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GOVERNENT POLYTECHNIC, THANE

Phadke Pada, Opp. Bharat Gears Ltd.,


aaliva Station Road, Mumbra, Dist. Thane - 400 612.
Websita www.gpthane.org.in E-mail : 0116principal@msbte.com

+ LEAVINGCERTIFICATE
No change anyentrý ifhis certificate should be made and
liable to involve thetnposítionof a penalty even that of rustication. infringement of this requirement is
Sr. No. 1287
Gen. Reg. No.: /334
01. Name of thecandidate (in full): ... . .Syja.Suastmaas..kanmbl.e.
(Name) (Father's Name) (Surname)
Mother's Name: .ayshzxe..
02. Religion: . n d u ....
.Caste:..m.ehdr....Sub Caste: SC

03. Nationality:..aaigm. .Enrollment No. ...2.9.9.J).S.ol3...


04.
Place of Birth :..hlydm...hame.
05. Date of Birth (in figures): ...l.IO8.200.4... in Words) ...st..Qaust....
..te...Theu.sond.md..kou.
06. Last School / College Attended:..DS:D.Scho r.h.kelyan.Ce2.
07. Date ofAdmission in the Institution :......202.0
08. Progress .Conduct:..e
09. Date of Leaving Institution : 29|0s| 2023
....,...

10.
Course &Sem in which studying.tnad..Sem..cigloma.in.chemical.
11. Reason for Leaving: Own
Regfuest /Complsted Diploma.:.schenaicad..Engg...
12. Remarks: Passed/ Faidd . c l . . Sem Diploma in .Chemicad.
Engg with ....t..Class/ ATITin Exam Held in .02R
Summer / .........

Certified that the above information is in accordance with the institute


Register
Place : Thane

Date
Prepared By Checked By Prncip
Goverrolytechnic, Than

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