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    The document is a declaration form from COEP Technological University for a student to provide details of fees deposited for their course. It requests information such as the student's name, MIS number, department, category, contact details, name of course, academic year, nature and amount of fees, date and transaction reference for fees deposited, installment amount, and name of any scholarship or free ship scheme applied for and approved. The student must then sign to declare the details provided are correct.

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    The document is a declaration form from COEP Technological University for a student to provide details of fees deposited for their course. It requests information such as the student's name, MIS number, department, category, contact details, name of course, academic year, nature and amount of fees, date and transaction reference for fees deposited, installment amount, and name of any scholarship or free ship scheme applied for and approved. The student must then sign to declare the details provided are correct.

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    © All Rights Reserved
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    6 views1 page

    Adobe Scan Feb 20, 2024

    Uploaded by

    jaymestry108
    The document is a declaration form from COEP Technological University for a student to provide details of fees deposited for their course. It requests information such as the student's name, MIS number, department, category, contact details, name of course, academic year, nature and amount of fees, date and transaction reference for fees deposited, installment amount, and name of any scholarship or free ship scheme applied for and approved. The student must then sign to declare the details provided are correct.

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    of 1

    Endurance

    Iruth
    COEP TECHNOLOGICAL UNIVERSITY
    Ethics
    Shivajinagar, Pune-411005
    (A Unitary Public University of Govt of Maharashtra)

    Tel: 020-2550 7000/09website :www.COep.org.in

    DECLARATION CUM UNDERTAKING FORM FOR DETAILSOF FEE DEPOSITED

    Name of The Student:


    MIS No:
    Department Name: -
    Category:
    Student's Email ID: -
    Student's Mobile No:
    Parent's Mobile No:
    Name Of Course:

    Fees Deposited Details


    Academ
    Natur Applied Amount
    ic Year Applicatio
    e Of Applied Scholarsh Received
    (B. Date of Transacti Fees n No.of
    Sr Fee on
    Scholarsh ip /Free for
    TECH/ Fees Applied
    No Hostel Reference Deposite Instalme ip /Free Scholarsh ship Applied
    M. Deposite nt ship Scheme Scholarsh
    d
    of Fees ip/Free
    TECH/ Amount Scheme Approved ip / Free
    Colleg Deposited ship
    MBA/ e Fee Name /Not ship
    PHD) Scheme
    Approved Scheme
    1

    n4

    o7
    8

    Ihereby declare that | have paid above fees and above mention details are checked and
    verified by me and found correct.

    Signature of Student

    Name Of Student

    Contact No of Student

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