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Shriram Shikshan Sanstha’s

Shriram College of Horticulture, Paniv


Tal. Malshiras Dist: Solapur Pin:-413113
(Affiliated to Mahatma Phule Krishi Vidyapeeth, Rahuri)

ROSTER FORM
ACADEMIC YEAR: OFFICE COPY : ( )
SEMESTER: COUNSELLOR COPY : ( )
REG.NO:- STUDENT’S COPY : ( )
DURATION:
NAME OF THE STUDENT _______________ ____________________ ________________
(IN BLOCK LETTER) SURNAME FIRST NAME MIDDLE
NAME
Address for Correspondence:____________________________________________________
Tal:-___________________________________Dist: - _________________________________
State: - _______________________________ Pin Code: - _____________________________
Mobile No:-____________________________ Caste:-_________________________________

COURSE TO BE REGISTERED
Sr. Credits Whether offered
Course No. Title of the Course
No. (T+P) YES/NO
A. Placement in Villages
Fruit, vegetable and flower
Production and Post-
1 RHWE (H)-471 5(0+5)
harvest management and
technology of Horticulture crops.
Economics of Horticultural
2 RHWE ECON-471 1(0+1)
crops.
Extension education &
3 RHWE EXTN-471 1(0+1)
Rural Sociology
RHWE Integrated Pest and disease
4 2(0+2)
ENT/PATH-471 Management.
Soil test & Integrated Nutrient
5 RHWE SSAC-471 1(0+1)
Management
B. IND- RAWE Placement in Industry 10(0+10)
Total (A+B) 20(0+20)

1
To be filled in by the students:

I am aware that:-

1. The registration for the course mentioned on page Ist is subject to the change on verification
of my academic record and to the rules governing registration.
2. If I discontinue attending courses after final date of withdrawal, I shall be declared as not
registered for that course/s.
3. Last date of withdrawal from course/s is--------------------------------------------.
4. I shall abide by all the rules of the MCAER/MPKV/College/Hostel/ Students Council as
modified from time to time.
5. This application does not warranty registration as desired.

Date:- Signature of the Student

To be filled in by the Counsellor:

1. The Student has completed –––––––––––––credits out of ––––––––––––– credits at the end
of –––––––––––– semester, Session –––––––––––––.
2. It is recommended that he/she may be allowed to register provisionally for –––––––––––
credits during –––––––––––––––– Semester, Session ––––––––––––––.
Signature :––––––––––––––––––––––
Name :––––––––––––––––––––––
Designation:––––––––––––––––––––––
Remarks of the Chief Counsellor:

The student is allowed to register for ––––––––––––––––––––––––––––––––––– credits during.

––––––––––––––––––––––––––––––––––––– Semester, Session –––––––––––––––––––––.

Chief Counsellor

To be filled in by the Principal Office:

The Student has paid all the fees amounting to Rs.––––––––––––––––––––––––vide receipt
no. –––––––––––––– Dated –––––––––––––––––––.

Principal

Instruction:
This roster form should be submitted to office of the Principal, duly filled in all respect
and duly signed by all concerned on or before the due date of the registration, failing which the
student will not be allowed to attend the classes and will be treated as “Not Registered” for the
semester.

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