Shri Swami Vivekanand Shikshan Sanstha, Kolhapur

VIVEKANAND COLLEGE, KOLHAPUR (AUTONOMOUS)

KOLHAPUR

Application Form For Session JULY-AUGUST 2021

And Course B.SC. SEM 6
INSTRUCTIONS :
1. Attach attested copy/copies of statement of marks of previous examinations.

2. Write the marks obtained in the previous examination against the respective course.

3. Affix a recent color photograph (3.5 cm X 4.5 cm & with Red Backdrop) in the space provided along with one more
photograph.
Student Id
4. Write clearly the word 'APP' against the respective course column for the course in which you wish to appear. 491356
LEARNER'S DETAIL :

1. G.R. No. : 8613 Division/Section : PRN No. : 2018037756 Roll No. : 8173

2. Full Name : Mr./Ms. : PATIL AKSHATA RAVINDRA

SURNAME FIRST NAME FATHER'S NAME

3. पपरर ननव :

4. Mother's Name : SANGITA

आईचच ननव :

5. Address : AT DEVALE POST HALADI - 416001

Contact : (Mobile Self) : 7420870808 (Mobile Parent) : 9172636464

E-Mail ID : akshatapatil1200@gmail.com
6. I am/was a regular learner of B.SC. SEM 6 in the academic year 2020-2021

Marks Obtained Appeared For

Sr. No. Name of the Course
IA EA INT EXT

B.SC. SEM 6

1 ENGLISH COMPULSORY

2 STATISTICS

3 STATISTICS

4 STATISTICS (SEC )

5 STATISTICS - PR
IA - Internal Assessment EA - External Assessment EX - Exempted INT - Internal EXT - External
EXAMINATION DETAILS :
Semester Seat No. Month Year Result CG Grade
III 7827 Jan 2020 PASS 112 A+
IV 7827 Aug 2020 PASS 264 A+
V 8173 Apr 2021 PASS 116 O
II 7756 Jun 2019 PASS 312 A+
I 7756 Nov 2018 PASS 148 B+

Date : Learner's Signature :

FOR OFFICE USE ONLY

Fee Receipt No. _____________ Dated ___________ For Rs. _________________________ Received & Checked By ___________________