t;lCl"tlolq~ ~/Certificate No .

~~

BIRTH CERTIFICATE

(~ er ~ c:ITc;ufr ~,~~f.~ urr ~ rU~l9 3nfUr Cl"tt'I,{I~ ~ 3nfUr ~ c:ITc;ufr ~,~ooo ~

~ C/~~ ~ ~ ~ 3-TJt;.)
(Issued under section 12117 of the Registration of Births & Deaths Act,1969 and Rule 8113 of the
Maharashtra Registration of Births and Deaths Rules,2000.)
IJ:lCI"tIfUl ct Ch'{ III ct ° <t=r 3-TJt; ~,~ I(>1')1
(>l ~ \jj c-CI"t
1~lll ¥ ~ <'l@ ~lll COile\CItJ c:f1 El °III ct 3-Tl<fr
3-TJt;,~ ~ (~~ ahr)- 6l1Cfi"0~ ,~:-'HI<'lCh'HI,~:-JllRlll,Cl"tt'I,{I~ '{Ivlll~lll COile\CltJct ~ 3-TJt;.
This is to certify that the following information has been taken from the original record of birth
which is the register for (local area/local body) Bamhani .of tahsil/block- Salekasa ,of District- Gondia ,of
maharashtra state.
~ ;;::rrq: ~v1~rlgJCl"tl{ ft:m:~
Name of Child: Sujitkumar Sex :Male
~ ~: 12/02/1991 ~~:U"{,~

Date of Birth : 12/0211991 Place of birth: Home, Bamhani

~ ~;;::rrq : Chirl16l1$ mcms ClR;(>Iiil ~ cnc:r : 31f;l(>lgJd""ll{ ~ mcms
Full Name of mother: Kantabai Sangode Full Name Of father Anilkumar Ganoba Sangode
~ ~ ct8r 3fT$ ciR;(>Iiill trar : 3fT$ ClR; (>Ii ill ChIII JNI Q"ill:

U.~,R.'8Ic>1Ch'8I, Gl. ~

Address of Parents at the time of Birth of the Child Permanent Address of Parents
BAMHANI BAMHANI

c:ITc;oft ~: 28/0211991
c:ITc;oft ~: 01 Date ofreg: 28/0211991
Reg.no.: 01
~ttr: - ~
Remark (If any): - ifi'tT l1~;;~
J 'fQ;1'61 'q
Co I
q)',\(.

qlt{ C{'i:i('t6, ~~'!!t _

\UiIOIQ:;:j f?;("'lllill ~: 0311212014 ~-~~~,

Certificate Issue Date : 03112/2014 dJICl"t4illllct, 6l1Cfi"0~ctl. tll<'lCh'H1 ~. JllRlll

------ -
 Recognised

HA JUNIOR COMMERCE COLLEGE'

Jaripatka, NAGPUR-14
APPENDIX FOUR

I
Register No .. ..l..?.!.t.7..
Leaving Certificate
(Under Rules 17 in Chapter 11; Section Ill)
Ue in any entry in this Certificate shall be made except by the authority
Id" fr ingement of this requirement is liable to involve the imposition of

s that of rustication) 11. ., L~

'olinFull_ Su " t·t KUhlaJL CU:1iw.umay 6arn~.
n 1 Sub-Caste' nil''' r, ",e~p"'O~t~longing to Backward Class~s and
teqory among Backward/Dlasses (e. g. SC./S.T. etc.) TV) ~ .
.t on utv \ IA_A::..A·..::.Ct_~~ _

e bl~t~l
. ~ month ""
_~_
YH.I'
~ p,. \N1 h:...:t1:..!..:....~:...:·~----:-----,-_-.,.-
e3 i
1.:._<2 - _9 k~.-1 ~w
--:--
t.. \ t?¥
ul1eChrlstanera_f'e bW-P(Y';l 0' H· Nl'Dm <9M...
words and figures. 0 ---0
6 L' c: shoal college attended S ~ ~ k", g hq .!-bat.s ,d} od I
(TO rn C.tl~.
Date of ddilllssion O~--- ()rr~2.00{,.
-----~~~~-~~~-~---------
~r nrer s
·dv9i~of. _

(
 IN THE COURT OF THE EXECUTIVE MAGISTRATE, SALEKASA

M/so. Case No. ':2.\ ~ MRC-81/2010-2011

Mauza: - Bamhani P.C.No.- 05
Tahasil: - Salekasa District:- Gondia

CERTIFICATE OF AGE NATIONALITY DOMICILE

(Issued By Authorities In the State Of Maharashtra)

Vll ~UUl1l1~~lUll Ul Lll~ 1Jl~UQl lluLc:u OCH)W; - II IS nereoy cerunea that

Shri - Sujitkumar S/O Anilkumar Sangode Resident of Bamhani Taluka
Salekasa, District Gondia was born on the 12th day of month February in the year
Nineteen Hundred Ninety One at :eamhani Taluka Salekasa District Gondia
in the Maharashtra in the state Maharashtra within the territory of India.
That he / she is domiciled in the state of Maharash tra.
That he/she is a citizen ofIndia

Particulars of Proof Submitted:

1. Answer given by the applicant/ or applicant's father on the prescribed form of

the questionnaires.
2. Copy Of School leaving certificate issued by Head Master Salekasa High
School,Salekasa.
3. Affidavit furnished by the Shri - Anilkumar Ganoba Sangode before the
Executive Magistrate, Salekasa 03/12/2010
4 Other Proof. Talathi, Sarpanch , Police Patil Certificate .
5 Dated At This :- 03/12/2010

Place: Salekasa .MIl1:fe.'~llstrate

~M
Date :- 03/12/2010 Salekasa
 I
I

t :
rw I

1I
~
I

C q:
~:
I I
~I
~:
,I
tl)1
ry ~I
I
tJ:I;
 I I,
Pipariya Ta. Salekasa Distt. Gondia Index No, 29.07.10

School Leaving Certificate

(No change if any entry in this certificate shall be made except by the authority issuing it and any
infringement of this requirement is liable to involve the imposition of penalty such as that of
restriction)

Register No. 2:..7 of the Pupil _ 5 r. No.~ ~8

\

1) Name of the Pupil In full S~Q""I+\<-~<6Y ~l k'irt)p,y- Sl\n~dL

2) Mother's Name J<>Q. (\ hie b C:c\
3) Cast and subcast only in the case of pupils

belonging to Backward Classes and category

among Backward Classes (e.g.SC/ST.etc)

4) Nationality 'r!)cl4'-",Q~()+- _

5) Place of Birth _6;....;C\•.•..YD...:....;...Jc....;"'D'--'-4-\ _

6) Date of birth, month and year accordingly to 1.2.../0'6 /1. ~'::? I [ we-I v-e..,m o-f
the Christian era, both In words and figures Fe- b N· H' N\ ne. \y 0J €-

7) Last school attended Vicl o-dhCb 3'c Cq·:Io:6 ec..1-~{llicrpu ->

8) Date of admission _O_l....;./_o--'7'--<-I_Z_\)_O..;;;;5 _

9) Progress ~ i -"S•••.•.
.•... t...::;o.~c"'_\---o~..:...y-l-i~---------
10) Conduct _~~~c~~~~d~ _
11~Date of leaving the school _o--'S....•.
/...;.o_'>-<......:;..../ ~'"""'"-".!-\~ _

12)'Standard In which studying & since when -=xxr-=o;:::o....-~_C"""Z70"---'-- _

13) edlum jj ....•.
\'Y)~sl-+-' _
14) Reason of leaving School

15) Fees paid up to \1t.. i <\ en <;)e.d \r'\ H· s· c.. L'XCK!hr

16) Remarks
\"-<" C\.y" (h - .z. cl 0

Certificate that the above Infonnatlon Is In accordance with the School Register

Date: 30 jot /;Z\::}lO

 ~ q%~ )\\Sd)
~OO~) ti-.er. etl~Cfit11 fillctH QRttCi, o(if(li!U (~oo~
(~liftUI fibm7r)
~~~q-~~

trsnora»
ga1JOJ tf3 4021JH mt c$l, C§./~ ~@~onno
~·~W~~·.;;·.;;~ .1

2ljc;1l~Ja1JO'l1 ttcij~ ~ uttlact ~ (!(l6t(tj~l ~ E)Oi!JJH

" 6tJijl<rl1J (!(lJU62l ~ mftEm ac;f er R (g afW c$~J1.Oi / ~

om-too-m. % 6ia; • m_~~ __ n ' fha1ja;JCfl drA10f ~~~

$J<rl1J8&<4C!1 ga1JOJ-tf3 ~ ~ a;a;Oi!JJH fur 006. '9>

ID ~ OOQ'OT \3lJ~cr21J 3ftat fi}fdaiJH ~~j ~·~J&ai a;~,.a

\3T~jj ~3tmr.
facn:kb : ~ ~OO~

~ '- ~

~ . .,....IJ?~.... ;J ~ \ •••••.
, _~f.f'!l') q tl ~
~~~ffiT

..
-- .,
 ~/q;ft;r/~/~i )' 0 12014
it«fflHGH, 'f1IMCf)~1~ Cf)lq~Hq,
f~~iCf) :- 24/02/2014

~l1lfUld Ch{O~ld <ffi ~ Cfft, '* ~f\J1itCfiqH 3lf.:tHf!iQH 'f1i.n~ u. ~1I~on dW!)ChI-

fllflChfll ~- lnf~~1 .g f~~jCh 27/07/2012 'ff 24/02/2014 ~ d~f~kl ChI~lM~,

fllflChfll ~ fjllolCh 3'l14{co{ql Cf)f11 ~ Cf>fu:f ~ ~ fjllolCh ~ldlCi50~lill

-. '3'lf~WI~iljllMi ~~.

Cfifurr .g ~11101451
~O~ld <ffi ~.

f~~iCf) :- 24/02/2014

----
 11,. COqRT0' TB IJI m
i\I¥\lC\ CA No, SG4"\ lM~'t' ~'4~Qf)
N \\at
'fah.l' •••••••.
laut "C, Ill', •
,,1tU$ • a...•.•
~.'-")
•
(~S(4»)

FORM OF CASTE' CERTIFICATE FOR S. •

~.
,_ la This is to certify that Shri ~ 8ujltJmmU' ••••••• SOtI of
l6.~i..tt ADilbmu &uapde of Village Bamhanl Taluka aalekua in Di.trict 00a4Ua ~r
_ •• ur of the State Maharashtra belongs to the IIAIIAR (371 ea. whicll if

~~ ....•
~Ul""''''ll.Recognised
'IiIir •••••• io
1- As Amended by the Sched
as a SCHEDULED CASTE under:
The Constitution (Scheduled Castes) Order, 1950."
d Castes and Scheduled Tribes Lists (Modification) Ordet-, 19st
The Bombay Reorganisation Act, 1960 and the Scheduled Caste and Scheduled Tabes 0n:lr2
(Amendment) Act, 1976.
pplicab/~' to, 2- Applicable in the case of Schedul Castes and Scheduled Tribes persons who have Migrarec
figrarrts asdy . from one State union territory admini
This certificate is issued on the asis of the Scheduled Castes and Scheduleo
TribesCertUlCate issued to the ShrijS Father/MothcI-
t ..................•.•.............•....... _
Sllri/Smt. ~ Vi11ag Town )Taluka ................• in. 1li~
•.~ .,•••••.•Division of the sta: ejUnion Territory ..•.......•........••... ~issu.~ b}
the .•••••...••...•..•............... Name of prescribe authority vide their
,_ ••• f1 •• _ •• ~ •• ., •• #,._ .. ".,~ , •......... Dated .
3 - Shri ~ SuJitkumar ADIlJ:lumar aaDlOde and/or hislher family .xdUtfiIil}
reside(.) Ut village Samhal Tahsil Saleka •• of Oondla District Dmsion of 41u
State 0( MaharfJhtra 2 ..,

Pitu~tmOJU SubDi'i'.'.
DMI~ ~'/o7 j~ DEORI ••••
 ~--------------------------------------------------~~--------*
. I ~.~~ li~F<I~~l1T~QmT~~malUT~, ~
~.,"",,\\"':~~ ~ml'tras~tra~tate ~na:a @f (:;
....
~.~ ~ernnaar~ ana ~ig~er ~ernnaar~ !fiauratinn,June J 1

~~fl:f<:t> ~II(?'II~ !IOI ••••• IOlq?l

'-SECO DARY SCHOOL CERTIFICATE
3m $OI+llfOlcl <t5'(O~lcl ~ ctt IThis is to certify that

SANGCDE SUJITKUMAR ANILKUMAR

alifcf ;:rtq I Mother's Name KANTAEA I ..
I ~

~~ 3mR~ ~~ ~TTQ5T~ !A¥1Iolq';;u*l I 311S1'i+li4>

Divisional Board Seat No. Centre No. School No. Sr. No. of Certificate i,

NAGPUR '-"210867 2114 29.07.002 114859

1IT~ ~~ $OI+llolq~ qit~:rr

has passed the SECONDARY SCHOOL CERTIFICATE EXAMINATION r'lARCH-2006
,<
~~G~~~~~~/~3m-.
with subjects shown below.

~1JUT ~1JUT
~~ ~~ ~ ~
Max. Marks
Main Subjects Marks Obtained Subjects of Grade Grade ':;

100 056 (WORK EXP. ITECH. J

100 039 DRAWING "".

PAINTING A

100 035 (SCHOOL SUBJECTS]

MATHEMATICS 150 054 HEALTH PHYSICAL EO A

SOCIAL SERVICE A
150 091 VALUE EDUCATION B
GENERAL KNOWLEDGE B
SOCIAL SCIENCES 150 057

~ ~/Total Marks
PERCENTAGE
lfF W<f ~ (3l~lt)1
Total Marks Obtained (In words) :

~ ~ I Date of Birth

...
 Sangode Sujitkumar Anilkumar
3~ ;:rtq I Mother's Name: Kantabai
~ ~ 3:m:r.=f ~ ~ ~ ~ ~ ~'TT'OOT~ 1OiJ110IQ34lill 34'jj6J1ict>
Divisional Board Seat No. Centre No. Hi her Second a School No. Sr. No. of Certificate

NAGPUR N152420 0744 29.07.010 109288

~ ~ lOii'llOIQ'54 ~~lT (~o + ~ 3~

has passed the HIGHER SECONDARY CERTIFICATE EXAMINATION FEBRUARY-2010
(Under 10 + 2 Pattern)
~~G~~~~~~/~~.
in Grade 11 with subjects shown below.
~ ~ 1JUTI Marks Obtained
ID4>R1ct> ~ er frroT 1J'T
Subject Code No. and Subjects Max. In In Words
Marks Figures

ENGLISH 100 055 FIFTY FIVE

HINDI 100 058 FIFTY EIGHT

ECONOMICS 100 046 FORTY SIX

BOOK KEEPING & ACCOUNTANCY 100 038 THIRTY EIGHT

ORGANISATION OF COMM & MGMT 100 035 THIRTY FIVE

SECRETARIAL PRACTICE 100 047 FORTY SEVEN

ENVIRONMENT EDUCATION (Grade) = A

lfFT 1JUT!Total Marks 600 279 TWO HUNDRED AND SEVENTY

Percentage 46.50 NINE

J0261338 90242281800
 NAGPUR l~10867 225528
'3il~<:m:l'<l ~ C\
PfT<f (3m;;mT ~) I CANDIDATE'S FULL NAME (SURNAME FIRST)

SANGODE SUJITKUMAR ANILKUMAR

KANTABAI
-~ oiii+i IDt~<6 ==
SUBJEC-TS ITfbffi ~ _-·UtH~c -~.
MATHS SCIENCE cSOCIAt. - TOTAL
%.qrEN~E~ MARKS 44.a6:
'i!l! ) i 'I: ,'I ::::7_~:=-
__

150", :;.fS-!L-cc
- = 7.50 ~ ~
RESULT

05:4

AND THIRTYTWO *
~mihT~
WORK EXPRJ SCHOOL SUBJECTS
TECH. SUBJE~.T

M6· PI P6 P7

A A A B

Important: No change in this Statement of Marks shall be made except by the authority
issuing it. Any infringement of this requirement will result in cancellation of the
Statement of Marks in .question & may also involve imposition of other
appropriate penalty as dec1ded by the Board.

1\ Note: Minimum 35% marks are essential to pass in each subject.

XX Indicates Exemption inthe subject. * Indicates marks are out of 100 or
AA Indicates Absent Grades as pertable shown below.
( . . . $ indicates name of the subject for the ~~
J NN Indicates Subject Not Offered. Index No. and abbreviations as shown
. Sign, if shown under the total marks, on the reverse. ~~
indicates the grace marks awarded # Indicates that the candidate is given Divisional Secretary
\ for getting Grade-I, as per regulation the benefit of combined passing in the
J of the Board. subjects Mathematics and Science. MSBSHSE

F 2597720 27682355651
~~lir $liftlolOll'«i5 w.ni ~ ~~
(Grade I with Distinction) (Grade Pass)
1>'1%q~~:rr ~wf~~
3lfuq; TT' (~ W ~ "jlli'F~I{l'ag)
All other successful candidates
75% and above ,- /
(Including the exempted)
 "

~~~~~~0~~~&;;~~W~~W~~~~'-=~~~-~~:~
J H{lf{l~ ~ 11T~ q 3W 11T~ ma:fUT~$ttf;':
!i

2mht~arazlrtra~Wc lfilnara <IDf '

,~j~i1ttbttr14 nub ~iB~cr ~£cnttbn~ IIib~inri,'
4fTl1i\ fcr~ ~ I NAGPUR DIVISIONAL BOARD
.' '<r~~.~ r;n:rfU"Pr?f q#~ - J!olqsl~", ,'>1 ,,',\

~"'SECONDARY CERTIFICATE EXAMINATION - STATEMENT OF MAFU~....."

t~~g~~'
,'",','..._ " ,:_~;.:(:--,~}p~;i:fr~
vrmrr amR~ ~~ ~q~.~.moorifi11iq; ~lfIt;rrqCflf 'J.olqf~Clii:U~ :'>Z'n
STREAM SEAT NO. CENTRE NO. DIST. 8<HR. SEC. SCHOOL NO. MONTH & YEAR OF EXAM. SR,NO.OF STATEMENT~~~
<~~~,~
N152420 0744 29.07.010 FEBRUARY-10 158115 '··~;"v
.fb~l.
liS
.'!

?'~~~I\I~ ~ orrq ( ~ ~ )7'cA~~TE~~" FULL~AM~ (SURNAMEFIf=!SJf 'i]

',I
;;T:f~··. :.- .

Sangode Sujitkumar Anilkumar

r-,
ENG 100 055 , FIFTYFIVE

HIN 100 058 FIFTYEIGHT

I HIN 100 046 FORTYSIX

HIN 100 038 THIRTYEIGHT

HIN 100 035 THIRTYFIVE

HIN 100 047 FORTYSEVEN

\. . \1:%1
\ t··)
t,··~
~ ~ / Divisional Secretary. J:;1
'~~,!:-
.•
~-~,~~-~!!:~.:~~~~?"~~~~~.~_~~~~~;::~~~::.~_<i..jI~~

,
.:.?r~;"--:::;" ;:~--:;;~:;~~~~;_ ~'~~::'_,,:-';: ~2, _-?;.;

--; eCopY

\ s,
~
prinCtpa\ .
Sh ,,,stltUle
'TIW
\\ patiO' . s)
$alckasa (M. .
Code 13049 ,
t
Go"'·. . ..
 --

(~ )
wnur q~ ~ ~ 311~ cf,t, ~/~;ITer ~Gldf:Bjfl:Z
~.;;:;:., ..,~. cl r-; . u "'\""\
er 'i Iq ;nq --.3?j;;=f<Q'?:!p:n:z -n I~ '1 ;nq Cbk3) ~ I~ ~ <:$ PI kS
vn:l --' i- \iJrl1 "{~ ($1fJ:t£OlT 6T%~T tIT~ 06. ~ 171Cf5<:t1
~~ld~··O/\.Y!J!{c<~J/~1 1." '!! >IT~f1'rcp ~m~~tpl~ES ~
rn. ~ol8' IQ3
q<Rf~fc1i(f mol/~ 31TfUT~ 3lTill ill. <3t>rt? I 0,"3
q<ffi~ ~mWlwf qf1~ WI-;:[() 0 3- un ~C!~ ll1tRfrun-~"'">..-:O~---
oT '{ mOOT m-~o 3lT8'.
.,
~lT~un Gffil':1 ~l~t\jl ~ltrR,SFfiul ~lm/~ ~~T ~ -9.~-~~-
3 ~-Rt c:5t {-(cL c.f)~=ZI 3.;;)r ~(. /Vii~ ~l~. ~<ft q,~n
cm-d!,'C\iC;]T 3TffiC'f.

3{lR3rill~[ ;~1 31r~~T 3nto, c<n~~I~--CD~(:.z::.11 d ClD--- cmmt cnfif4i

qtffi fii-4J m~<fIi TU) 'fl';j ~c, 0_:::5 N<-llqr{{ ~. ~!~ ~
- - 'flIRT ------....=:...-:::--- ----- - ~lIt:<ltl TI't:il ~I~r -tnz'l ~/~
q~ ~ifl'qII:lft)~1) ffi-t.

:'
:..

~~,~~~~~~~~
,,< •. c;. :)/6/ :<003 .q. TJT~ (If'~) :."

(\JFl1 crrfu:lr q ct'ITit ~q '*~ q 31ffit ~.)

,
.
/ ."

I
/ /
/
'/"
 :: CJJUTIVIa>
.:»
::

::i:::~:aJ~
- ~~~ii
~Tro5rFao:q·J$r~)~
1 6.f~ oS;ff)cl ;;:g I~ 1
VIm

~
di(if.Z
~
~~ fctm~ ID~~~901gttl3~ $f1~~1 cpf 19 ~ tRt&ffi ~
~ ~~~I ~tij~id Pt~~o ~~ ~ ~ ~~ 3tffi.
,~~ GIm'f ~ 'tRi16C't wrro),~~w:q ~ 3t1q);S~ld~~

3t~ iS1 Ri?: Cf5<2f:f1 Goi17 QCPJ l;j~ " , 3tffi.

~. ~~~~ ~m
~)~ 1W'IT-------- ~oo ~~~) ~-~ ~-

~) ~ 1iJtiIT------- ~oo ~
~).~ UI'Rt
~1'Tii5T ~- ~
~) ~--~-------- ~oo ~6
'It). ~----------- ~oo ~<:::. ~) ~ \3~ffeldl~ ~9~O,
,~)~ FcmA-----:- ~oo SS2<
~) ~ Cl ~ ~Tret- ~o ~ 'd) \34ffe1d1-a, ~~ wnuT- (l3fo
(9) ~------------ 'do J;(~
~) ~- ~ ~ f;JfCf5lO.Z1)
I~------------~--~--~~ ~ ~oo ~~ ,
3ffiRt '10 <Q:L.~) ~ ~ ~~ wnuT- ~. 0
t~ ftT~ ~oo I

.•.....••••...•....

I
~r:@ oram:ht;I\L£WA(554 I ~ ~ ~ ~ <m{U1ml ituTrt ;ffiq,
SALE~A 204 BA~~~ CHOWK DIST GOWDIA
\.Rffj
-: ,
Address SALEUSA
244137
204 BAJAR r.HOHIC. DIS1' ..GOODIASM.E~A ~ Wffi ~ ~ ~ m~ 1[4~.

'5,,!t.<Fil,b Tel. No. _ Abbreviations used while completing S. B. Pass Book

Account No
1\ccount Type
Passbook No
Passbook Type ORIGINAL
60069173814
~B-""/O-Chq-BIc-YUVA-INSTA
i CHQW

CHRT

CRCL
~

V!ln ~
~
Cheque Withdraw

Cheque Returned

Credit Clearing

CRIN V!ln 6lITVf Credit Interest

Mr. SUJI T ANIL SANGOLB CRTR !'edit Transfer

CSHO Ish Deposit

DRCL !bit Cleannq

OR IN bit Interest

Address: DRSI
AT. BAMHAll/I,
POST. SONPURI,
TAM SALElKASA, DRSV PIIS-.::vice
DIST GONDIA
rg~s
00441916
DRTR it Transfer
OPERATING SINGLY
OCHO

OPND Opening
Cash Oeposrt

09/01/2012 ~~~~
Date
~p~~q'{
lSEHJL Hf!'iTS ON THE LAST PAGE