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Photograph
Application Number
Appilcation type
APPC1003121M20052013
New
Renewal Course Year N.A
Student SSC Details
SSC Board
Passing Year
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION
2005 SSC Seat No C100312 SSC Marks Obtained 91.06
Applicant's Details
Applicant Name NEELIMA ARJUN SONAWANE
Mother's Name
ARUNA
Date of Birth 19-02-1990 Gender
Female
Is Resident of Maharashtra
Maharashtra
Application Date
04-09-2013
Caste Category
Other Backward Class
Sub Caste
Orphan No
Is Disabled No Disability Type N.A.
Is Applicant Salaried ?
Applicant's
Annual Income
NO
0.00 Total Annual Income
460414.00
Is Staying at Hostel ? Yes Has Applied For Hostel ? Yes
Student Prequalifying Details
Institution Details
Name of School/College/Institute
where Admitted
Sinhgad Institute of Management,Vadgaon(BK), Pune
Course Name
Subject
Master of Business Administration
Academic Year
2013-2014
College Adm.No Admission Dt. 00120 26-06-2013 Joining Date 25-07-2013
Is Fees Paid ?
No Fee Paid 0.00 Fee Receipt
No.
Fee Receipt
Date
N.A
Course Year 1
Quota Government Quota
GrantType Non Granted
Is Admission after
Diploma
No
Contact Details
Residential Number: , MobileNumber: 9561733117, EmailAddress: dr.neelima.sonawane@gmail.com
Address For Correspondence
Address:- 'MORAYA' Location:- GANESH COLONY City:- CHINCHWADGAON Pincode:- 411033 Taluka:- Pune City
District:- Pune
CAP Number MB13108337
Academic Year Institute Course Course Year Percentage Result
2012 - 13 Course not Attended 0 0.00 Pass
2011 - 12 Course not Attended 0 0.00 Pass
2010 - 11 TERNA DENTAL COLLEGE Bachelor of Dental Surgery 4 62.41 Pass
Kumbhar or Kumhar (82) Caste
Maritial Status No
EID Number
UID Number
745418372493
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Printed on 9/7/2013 10:43:29 AM Free Ship , 2013-2014
Master of Business Administration
Course
Application Form
Other Backward Class
Hostel Information
Name of Landlord /
Hostel
Sinhgad Girls Hostel Hostel Admission
Date
27-06-2013
Hostel Type Education
Department
Is Mess Service Available? Yes Rent Per Month 0.00
Hostel/ Landlord
Address
Address:- Pune Location:- Pune City:- Pune
Pincode:- 411041 District:- Pune
Hostel/Landlord
Contact Details
Residential
Number: 020
-24341284,
MobileNumb
er: N.A,
EmailAddres
s: -
Is Studying in night school No
Document Details
Caste Certificate No MAG/SR/H-
949/2005
District Issuing
Office
Ahmadnagar
Taluka Issuing
Office
Parner
Caste Validity
Certificate No
949/2005 District Issuing
Office
Ahmadnagar Scrutiny
Committee No
N-
DCSC/A10134245/
CVN
Income Certificate
No
2498 Issued in
2013
University
Registration No
N.A
Student Bank Account Details
Bank Name CENTRAL BANK OF INDIA Bank
Account No
2969752637
Branch Name
SINHAGAD TECHNICAL EDUCATION SOCIETY
IFSC Code
CBIN0284444 MICR Code 411016030
UID document xerox
Document Attached
Parent / Guardian Details
Parent's name
ARJUN
MAHADEO SONAWANE
Relation with Applicant Father
Age 49(yrs)
Profession Service
Parmanent Address 'MORAYA' Location:- GANESH COLONY City:- CHINCHWADGAON Pincode:- 411033
Taluka:- Pune City District:- Pune
Annual Income 460414.00
Is Father Alive Yes
Declaration
The information furnished by me is complete and correct. I bear the complete responsibility for all the above
information.
Applicant's Signature Applicant Parent's Signature
Principal's Signature
_______________________ _______________________
_______________________
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