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Application For Convocation 56709 NASHI YUVRAJ RAJSHEKHAR
Application For Convocation 56709 NASHI YUVRAJ RAJSHEKHAR
Application For Convocation 56709 NASHI YUVRAJ RAJSHEKHAR
Documents attached
1. Final Year Mark sheet
2. Aadhaar Card
Mode of Dispatch
Prefered Mode : In Absentia
Preferred Dispatch Address : AMRUT NAGAR NEERA BULDING BLOCK 22A, -, Pin Code - 413004
Application Payment Details
Application for Convocation Fee on 22 Dec 2021 for Application No.0000056709 for Faculty of Engineering & Technology - BE(with
Credits) - Regular - Choice Based Credit System - ELECTRONICS ENGINEERING
Invoice No. : 0000056717 Invoice Amount : Rs. 600.00
List of Payment(s)
Sr. Payment Payment Payment Transactio Bank Tranc Status Bank DD/Cheque MICR No Bank
No. Type Date Amount n ID Branch No. Challan
No
1. Online 22/12/2021 Rs.600.00 202112221 - Failed - - - -
Payment 41421662
2. Online 22/12/2021 Rs.600.00 202112221 - Success - - - -
Payment 41908217
Student Declaration
I hereby declare that, I have read the rules related to Application for Convocation and the information filled in this form is
accurate and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me.
Place:
Date: Signature of Student
For College/ University use
Designation Remarks / Particulars / Recommendations Signature and date
Office Clerk Cash Received: Rs. Receipt No.:
Accountant/Cashier
Principal/ Authorized Signatory