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Marksheet Collection Form
Note: Please fill the details as per mentioned on received mark-sheet
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* Indicates required question
Full Name of student (Surname - Name - Father's Name)
*
Your answer
PRN of student
*
Your answer
Mobile number
*
Your answer
Exam seat number on collected marksheet
*
Your answer
Branch on collected marksheet
*
Choose
Mechanical
Computer
E&TC
Civil
Mechatronics
AI
Year of collected marksheet
*
Choose
FE
SE
TE
BE
Semester of collected Marksheet
*
Choose
Sem 1 and Sem 2
Sem 1 and Sem 2 with passing certificate (for BE students only)
Sem 1
Sem 2
Marksheet collected by
*
Self
Brother
Sister
Friend
Other:
Name of friend/person who collected mark-sheet
*
Collected by self
Other:
Contact number of friend/person who collected marksheet
*
Your answer
Marksheet issued by
Mr. Daya Yesane, CEO
Mrs. Laxmi Shinde, Assistant to CEO
Clear selection
Late mark-sheet collection Fine submitted (in Rs.)
*
100
200
NA
Fine submitted to
*
Mr. Daya Yesane, CEO
Mrs. Laxmi Shinde, Assistant to CEO
NA
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