted an examination form for the 6th semester of the BSc. Aircraft Maintenance Engineering course to be held in May 2020. 2. He provided his personal details like enrollment number, name, father's name, date of birth, address, email, mobile number, and course details in the form. 3. In the form, he opted for taking the online examination in Pune and declared that all the information submitted is true and correct.

Uploaded by

samepawar_76257301
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SINGHANIA UNIVERSITY

OM PARAMEDICAL & TECHNICAL EDUCATION


EXAMINATION FORM
(Fill up and submit this form)

200155134499
Enrollment No…………………… Sameer Bhikaji Pawar
Name: ………………………………………. paste
Photo or
Bhikaji Pawar
Father Name……………………………...Mother Sujata Pawar
Name…………………………… send scan
copy pix
samepawar@gmail.com
E mail Id………………………………. +91 9423013261
…….. ……Mob No….…………………. 120/90

03 - April 1987
Date of birth: …………………………………… Category: Gen/OBC/SC/ST

25,Raghunandhan, Krushi Devtanager, Jalochi, Baramati


Address: ……………………………………..............................................................................
Pune
Dist……………………………………. State Maharashtra
………………. Pin code ……………….413102
Medium of Exam : English
BSc. Aircraft Maintenance Engineering
Name of Course Applied For: ………………………………………………. (write course)
Semester/Year: May-2020
6th Sem/……………………….
Choice of Exam Online
: Online or Written (………………………)
Note: If candidate has opted for written exam than candidate has to attend the exam at Delhi
centre. We have the provision of online examination for all the places. Kindly fill up the
Place of online examination where you will be available at the time of examination (Name of
Pune
Place) …………………………...

DECLARATION
Sameer Bhikaji Pawar
I……………………………………. Bhikaji Pawar
Son/D/o/Wife of……………………………… declare
that the above information submitted by me is true and correct to the best of my knowledge.
If found incorrect than University shall be free to cancel my examination form. I will follow
all the rules and regulation of examination prescribed by the university. I have PAID/NOT
PAID complete semester fee. (Tick as applicable)
Pune
Place……………………
18-03-2020
Date: …………………… Signature of Candidate
----------------------------------------------------------------------------------------------------------------
EXAMINATION FEE DETAIL
(To be filled by the candidate)
3,000
Examination fee Rs. ……………. deposited in ………………………………… State Bank Of India (Bank name)
15-Jan-2020
on date………………. If deposited directly in bank account send the scan copy of deposit
slip and write your name on deposit slip)
Note: Exam Fee is Rs. 3000/- up to 31st March 2020 and after due date the fee is Rs.
4000/- up to 05th April 2020 with late fee.
Note: If already paid along with semester fee then write here ……………………. Paid (Paid/Not Paid)

Sign of In-charge Academic Centre

18-03-2020
Date: ……………………………
(Singhania University)

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