Shri Swami Vivekanand Shikshan Sanstha, Kolhapur

VIVEKANAND COLLEGE, KOLHAPUR (AUTONOMOUS)

KOLHAPUR

Application Form For Session MAR-APR 2021

And Course B. SC. COMP SCI.(ENTIRE) - 5
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. 2754241
LEARNER'S DETAIL :

1. G.R. No. : 1608 Division/Section : PRN No. : Roll No. : 9249

2. Full Name : Mr./Ms. : POWAR VAIBHAV SHRIKANT

SURNAME FIRST NAME FATHER'S NAME

3. पपरर ननव :

4. Mother's Name : ASHA

आईचच ननव :

5. Address : 1061/1 plot no 7 Haripriya nagar rajopadhya nagar kolhapur - 416012

Contact : (Mobile Self) : 8552973898 (Mobile Parent) : 9834346015

E-Mail ID : vaibhavpowar3097@gmail.com
6. I am/was a regular learner of B. SC. COMP SCI.(ENTIRE) - 5 in the academic year 2020-2021

Marks Obtained Appeared For

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

B. SC. COMP SCI.(ENTIRE) - 5

1 CORE JAVA & OPERATING SYSTEM

2 DATA COMMUNICATION & S.E.

3 C#& E-COMMERCE

4 COMMUNICATION SKILLS
IA - Internal Assessment EA - External Assessment EX - Exempted INT - Internal EXT - External
EXAMINATION DETAILS :
Semester Seat No. Month Year Result CG Grade

Date : Learner's Signature :

FOR OFFICE USE ONLY

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