SAVITRIBAI PHULE PUNE UNIVERSITY

Krantiveer Vasantrao Naik Shikshan Prasarak Santha's Nashik

ARTS,COMMERCE & SCIENCE COLLEGE,NASHIK

AFFILIATED TO SAVITRIBAI PHULE PUNE UNIVERSITY. NAAC Re-accredited "B" Grade

Sr.College (ID No.PU/NS/ASC/53/1998) Jr.College (No.J-13-17-027)
Dongare Vasatigruha Parisar,Canada Corner,Nashik-422002
0253-2576692, Email ID : vnnaikcollege@gmail.com
Admission Form Details (Academic Year : 2020-2021)

Form Verification (For Office Use Only) Fill Date : 13/08/2020 06:29 PM - Print Date : 25/08/2020 06:53 PM

Sign. Sign.
Div & Subject Alot. Auth Division Roll No. Rcpt. Made By Rcpt. No. Amount Date

Sign. Sign.
Form Checked By Scholarship Verification Fee Category Caste Category Caste Member ID

Registration Information

Admission Form Number : 959136

Registration Number : 2000137224

Admission Type : Section : Class :

Provisional P.G M.A.-II POLITIC
Division : Fee Category : Caste Category :
P.N.G. PAYING ST
Form No. (Merit/Adm.) : Uni./Board Registration No. : Eligibility No.(UG & PG) :
N.A. 2491906422 N.A.
CAP Application Kit No. : Adhaar Card No. : Pan Card No. :
N.A. 784168161314 N.A.
Voter ID : Saral ID. :
N.A. N.A.

Student's Information

Student's Name :
PAWAR VAISHALI SITARAM
Father's Name : Mother's Name :
SITARAM GOVINDA PAWAR SONIBAI
Local Address :
At-Palvihir Post-Bhormal Tal-Surgana, Nashik 422211
At-Palvihir Post-Bhormal Tal-Surgana, Nashik 422211
Location : Taluka : District :
Bhormal Surgana Nashik
State : Country : Pin Code :
Maharashtra INDIA 422211
Permanent Address :
At-Palvihir Post-Bhormal Tal-Surgana, Nashik 422211
At-Palvihir Post-Bhormal Tal-Surgana, Nashik 422211

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 1
support@vriddhisoftware.com.(Form No.:959136)
Location Type: Email ID :
N.A. ganeshjadhav6194@gmail.com
Mobile No. : Father's Mobile No. : Phone No 1 :
9307150554 N.A.
Gender : Birth Date : Birth Place :
Female 30/07/1997 PALVIHIR
Delivery Place : Nationality : Blood Group :
N.A. INDIAN N.A.
Religion : Caste : Sub Caste :
HINDU KOKNA N.A.

Parent's Company/Occupation Information

Company Name :
N.A.
Company Adress Line 1 :
N.A.

Last Year's Details with (TC/LC)/Migration/Eligibility Information

Last Attended Institute Name :

KVN COLLEGE NASHIK
Last Attended Examining Body (Board/University) :
SAVITRIBAI PHULE PUNE UNIVERSITY
Last Attended Class : Last Attended College/School UDISE Code :
M.A-I POLITICS N.A.
Eligibility : Last Qualified Exam : Passing Month :
Same Institute/College M.A-I POLITICS Jul
Passing Year : Percentage : Result :
2020 68.63 A Grade

Current Year's Information

Other Activity :
N.A.

Subject's Information

Medium : N.A.
Subject Name Subject Code Subject Group
1) Indian Administraion PO-09 Subject Group - A
2) Political Thinking in Modern India PO-C7 Subject Group - A
3) Political Sociology PO-C8 Subject Group - A
4) Theory of International Relations PO-C9 Subject Group - A

PAWAR VAISHALI SITARAM PAWAR VAISHALI SITARAM

Scanned Signature Student's Signature

Note for Students

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 2
support@vriddhisoftware.com.(Form No.:959136)
 DECLARATION BY THE GUARDIAN
I have acquainted myself with and I am full agreement with rules and regulation as given in the prospectus. I
endorse the application of my ward which kindly is granted. I shall be responsible for his / her behavior,
attendance, study, and actions.

Signature of Parents / Guardians.

Co-ordinator Principal

Student's Signature

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 3
support@vriddhisoftware.com.(Form No.:959136)