Dr. D. Y.

Patil Vidyapeeth, Pune

Accredited (3rd Cycle) by NAAC with a CGPA of 3.64 on four point scale at ‘A++’ Grade
Dr. D. Y. Patil School of Science & Technology
Sant Tukaram Nagar, Dr. D. Y. Patil Vidyapeeth, Pune
Tathawade, Pune - 411 033, Maharashtra (India) (Deemed to be University)

APPLICATION FORM 2024-25

*3144*
Form No 3144 Date 15/03/2024

Program Name Master of Computer Application

Name Shruti Ravindra Marathe

Email ID maratheshruti90@gmail.com

Mobile No 8446283539 Alt. Mob. No DOB 25/05/2002

Gender Male Nationality Indian

Address June Jalgaon ,Jalgaon, Jalgaon, 425001, Maharashtra, India

EDUCATIONAL DETAILS
Sr Marks
Course Name Name of Institute Board Year Special Subjects
No. (%)
1 10th Sent Lorence Nashik 2019 50

2 12th Pratap Clg Nashik 2021 73

Institute Of Management And
3 Bca Nmu 2024 -
Research

DOCUMENTS
Sr
Document Name
No.
1 10th Marksheet

2 12th Marksheet

3 Graduation Marksheet

RECEIPT DETAILS Receipt No. 30204 Date 15 Mar 2024 Amount ₹ 1,300.00

DECLARATION

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1. I hereby declare that the above information is true and the best of knowledge. Candidate Signature
I am aware that if any information herein is found to be incorrect or incomplete,
my application form will be rejected/admission will be cancelled.
2. If admitted to Dr. D. Y. Patil Vidyapeeth, Pune, I shall abide by its rules and
regulations.
3. I have read and understood all the provisions contained in the brochure and
hereby agree to abide by these provisions.
4. Entrance test application form fees is non-refundable.

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