The Maharaja Sayajirao University of Baroda

Fatehgunj, Vadodara-390 002, Gujarat (India)

http://msub.digitaluniversity.ac/
Student's Application for Convocation
[April-2015] B.Com. - Regular - FoC [BCOM] CBCS 2012-Accounting and Financial
Management-SSBCOM-III-SSBCOM-III

PRN : 2012033800054871

Eligibility Status : Eligible Application No. : 0000003224

Student Details
Student's Name: KARANGIYA VIJAY SARMAN

Mother's Name: XYZ

Gender: Male

Address: TO. BAMANASHA GHED, TAL- KESHOD, KESHOD , Keshod, Junagadh, Gujarat - 362625
Telephone no.1: -

Mobile no: 919974015425

Email 1: -

DOB: Jul 27, 1995

Category: Reserved (SEBC)

Physically Handicap: -

College Name (College Code): Faculty of Commerce (M) (3381)

College Address (Pin code): Sayajigunj Vadodara., Vadodara, Vadodara, , Gujarat(390002)
Previous Examination Details
Exam Name : SSBCOM-III

Event : April-2015

Seat No/Roll No : 601374

Percentage : 53.8

Documents attached
1.

Previous year passed SOM

Mode of Dispatch
Prefered Mode : Presentia
Preferred Dispatch Address : Not Applicable, -, Pin Code - Application Payment Details
Application for Convocation Fee on 6 Jan 2016 for Application No.0000003224 for Faculty of Commerce - B.Com.(with Credits) Regular - FoC [BCOM] CBCS 2012 - Accounting and Financial Management
Invoice No. : 0000003223

Invoice Amount : Rs. 360.00

List of Payment(s)
Sr.
No.

Payment
Type

Payment
Date

Payment
Amount

Transaction
ID

Bank

1/6/2016

Rs.360.00

1. Cash

Bank
DD/Cheque
Branch
No.
-

MICR No
-

Bank
Challan No
-

Student Declaration
I hereby declare that, I have read the rules related to Application for Convocation and the information filled 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.

Place:
Date:

Signature of Student

For College/ University use

Designation

Remarks / Particulars / Recommendations

Office Clerk

Cash Received: Rs.

Accountant/Cashier
Principal/ Authorized Signatory

Receipt No.:

Signature and date