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&x 27 Kondhawrr- Sasr,t,ad |-
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- FIRST YEAR/SECOND YEAR DIPLOMA ITNGINHERING ADMISsIoN
2019 2020
CHICKLIST OF OI(IGINAI, DOCUN{ENTS
Follorving'rigi..rl rlucur.e.ts are verified ancr checked-
stddente Nemc: M"u"^n*qdtvt^"tr* . Trnqbq.de rr^irft"d4i. .
Branch: Co.-.Ptr[g gugivrOlir,s Conract:,rro: qblod qgj q 1
Sr- No -O.igi."t D".*
Su bmitted Pending
1 Allotrnent Letter
2 S-S-C- Mark sheet
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3 H.S.C Mark sheet
J Scl rool Leaving Certificate

4 6th/ 9tr, and rrrh StandarEMaik sheet or

Pcrforma Z _
Natronality
--. and Duuricile certilificare (lf "Indian
{-@
5 &nrl Place of Birth,, is not rncnti oned in Leaving
Ce- tificare).
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6 Ld:redtiun Gap Certiticate- (If a
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8 Ca;t Valirtiry Cerr?icate 1ft- appf
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=
Non crcanry layer Certificate] Valrd
va up to 31st
9 2014. (\ryNT, NT(A), NT'(B),
Y:l:l
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Date: / / ZOLI)
 7t3 UZO19 Recerpt-cum-Acl(nowledgement lorFlrst Year Post gsc Diploma Tecnnical Gcurses In Engineering and Tecnnology Aclmrssions 2o1...

GOVERNM ENT OF MATIARASTITRA

Directorate Of Teehnieal Edueation ,Maharashtra State,
3, Mahapalika Marg, Post Eox 1967rl4umbai - 4OO OO1.
Receipt-cum-Acknowledgement of fnstitute Reporting for Admission to First Year
Post SSC Diplorna Technical Gourscs in Enginecrtng and Technology Admissions fqr
the year 2OL9-2O2O
Apptication rD : DEN191 O37?.:
Personal Details
Full Name MOTIAMMADMUQEET JINAEATJE
Notionolity Indion Gsnder Male
Date of Etrth 0l-12-2003 Annual Farnily Income ( 3,50,001 - 4.00,000
{;
Category-Caetc OPEN
Religious
Minority,/Linguistie N.A
Minority
PWD Typo N.A.
Type of Candidature Maharashtra Type A
CAF Allotment Details
State Level General Merit No. 331OO
', Allotted Choice Code 682424510
Ailotted Seat Type NGOPENH
Preferenqe No. 2
Institute Reporting Dctalls
Inetitute Trinity polytechnic, punG
(t) O/-
Tutton rees 6424245LO-Computer
Course Englneering
Development Fees (?) O/- Admission Date 31-O7-2019
Other Fees (t) 0/- Admiesion Type CAP Round
Torat Fees (() o/-
Remark Ac,mlsslon Conftrm
Declaratlon by candidate : I heraby agre€ to conform to rules, actg and lows enforced by Governmerr!. I lrereby unclertal(e tnat so long as I
Colleoe/ Institute- I will nat hehave in a mannet which mav rcsult in compclling thc outhorittes te tdke dtsctpilnary acqon against me. am student of
I fully understand that
cxper, ru:ticofc mc rrqnr rr,e i'5tirure, ror'any Inrrinsemenr or me rures prescribed by the
:ii"t"Tfj::l{35:.,jll^::":9:.:,:::Y::,]:?".1,1.}::jlg!!'1"
colleOe,/institute/ttniversity,/Governmant and the undertoking givcn obovc.

Date;31-O7-2O19
Signature of Candidate
Place :

ONLY
admittino this Candidata to aur College ,/ Inetitutc for First ycar

Seal of Trinity Polytechnic, pune Signature of f

Reportcd On;31-O7-2O19 Ol : L9:39 pM ;oll portcf By;:6024
Printcd On:31 O7-2Ot9 Ol:19;41 pM
Last Modified On :31-07,2019 O1:19:39 pM ax d,g Printed Byt6824
Last Modified By:6824
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 //3c/20'19 RcceiPGcurn-AcKnowredsement of seatAcceplalT;ffi"Jil rcur,nicar courses In Ensineerins and
ffifif;il;1"J""'a
"ftdm€- Directorate Of Technical Education ,Maharashtra State,
w 3, I{ahapalika Marg, Post Eox 1967,Mumbai - 4OO OO1_
*t&ffiru- Rcceipt-cum-Acknowledgement of Seat Acceptance Status Forrn of CAP Rcrund Admtssaon to
GXflF.p First Year Post SSC Diplorna Technical Courscs in Engineerlng and Technology Admissions for
rr r{rj r -rair
the year 2OL9-2O2O
Appricaflon ID: DEN19103735. .
Version No' i

Personal Details
FUII NAME MOHAMMADMIJQFFT ]INASADE
Nrtiohality lndion cender Male
uare or 6irth 01-r2-2003 Andu5l Fonrilt InGo,"c (f) 3,5O,OOr - 4,o0,OOU
Cateqory-Caste oPFN
Pol;g;ouo Mino.ityl Lingsi-aiL

-
. Hinority N.A
pWD Type N.A,
n#,
f.+ ;:J-

Defence Typa
Status of Prowieior..t llto*{.nt Details for CAp Rouncl
lnctitutc Allottad buz4-Trinity Polytechnic, Pune
course Allone(t Comouter Fnoinpprino
Choic€ Code Allotted 6524?4SLO
Seat Type Allott€d NGOPENH Prcf Ne Alluttcd 2
Seat Acceptance Fee Details
Paad Amount 1000 Rs. foymcnt St-tu$ SUCCeSSfUI
Remark qeat A..eptance ctrtus form corrrir!ilcd.

Seat Acceptance Details

Seat Acceptancc Statue: r Freeze
Confirmed
.F^dJ-
Sott Acccptoncc Cenfir rrrdtiqn getalts:

Date:30-07-20 19
Signdtur ( of CanOt('at(l

Place:
,____:. I ttl il il il ltrii il[frriiil iliiltr riiiiiir liil
r

ARC Llsp Only

Declarotion ; w€ lr€reby decrare that, we are reportinq this candidat6 to out Year Post SSC Diploma Technical
courscs in Engi.rcErlng and rechnology for the year zolg - 2o2o on verifical .fhe candidate has_paid the Fees
mentioned an thts recelpt. we also declare that the seat acceptance form of cr presence of the Candifrqte.
L\Y
Seal of ARC6O20 Sigrrd:ure et AKL Otttcer (ARC6O2O)
Confirmed On!3O-O7-2O1g O3;O9;O1 pM conrtrmed By::ARC6O2O
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 7/31/2019 Diroctorato Of Technical Education ,Mahsrashtra State. Mumbai

GOVER,NMENT OF MAHARNSHTR.A
Directorate Of Technlcal Educatlon ,Maharashtra State,
3, Mahapalika Marg, Post Box 1967,Murnbai - 4OO OO1-
Seat Acceptance Form for Admlsslon to Flrst Year Post SSC Diplqrna Technical
Courses in Engineering and Teehnology Admissions for the year 2Olg-2O2O
Application ID : DEN191()3735 Vcrcion No: 1
Personal Details
FUII ITAME]MOHAMMADMUQEET JINABADE
Natlonallty Indlan GenClef:tvtale
Date of Birth 01 12 2oo3 Annual Far'ily rncome-( 3,so,oo1
4,oo,ooo
<,1
Admission Category-Caste OpEN
Rrligiuu) Mirrurity/Llnguistie n,
IUtanority '' ^
^
PWD Type,ru'n.
Type of Candidature Maharashtra Type A
t Defe-nce Type:N.A.

Qualification Details
Examination Maqks Obtained Marks Out Off Percentage
lOth/S.S.C. Aggrrgate 353 s00 70.60
t Oth,/S.S-C- Mathematica 44 100 44.OO
..loth/s:s:c: iciince 58 ipq - 58.00
lOth/S.9.c. Engt|.h 75 100 75,OO
SSC Others Details
SSC EoardiCentral Board of Secondary Education, Dslhi SSC seat No, 4197343
SSC Paosing Vcar 2019 SSC Tcchni(dl NO
HSC Not Applicable,/Failed ITI NO
Intermectiate Grade (Drawang) No
Mer it Details
State Level General Merit No. 33100
Provisional Allotment Details for CAp Round
Institute Allotted :og24-t nntry rotytiinnic, rune
Coursc Allottcd
1lgmputer Engineering
Choice Code Allotted '682424510
grat TypE Allsttcd
Seat Acceptancc Dotails
:NGoPENH Pref No Allotted 2
l
Seat Acccptance Status; Freeze
Seat Acceptance Confirmation Detalls: Conflrmed "1

Scot Acce1et-nc€ Paym€nt Detailc

Payment Status Successfrrl paid Amount
Declaration : t hovc rcod oll thc rqlcs of odm;ssion ond-on undcr5tanding Ure5c rule>,I lruys t loOO
Diploma Technical courcec in €nginecring ond rcchnology Admiesions for frttcd tlri5 Sccl, Acceptdnce form,Of ,-lrst yeaf pOSt
ycor 2019 - 2o2o.Tlre irrrerrrctiorr givcn try me In thls applrcaaon rs true55L
the beet of my l<nowledgc & bcticf'rf ot lotcr stogerit iJ found thot i hovcthlfuriristred to
that my admiesion etonds cgncclled cnd fcce poid-by mc will bc forfaitcd.Furilrcr rru.9 irfurrrdr.iutt ord/ar submrtted ralse cergflcate(sr,r am aware
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Date:3r-o7-7olq }lJ--g,
Signature of Candidate
Place YO|{,1M MADM UQEET JTNAB^ E)

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Confirmed On;3o-oz-2o19 o3;O9;o1 pM

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('1..N-I-RAr, BOARD OIr SECOT',*Dr\ R.\' l ,u('.ri i-iU.\
eia fird!firrs-r Erts lqrur rry
IIARKS STATEX,il .\T Ct i\t Cl.tt'I il.t \ t t.
qTeqfrm ftareq +itqn, :oru
ALL INDIA SEC()NDARY SCI{OOL EX,\}II.\l {.i'trG " l'll9

qe rqrf"ra t+-in .Trin t f+ rn;" is to certily rhrrt MOHAMMADMUQEET ItNAtsADE

qTilt Ft qlrf lvl0tlrer's Narrre ANEESPARVEEN

flTan/{kq{s .FT iflq Father's / Ciuardian's Name KUTUEUDDTN
q-;q fAfq DAIC Of Birth ,t'1/72/2OO3 1ST DECEMBERTWO THOUSAND THREE
forrcq School 4s4sg STNHGAD cITyscHooI. HAvELT puNE MAHARAsTTTRA
ft +qrFrdF ffirfui F{qt:[gR t h." achicvod Scholastic Achieven,cnts as under:
rrrui=e I,aan iS ODTAINED
frq{ sirc Rffic *s
ftqq
SI.IB.
SLIB]ECT fufua tsTi I* q r{T d,r (qrd d) POSITIONAL
CODE
THEORY IAI TO r,,\L TOTAL(TNWORDS) GRAUE
qT. Prr.

1I)1 ENGT,ISTI COMM. 056 019 SEVENTY FIVE c1

oa5 ITINDI COURSE-B o62 o19 T EICHTY ONE B2
o4l MA'T'HEMATICS ozs o19 FORTY FOUR c2
o86 SCIENCE o39 o19 a FIFTY EIGHT c1
oa7 soctAt scIENcE 075 ozo 095 NINE'I'Y IIVE AI

{lHu,ii +t 'rr.l : Atrbrevlatlons

AR q{CR{d
: Absent CfinfTC I{, .Lilt PAss
irTa:3TidR-sqgi$-{
I A : Intemal Assessrncnt
w. /rn. nr+Frio'/Prastical
,{():y^*A-
ffi o"tr'i
Firis Datetl : O6/OS/2Oaq

xg-ttuf0ro \rqdrfuqi : sn-*qrFrqr sr tlqrr<Fr c!* i i€'r €-qraq grar q.r} rFTq w dC ar ar$ u'; su-grm q-{rd ff iilrff
*t
Co-scholastic achtevemen$ : Graotng for Co-Sclrstautiu and Disciplino area is being isi,ucd by tl ro echool ae per format preserihcrl by the Board. i
 qir;n / Information
1. RKSq ns nGq H h vraax q06r{I di firrtir tr }s Fr,.rftftc<r q1 f{S ffi q {qrq f.F(, , 'i Q ,-
Positional Grade is position of the candidates according to qradinq pattern. Th ) orades I been awaided dn a 9-Point scate as under:-
"'e
q-1 : a+qp 1/a Tiff uftarr$iri m A 1 : Top l,/8m of tho pcr ccd oond
R-2 : rmffi l/6 srftef qQerrf*di q A-2 : Next 1/6th oI rhe pa ssed can, oates
in-1 : ililfid 1/8 sdlut q0e{Itffi 6r B-1 : Next 1/8In of the D{ sseC can ]AICS
*-2 . asre 1/A:Tff uftrrrfilal *r B 2 I Next '1,/8In of thc p3 cccd oon
r*-i : wam 1/s srftd s{rs{rFHl nr G-1 : Nexl 1/6th of tne ot ssed can ilales
Ifr-2 :irdl:Ira 1/8 sfruf q{ienfeffi 6I C-2 : Next 1/8th of the oi ssed can .iales
d-r : aasrra tla:rff uffarfifa} an D 1 : Noxt 1,/8th of the pa eeed c€n tiatos
$-2 : wm 1/o wN qQcrrftfri w D-Z : Next 1/A" or Ine oA ssed can(
{ : qgiflof rrtleneft E : Failed candidate
Z. q8m * u-**' fuqq in ftE erfiim si6 1 oo it rrFls ftq * fu!
X{iF * * i * Q:
Moxinrunr rnar ks for edch subject ot Exalrrlr ratlon are 1 OO. Evaluatlon IOf eacn I Ubject ha rwo components:
a. snf,fFF Tqr6-{/e"{ittjr6 qtte{I 0aq€R qlII ftqfftd ds)
Internal Assessmcnl / practiqal Examination (Marke subject wieo ce prcccrib cd)
b. TAq Tqi=t/(furq qw fir*fRn eie)/qlqq qftq{r sr <req{ q"td 6r*r *infa-e ffi qiq{r t €l
Extemal Assessment / (Marks subject-wise as prescribed). External Assesr ment mei rs theory examinalion helcl by Board
3. frqq t entm qrw qri * ftq rrffsneff dr eraftT *uia-{irpirFm qter (E'l'm, qq €nrfF rR) Ren T€q TsiTF
/ftTrn qq firrlfra siw)/ +ii + frm mc wQ qq * sc J37o vi* rrw *t r vrftg <, qfis{r?tT s'r ffi&-d qfiqrr q sqRrd
Et{T srfi{Ft tl
To quatify in a subject, a candidate must obtain minimum of 33% marks overall
i)n tooelher in internal esseqqment / practic.l
t€
examination (Marks subject-wise ae prescribcd) and External Ass€ssmeni for thc. .,, (Morko oubjeot-wise as prescribed) and a
oandidato must bc prcs€nt in theury cAdtnirraUoft.
4. qtlSrllfl (qrs fqq{ir qrd) qfq \'r qll A tqtrqt d rr{d.M (E fsl v{]-s't
€ q{{ qftErr qfuffi b -ifu'#nt ttq$smff*R6 6rr-f*ay u$*r*
5a #t er+e{ fir$i drf6 rn fu{ ffi i
i-< '{'e €n ftn m
rr q*t l
Tho odidatc (having five subjwts) if fails irr I rut rprc tlran two sub1ecrs,
the overall examtnal. result shall be Compartment. Suci candidate shall
nave maxrmum three chances of compartment examination to qualify in the sub ect(s) in \ ich Grade 'E' has been .wardad,
5. srfrft-{d sar ftqq +} era e{<qrQff * qrr} t ft:sfufi-a-a grqeF. ?r'&+nt
In roopoot of oondidates opting arr odditiur ral 6rh subiect, the fottowtng norms sni lll apply:
a. erFnf{F fEsq fi 5q q ifr qFt infi qTcI, g{r qFrI i6-r nfaT{nq{ 6tJff ftrgd ertm qFa c ,i i rrae ufu*urue * are uffanpfi* tm €S qr
giffi r'+ t+rqr + Fq d Al
Alanguogc offcred ae an additiorrol iuujvut rrray t€ptace a language in me el ent Ot a C irdidate not qualirying
in the same provided after
repracement tne candidate has Hindi or English as one of the languages. I

b. R-a qrocrq ft Rrft d sfttsdFd ftqr * sq S fom rm 6jr fua eNurFF, ,gr+ arw- ,:n'nRm F*grm i fuft
1r d w{tr xr<r I ori ft,
FrFi i a ag# ftw v xf*+*m qirnlft.cqrEqrq * -rgerr.{I *r q0q.il rftqrrq st r:ri{q a-qrgqR
€rrnl
under sKiil, if any student fairs in any one of the three elective subiects (i.e . Matherr lrcs. Science 6r Sd.ial Science),
thcn it will bo
feplaced bv the Skill subject (ofiereci as 6th sr rhjeet) and rcsutt of cleee X Boord. Examinoti. r computed a(etdiilgly,
6- s<-ierftrq{q&qq q}*v m mrRvwa{ffi 6m [i,<r qrq.rr sikrE-sqrFE fq[rq {qal rg tfrq t+'-qr rrqr €l F{
yqrqr qa {uiv flg n-c ffi.ru-t) 1.{erffi{it
=r?rr SiEil d iEIr
EnT sFri tR qt Rqr qrqrnl Assessmeni cf Co_Sch ,rstic and Discipline areas shall be donc interolly
by the school and the Gradino Certificate for Co-scholactic and Diecipline croar will be rc -cd by tho oolruol.
7 ftrr qft8rrGftfr
ai .RF rffi i s 'm { v-{ F*m/wm &w i, qrra.r ,i (qr qrst I lrdq{Istrqt i[.t aqqrfc rb ITIqq Q 5m v0en *
fuq qraqr Fw qrfrql Tne candidates who have been placed under comJartment rteoory shoUl.l rcgister
themcelvee through
school/Patrachar vidyalava and Drivate candic,atcs <hnrrrd appry through wel citc for e1 ,caring in contpat tillsill examlnailOn.

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MARKS STATEMENT CUM CERTIFICATE
qcgfuo fuaraq q$en, vARcri 2o1e
SECONDARY SCHOOL EXAMIN TION, MARCH 201E
qd qdtFrd ftb-qr qrdl t td This is to ceniry rat MOHAMMADMUOEET JINABADE
-3r96-di6 Ror iro 4197343
:IITAT iFI EITq UOThC.,' NAM' ANEESPARVEEN

ft-.n I tizrer€ ar qrq Fat|lt'r.s / Gurrdtan.s Namo

sroq ftfq oare or gtnn o1l1z2ooJ (rsr oEUEMEER Two tfiousAND THREE)
frATfiq Schoo| SINHGAO CIry SCHooL HAVELI PUNE MAHAMSHTM (45459)
ail 9telfdr6 3q-atfu-{i t+rrg{I? E h.s ..hi.w.d s.hora.iic achicv.m.nr€ ae und.,:
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SUBJECT SUBJECT NAME THEORY .[@/eq)fdo
iar
]OTAL
+dr (r"f+ t) +s
(;ODE TOTAL IN WORDS POSITIONAL
INTEKNAL
ASSESSMENT / GRADE
PRACTICAL
101 ENcLtSt{ COMM. o5€ ot9 075 3EVENry FIVE
065 HINDI |JOUKST-E 062 019 081 EIGHTY ONE R2
OA1 MATHEMATTCS 025 01e o44 FORry FOUR
060 sctENcE c2
039 0'19 058 FIFTY EIGHT c,l
oa7 soctal sctENcE 075 o20 o95 NINETY FIVE
qftorrq aesulr, aros

Digitally .tignecl by:

Cunlt uller of Exarntnattons
Cenlral Board of Scoondary {Education
Date: z ost2olg 'tB.42-.M tsT

Edo.rr'i
Dato of doclaration 6f Esutt : 06/05/2019

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Roll No 4 1?734 3 Son / Q1;ghtpr of Smt. 4rue rgpnRr Estrrr
wdr
and shri ):uTrjEuDE i i\i

Student Of 4!-4q,; 9 ti',tiii:trr'; r:t'TV 5if.t.r!-tfit i If",,",r r I trt r-.tf iAi JAp ri: lltT;1A
* er: d F; *5 am rn.=n gl< +++€ei
an institution afiiliated with the Board has been reqistered in the
ALL 1i!L':iA U t: : {r t..t f} J,, ii \, l:CJr l{At.|
+ ft( +#go *r .tA-l Tina t:-l ,l:r qterT
of the Board.
anr ffi S.qr-rsr ql.= q€rFsrdq /Et'rT i t+$ +i +prar fltr enr qr=r fuS cS-+ aF
=r*r*
qt q*r q)S dl ,{tcr }) i d€ *) +)€ .nr,{fir iO e
joining
This Board has.no objection in his/her
I
any recoonised Colleoe/lnstilute o. taking examination of any Universjty
fl
or HnAad eslebfishcat hv tew

ffi F{
Dclhi Ll{
f{iliF
Detcrl
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 I 'r*r!,rr .,rtr4 t t
Sinhgacl Institut*
S tn hgutl Te c hn ic ul Eol uc ul iu

Sinhgud City School

rt Soc ie Qt'.:
re.r
(Affiliated Central Doard of Secondary Educution, New Delhi,)
tct
(CB,\F Affiliation No. I 1030560.)
S.Ntr. 50/1, Tilckarrragar, Kondhwa(Bk.) Pune - 411048 Pl.r No. 8446083010/11/13
I IDISF NO: 27251100612

TRANSFER CERTIFIC.4TE
Student Saral ID: - ID:2009272517006110120 Student LIID (AdharNo ): 602537065139
Sr. No. : 24 G.R. No. : 2241
1. Narrrs uf tlrc Pupil MOI IAMMADMUQEET JINABADE
Z. a. lather' s / Uuardlan's Name KUI UBUDDIN
b. Mother's Name ANEESPARVF,FN
J. Nationality INDIAN
4. Whether the candidate belongs to NO
Schedule Caste / Schedule Tribe/OtsC
5. Caste /Sub Caste MUSLIM
6. Placc of Birth PUI.IE
7. Date of first admission in rhe 05.06.2009
School with class r (FTRST)
E. Date of Birth (.in Christian Era) according to : o1.12.2003
ths Adurissiurr Registcr (iu figurvs / words) : FIRST DDCDMDtrR TWO TIIOUSAND TIIRDtr

9. Class irr whiuh the pupil last stuclicd (iu figures) : X (irr wurds): TENTH Session: I & II
10, School / Board Annual examination last taken with resr-rlt: PASSED CLASS - X
I l. Whether failed, if so onsE/twise in ths sarne class ; NO
12 Subjects Strrdied : ENGI.ISH. SCIENCE, socIAL SCIENCE, MATHS , HINDI
13. Whether qualified for prornotion to higher class, : yES
if so to which class? : XI
14. Month upto which the pupil has paid school dues : ALL DUES CLEARED
15. Any fee concession availed of', if so, the nature of such concessron : -
15- Total No- of working days :197
17. Total No. of working days presenr : 163
18- Whether NCC cadet / Boy Scout / Girl Guide :
(details my be given)

I9. GAMES PIAYCd OT EXTTA CUTTiCUIAT ACtiVitiCS : PARTICIPATED IN REGULAR SCI{OOL ACTIVITIES
in which the pupil usually took part
(mcntion achievereeent lEvel therEirr)
20. General Conduct : GOOD
2l.Date of application for cerril-loate : 05.06.2U19
22.Date of issue of certificate : 15.O6.2O19
23. Reason for leaving the school : pAREN l.S WISH
24 Any other Remarks :_
\g)^
SI|?NATLTRE OF CLASS TEACHTR
.

\qe-
\\ 0
^
CHECKED BYTIEADNITS}THtsSB,*FRStEYPFS|-IOAI
t\
,-ffi#..
ll

S. NO. 5Ol , Tilekar Nagar'

r.ond::w: (Bk I rune-411O48
INo change in any entry is to be nracle except hy the atrtlrorit5r issuing the Lecving Ccrtificatc,
*'ill ir-rfrir-rgcrr-rorrt of thc rulcs
bc punishcd w.ith rustic;rtionl
 ItrJarrttt oli.rn ltrtt.'lrtrr., !)ifrh,ru,t ./l thrt r,\si,rrr s 20 I t)_ 2o

pro forml _ 7,
(caDdidatoowlo has:il::l ytt::.s]1t^ rom any institutc ftom Maharashrra
il: and courd
,"nn,,iii,""Tio#:.:j::",X^"":1,::::*-,ilil,-')t*-*
L/'
This is certlly that Shri. /Ku-.M p.hs.nmg,*Sslq&.
ao
: s.n+g.{g
has studied in Srd Vrr & srd rx & strr X in
"-,,,*
.iiiqj;i-:tl,S 5"r^."1
This certr'cete is iseued for tl v b \r ur.r.u'c
(Fult name ofthe
or .ne Instituto).
hshtuto).
numose ofhie / hcr arlmission to First year
Enqinee,i-- //.r-^r._^,^__.
Engineering - llthe acadcrrric year..&q j..: Diplorna course in
Tcchnology for
! 2 O

Note:- In case of tlrc srudents who

hgve studictJ vIIr, rx &
thcy slrall produce the certificatcs
x !h
std fror'distinct institutes
from thnse institutcs.

Datc; r s lo@J r3

Placc: PurnB jJr

PRINCIFAL
. NHGAtr
(Signature) af ctTY SClfool

Name & Designation of tho Hcatl of the lnstthrte

., 1,, $-"; i?'ri * I " i,l""l -1
:l
fil;

ffi
Seal of the Office