Application Form PDF

Summary

This is an application form for admission to P. A. H. Solapur University. It includes personal information, educational details and contact information for the student.

Full Transcript

P. A. H. Solapur University, Solapur Application Ref. No.: 202301083 Personal Information Full Name: NAIKWAD BAKSHAR SHAKILAHMAD Mother's Name: Malanbi Name as printed on Marksheet: Naikwad Bakshar Shaki...

P. A. H. Solapur University, Solapur Application Ref. No.: 202301083 Personal Information Full Name: NAIKWAD BAKSHAR SHAKILAHMAD Mother's Name: Malanbi Name as printed on Marksheet: Naikwad Bakshar Shakilahmad Father's Name: Shakil Gender: male Date of Birth: 26-09-2005 Category: VJA Physically Handicapped: No Nationality: Indian Address for Correspondence: Naikwadi Galli Akkalkot 413216,dist solapur CountryName: India City: Akkalkot Taluka: Akkalkot District: Solapur State: Maharashtra Pin: 413216 Mobile: 9881919880 Email: [email protected] Educational Details: Last Qualifying Exam: 12th Sr. No. Name of Examination Name of Examining Body Date of Passing Seat Number Result Status Certificate Number 1 12th Pune board Mar 2023 P104029 Pass Disclaimer: I Hereby declare that I have verified this printed form and made necessary corrections by hand I have carefully read the rules and I undertake to abide by them I will be responsible for any discrepancy arising out of the form signed by me and I undertake that in absence of any document the final eligibility will not be granted and admission will stand cancel. Place Date Please sign strickly inside the box-> Name: NAIKWAD BAKSHAR SHAKILAHMAD

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