SHIVAJI UNIVERSITY, KOLHAPUR

Student Registration Form

June 2023/May 2024

Form No: 1183311 PRN No:

ABC No: Learning Mode: Regular

Course: Five Years Law (CBCS) Pattern: Semester

Course Part: Sem (CBCS) 1 Branch: English

College: New Law College KOLHAPUR

Personal Information:

Student Name: NAIK DESSAI SANKET ULHASRAO

Mother Name: SUREKHA NAIK DESSAI Date of Birth: 11-Jul-2005 Marital Status: Single

Gender: Male Blood Group: O+ Religion: HINDU

Cast: Maratha Sub-Cast: Reservation Not Applicable

Category:
Student Category: OPEN Nationality: Indian

Driving Lincence No: Pass Port No:

Contact Information:

State: Goa District: North Goa Tehsil:

City: Panaji PIN Code: 403001

Address: B-25 LA CAMPALA COLONY NISHIGANDHA MIRAMAR Panaji

Mob No: 7057733181 Email ID: sanket5939nd@gmail.com

Guardian Information:

Guardian Occupation: BUSINESS Guardian Mobile No: 7020626107

Bank Information:

Bank Name: State Bank of India / Caranzalem Branch / 37807527765 / SBIN0017239

Subject/Course Information:

Part/Sem Subject/Course Name Part/Sem Subject/Course Name

Sem I 74781 Political Science-I (Local Self Sem I 74782 Political Science- II (Public
government) Administration)

Sem I 74783 English I (Grammer and Usage) Sem I 74784 Personality Development &
Communication Skill)

Declaration:
I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate
and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me and I
undertake that, I absence of any document the final admission will not be granted and/or admission will stand cancel.
I am aware of the Maharashtra Prohibition of Ragging Act, 1999 and I state that I will abide by all the rules and regulations of
the said act .
Your's Sincerly,

Signature
NAIK DESSAI SANKET ULHASRAO

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