Application For YUVIKA-2023 Application No: YUV23-508304 Personal Information Name of the student: YASH Date of Birth: 11-05-2009 Gender: MALE 'SUBHASH GODSE Name of the Parent/Guardian: Nationality: INDIA SUBHASH Mobile Number: 7021434979 Alt, Mobile Number: 8169050662 Email: ygodse115@gmail.com Academic Information Name of School with complete Postal Address: KENDRIYA VIDYALAYA KOLIWADA. State: MAHARASHTRA Whether the school is located in a Panchayat Area: NO a i S a i |, Subhash parent/guardian of YASH SUBHASH GODSE hereby give consent for him/her to. attend the YUVIKA-2023. | also promise that our ward will adhere to the COVID-19 protocols Issued by enteral Govt. /State Govt. /Local administrative bodies. Signature of the Parent/Guardian with date Bonafide Certificate (To be issued by Principal/Head Master/Director of School) This is to certify that Yash Subhash Godse is a bonafide student of Kendriya vidyalaya koliwada , Maharashtra . He/She was studying in Class IX as on January 01, 2023 . She/He has scored 100.00% marks in Class VIII Itis also certified that, She/He is a /has: + He/She has appeared in Science fair conducted at state level during last three years + He/She Is winner In Olympiad or equivalent competitions and secured 1st rank In school level during last 3 years. + Member of Scout and Guides in academic year 2022. I hereby declare that the information furnished above is correct to the best of my knowledge and I have verified it from original document (s). Signature of the Student Signature with Stamp of Principal/Head of School/Director with date Note: Student is advised to upload the attested copy of the documents by Principal/Head of School/Director to ISRO YUVIKA registration portal Instructions to complete the registration process: Dear student, please verify your certificate presented above. Now you have to download and print above certificates. The first part of the certificate will be signed by your parent/guardian. The second part of the certificate must be signed and stamped by your School Principal/Head Master/ Director. Candidate also needs to upload the attested copy of all the required certificates in next step. Please ensure that your sted by the same signatory i.e, Principal/Head of School/Director who t above Bonafide certificate, er ora, qrerar snes ertafer afer serorers of gf® a) ore onan sudhen seneTera at arerofter oft Rie acer elem error a rea srr ee ores sree /oifsrerreray &y rears BTA sreTTUTer as aE sever ae ona east As wrererrare /srerrrearerah/ FRRarep a wecTaTe OMe ere GN aHfaEH weafleare a OMA eur A aA orraieeray wreTOrEraY AY exer eA aA onercivar ep arn =P ene Fa cer aft wecrarcenatt Zi zg 8, Sit = ~ pecans ore <2 BI