DECCAN EDUCATION SOCIETY'S College Code: Fergusson College (Autonomous) Pune 411004 , Maharashtra State , INDIA ‘Autonomous College Affiliated to Savitribai Phule Pune university For College use | course Applied For: BA ENGLISH SELF FINANCE Registration No. only 1118967 Medium: ENGUSH Registration Date: 27/05/2023 1. Personal information section, Last Name First Name Middle Name Name of Student DESHMUKH SONAL RAJKUMAR, Father's Name DESHMUKH RAJKUMAR NATTHU ‘Mother's Name: SANGEETA ‘Aadhaar card No.: 673233688777 ‘Transaction Type: ONLINE Nationality: INDIAN Date of Birth: 15/04/2004 Gender: FEMALE Guardian/Parent Phone No. 9764477485, ‘Admission Type : MAHARASHTRA, 2, Address Details ‘Address of Correspondence: ANAND NAGAR COLONY, KHAT ROAD KHOKHARLA BHANDARA POST | Pin Code: 441906 MOHADURA, MAHARASHTRA, 441906 State: MAHARASHTRA, District: BHANDARA, f BHANDARA, Permanent Address: ‘AINAND NAGAR COLONY, KHAT ROAD KHOKHARLA BHANDARA POST MOHADURA, MAHARASHTRA, 441906 State: MAHARASHTRA District: BHANDARA, City: BHANDARA 3. Contact Details, Student Mobile No.: 9175857801 Student Email }ESHMUKHSONAL78613@GMAILCOM 4, Legal Reservation Information Section Defence Quota (Ex-servicemen/ Active Servicemen): NO Category: 08 Divyang: 1s Orphan: NO 5. Education Details Sect Name of Examination Name of Board Grade/Total Marks | Obt. Marks | % | capa ssc MAHARASHTRA STATE 204RD 00240 00 386 m2] o 6. Qualifying Exam Details Section ‘QUALIFYING EXAM NAME: 12TH SCIENCE (HSC/ CBSC/IB/ ICS College/School Attended Board/university Passing Year | Marks Obt. | Total Marks | Percentage | Education Gap LORDS PUBLIC SCHOOL MAHARASHTRA STATE @OARD 2022 493 00 ei vs Sr.No. Subject Name Total Marks Obtained Marks7. Subject Details Section Preference No. Specialization Preferences sasoootosr BA PSYCHOLOGY 8A PHILOSOPHY BA ECONOMICS Ba eNGust Ba SANSKRIT 8. Attached Documents St No. Name of Documents/Certificate 12TH MARKSHEET SSC MARKSHEET CASTE CERTIFICATE [AADHAR CARD 9. Declaration by Student | hereby declare that, | have read the rules related to admission and the information filled in by me in this form is accurate end true to the best of my knowledge. | will be responsible for any discrepancy, arising out (of the form signed by me and | undertake that, in absence of any document the final admission will not be granted ‘and/or admission will stand cance Place: Date: Signature of Student