2015020026

SHIVAJI UNIVERSITY, KOLHAPUR

Vidyanagar,
Application Form for Bachelor of Technology (CR) : B.Tech(CR) Sem-VIII (Computer Science And
Technology) Examination,
March 2018
To, Form No. : 1299288
The COE,SHIVAJI UNIVERSITY, KOLHAPUR
Sir,
I request the permission to present myself at the B.Tech(CR) Sem-VIII exam to be held in March 2018 for
the papers mentioned below.
PRN : 2015020026 College : SHIVAJI UNIVERSITY

Personal Information :

Full Name : KAMBLE PUNAM SHAHAJI Mother Name : MAYA

Write Name in Devanagari (Marathi) :

Gender : Female DOB : 14/09/1992 Religion : HINDU Cast : Others

Correspondence Address : Challan/ UTR No. : -
AT -BORAVADE TAL-KAGAL DIST-KOLHAPUR

Pin Code : - Telephone No : Email ID : rvm_dech@unshivaji.ac.in

Study Center : N.A.

Fees Details : Part Fees: 1005 Late Fees : 0 Total Fee: 1005
B.Tech(CR) Sem-VIII - 1005 -

Subject Details :
Part Subject Name Part Subject Name
BTECH SEM 64362-Mobile Technology BTECH SEM 64363-Information Security

BTECH SEM 64364-Soft Computing BTECH SEM 64366-Data Mining and Warehousing

BTECH SEM 64368-Industrial Management BTECH SEM 64371-Web Technology Lab-2

BTECH SEM 64372-Soft Computing Lab BTECH SEM 64373-Major Project Phase-II

BTECH SEM 65199-Audit Course-Constitution Of India -

Optional Subjects :

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 reject.

Place : Date : Student's Signature (Please sign strictly in Principal's Signature & Seal (Please sign in
the box shown below) the box shown below)

Specimen Sigature :

Regular Fee- 24-Jan-2018 To 20-Feb-2018 - 1005/- , Late Fee- 21-Feb-2018 To 26-Feb-2018 - 50/-, Super Late Fee- 27-Feb-2018 To 03-Mar-
2018 - 350/-, Super Super Late Fee- 04-Mar-2018 To 03-Mar-2018 - 0/-