SAVITRIBAI PHULE PUNE UNIVERSITY

Application Form No.

11 May 2023 12210060281

APPLICATION FORM FOR PHOTOCOPY/XEROX COPY OF ANSWER BOOKS

1.The Application form shall be printed and preserved with candidate only.
2.Don't send hard copy of the Application form to Savitribai Phule Pune University /
College.

DIRECTOR,
BOARD OF EXAMINATION &
EVALUATION,
SAVITRIBAI PHULE PUNE UNIVERSITY,
GANESHKHIND,PUNE 411007.

Sir,
I,the undersigned,requestyou to verify and issuexerox copy of my answer book(s) as
per details
given below:

Candidate Name MEHER KIRAN MADHUSUDHAN

College COLLEGE OF ENGINEERING,MANJARI
BUDRUK, PUNE
Exam Month & Year 202210
No. of Subjects appeared: 1
Centre at which appeared 26
Seat No. F190260227
PRN No. 72289500D

(Subject(s) for Xerox Copy of Answer Book(s) [Theory Subjects only].)

Subject Code Subject Name Marks Obt. Photocopy
101011 ENGINEERING 20 Photocopy/
MECHANICS Scancopy
Processing Fees 30.00
Subject Fees 200.00
Total Fees 230.00

DECLARATION OF THE CANDIDATE

I here by declare that,

1. I have gonethrough therules for providing a xerox copy of answer book(s)
mentioned in the
application and it shall be binding on me.
Date:............................. Yours faithfully,
........................
(Signature of the Candidate)