Affidavit

I Mr. / Miss. Yash Keshri Son/Daughter of Mr. Anjay Keshri age- 24 Years, Occupation- Student,
Residing at Bheetar Bazar, Jawaharganj ward sagar M.P.470002. Do hereby Declared and solemn
affirmation as under that.

I have submitted following documents in original for the purpose of admission (Eligibility) in
AICTE approved 2 years Full Time PGDM programme run by Lexicon Management Institute of
Leadership and Excellence, Wagholi, Pune for the academic year 2023-24

1. Valid Score card of Entrance / Competitive Tests

2. SSC Marks sheet
3. HSC Marks sheet
4. Graduation Mark sheet all year / Semester (Students awaiting final year result
should submit Mark sheets of all earlier years / semesters)
5. Graduation Degree/ Passing Certificate / Provisional Certificate
6. University Migration Certificate
7. College Leaving / Transfer Certificate
8. Domicile Certificate / Residential Certificate
9. Nationality Certificate / Copy of Passport/ Birth Certificate (if nationality is
mentioned on the same)
10. Medical Certificate
11. Hindi Language Certificate
12. Caste , Caste Validity, Non Creamy and Income Certificate (If applicable)
13. Passport Size Photographs (in formal dress)- 5 copies
14. Affidavits

The above documents submitted by me are issued by my previous institute / college /

university etc are authentic/ true / correct and untampered.

If anything found untrue / misleading / false, I am aware that I am liable for it and disciplinary
action shall be taken against me by the Institute as deemed fit.

That the facts stated in this affidavit are true to my knowledge. No part of the same is false and nothing
material has been concealed there from

Place: Pune Sign. ……………………….......

Date:19.06.2023 Name Yash Keshri

 Affidavit
I Mr. / Miss. Anivesh Kumar Soni Son/Daughter of Mr. Harish Kumar Soni age- 23 Years,
Occupation- Student, Residing at Bhagyodaya Hospital Ke Pass, Ashoka Garden Colony, Khurai
Marg, Shashtri Ward Sagar M.P.470002. Do hereby Declared and solemn affirmation as under
that.

I have submitted following documents in original for the purpose of admission (Eligibility) in
AICTE approved 2 years Full Time PGDM programme run by Lexicon Management Institute of
Leadership and Excellence, Wagholi, Pune for the academic year 2023-24

1. Valid Score card of Entrance / Competitive Tests

2. SSC Marks sheet
3. HSC Marks sheet
4. Graduation Mark sheet all year / Semester (Students awaiting final year result
should submit Mark sheets of all earlier years / semesters)
5. Graduation Degree/ Passing Certificate / Provisional Certificate
6. University Migration Certificate
7. College Leaving / Transfer Certificate
8. Domicile Certificate / Residential Certificate
9. Nationality Certificate / Copy of Passport/ Birth Certificate (if nationality is
mentioned on the same)
10. Medical Certificate
11. Hindi Language Certificate
12. Caste , Caste Validity, Non Creamy and Income Certificate (If applicable)
13. Passport Size Photographs (in formal dress)- 5 copies
14. Affidavits

The above documents submitted by me are issued by my previous institute / college /

university etc are authentic/ true / correct and untampered.

If anything found untrue / misleading / false, I am aware that I am liable for it and disciplinary
action shall be taken against me by the Institute as deemed fit.

That the facts stated in this affidavit are true to my knowledge. No part of the same is false and nothing
material has been concealed there from

Place: Pune Sign. ……………………….......

Date:19.06.2023 Name Avinesh Kumar Soni

 Affidavit
I Mr. / Miss. Riya Jain Son/Daughter of Mr. Rajkumar jain age- 23 Years, Occupation- Student,
Residing at Jain Mandir Ke Pass, Bahubali Colony, Motinagar Ward Sagar M.P. 470002. Do hereby
Declared and solemn affirmation as under that.

I have submitted following documents in original for the purpose of admission (Eligibility) in
AICTE approved 2 years Full Time PGDM programme run by Lexicon Management Institute of
Leadership and Excellence, Wagholi, Pune for the academic year 2023-24

1. Valid Score card of Entrance / Competitive Tests

2. SSC Marks sheet
3. HSC Marks sheet
4. Graduation Mark sheet all year / Semester (Students awaiting final year result
should submit Mark sheets of all earlier years / semesters)
5. Graduation Degree/ Passing Certificate / Provisional Certificate
6. University Migration Certificate
7. College Leaving / Transfer Certificate
8. Domicile Certificate / Residential Certificate
9. Nationality Certificate / Copy of Passport/ Birth Certificate (if nationality is
mentioned on the same)
10. Medical Certificate
11. Hindi Language Certificate
12. Caste , Caste Validity, Non Creamy and Income Certificate (If applicable)
13. Passport Size Photographs (in formal dress)- 5 copies
14. Affidavits

The above documents submitted by me are issued by my previous institute / college /

university etc are authentic/ true / correct and untampered.

If anything found untrue / misleading / false, I am aware that I am liable for it and disciplinary
action shall be taken against me by the Institute as deemed fit.

That the facts stated in this affidavit are true to my knowledge. No part of the same is false and nothing
material has been concealed there from

Place: Pune Sign. ……………………….......

Date:19.06.2023 Name Riya Jain