UTTARANCHAL UNIVERSITY, DEHRADUN

Premnagar, Dehradun (Uttarakhand) INDIA-248007

DATA FORM FOR DEGREE/DIPLOMA CERTIFICATE

Name (Capital Letter) SHUBHAM SATI

PASS PORT SIZE
Name (Hindi) COLOUR
PHOTOGRAPH
WITH UNIVERSITY
Univ. Roll No 1001070011 UNIFORM

Enrollment No UU1001070004

Course B.TECH.

Branch CIVIL ENGINEERING

Specialization (Major) N/A

Specialization (Minor) N/A

Year Of Admission 2021 Year Of Passing

NAD ID

Mobile Number 7895951324

Alternate Mobile Number 6398161768

Email ID S.SHUBHAMSATI012345@GMAIL.COM

DECLARATION BY STUDENT

I SHUBHAM SATI hereby declare that all the information given in this degree data

form are correct to the best of my knowledge and belief . If any discrepancy found in the

degree. I shall be responsible and liable to pay the prescribed fee for re-printing the

Degree/Diploma/Certificate.

Note- Kindly submit your Aadhar card photocopy along with this form.

Date 03/04/2024 Signature of Student ......................

Name of Student SHUBHAM SATI