PROFORMA-XVII

INFORMATION REGARDING SPECIAL CAMP PARTICIPANTS

(TO BE SENT TO THE NSS OFFICE UNIVERSITY OF MUMBAI WITHIN 3 DAYS OF THE COMMENCEMENT OF
THE CAMP)
Name of the College: Murlidhar Nanaji Mohite Guruji Arts, Commerce and B.M.S. College, Khodala-
Jogalwadi, Tal. Mokhada, dist. Palghar.
Name of the Programme Officer: Prof. Deepak N. Kadlag.
Details of the Camp Site:
a) Name of the Villege: Rajewadi- Jogalwadi b)Post: Udhale
c) Taluka: Mokhada d) Dist: Palghar.
d) Duration: 07 Days from 16 Jan 2019.
Total number of participants Student 50 Teachers: 03

a- Total Number of Participants:

STUDENTS NON-STUDENTS TEACHERS TOTAL
M F T M F T M F T M F T
25 25 50 01 00 01 01 01 01 30 23 53

b- Total number of NSS Volunterrs of S.C./S.T./ Others attended Special Camp.

CASTE STUDENTS
Male Female Total
S.C. 06 00 06
S.T. 19 21 40
OTHER 00 04 04
TOTAL 25 25 50
Date: 18 Jan 2019
Place: Rajewadi- Jogalwadi

Signature Of The Programme Officer Signature Of The College Principle

(Rubber Stamp of the Colege)

Observation of the NSS District Co-Ordinators/ University
Officials_______________________________________________________________________________
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Signature of the District

Co- Ordinator/ University Officials.