Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon

https://nmuj.digitaluniversity.ac/

Khandesh College Education Societys Institute of Management and Research (100010)

Application Form for Examination of November-2023 event.

Master_of_Computer_Application_Integrated_M_C_A_Integrated_
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PRN : Eligibility Status: Examination form No.:

193769
2021015400014984 Eligible

Student's Name: BARI MANASI SUNIL Mother's Name: SHARADA

Name in Vernacular Language: –ȡšȣ˜ȡ“ Ȣ Ǖ“Ȣ›

Exam Center : Medium : English PCP Center :

1. Sem-IV(Regular-June-2017 Pattern)
SN Code Name AM - AT
1 406254 CA-4.6 Lab On Java Programming PR-UA [ ]

Payment mode: Online Payment Amount : 800.00

Transaction No : 3838931694861364692 Transaction Date :9/16/2023 10:49:26 AM Bank :
To, The Controller of Examination, Place:
I request permission to present myself for the ensuing examination. I have remitted the prescribed fee for the same. I hereby declare that all
statement made in this application are true, complete and correct to the best of my knowledge and belief. I have gone through the syllabus Date:
and the list of books prescribed for the examination for which I am appearing. I shall not request for any special concession such as change
in time or day fixed for university Examination etc. on religious or any other ground. I understand that in the event of any information being
found false or incorrect, my candidature is liable to be cancelled or rejected.

Student's Signature