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Sumit Arc

The document is a self-registration form for Miss Aishwarya Balaji Alne at Walchand College of Engineering for the academic year 2024-2025. It includes personal information such as her address, date of birth, nationality, and educational background, along with details about her parents and contact information. Additionally, it lists the certificates submitted for admission, including her SSC mark sheet and caste validity certificate.

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0% found this document useful (0 votes)
23 views2 pages

Sumit Arc

The document is a self-registration form for Miss Aishwarya Balaji Alne at Walchand College of Engineering for the academic year 2024-2025. It includes personal information such as her address, date of birth, nationality, and educational background, along with details about her parents and contact information. Additionally, it lists the certificates submitted for admission, including her SSC mark sheet and caste validity certificate.

Uploaded by

hemrajpache
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Walchand College of Engineering

A/P Vishrambag Sangli

 Miss. AISHWARYA BALAJI ALNE


 Permanent Address: SHIVALI,SHIVALI,TAL AUSA, DIST LATUR,AUSA,413520
 Mobile No: 8999828090

Self Registration 103243574 Year : 2024-2025 Form No :


Code :

 Admission Details
Course Year : FY-EE Transfer Year :
Admission Pattern : REGULAR Admission Status :
section : FY-EE Student Code : 2024PEE369
Date of 31/08/2024 Admission Mode :
Registration :
Admitted Academic 2024-2025 Current Academic 2024-2025
Year : Year :

 Personal Information
Date of Birth : 15/06/2008 Birth Place : SHIVALI
Nationality : INDIAN Religion : HINDU
Gender : FEMALE Domicile State : MAHARASHTRA
Category : SEBC Caste : maratha
subcaste : Caste As per Tc : MARATHA
Mother Tongue : Name as per TC : ALNE AISHWARYA BALAJI
Last SHRI HANUMAN VIDYALAYA Hobby :
School/College :
NRI POI : E Birth State :
Bloodgroup : Ab+ Domicile Country
Other :
Previous Y
Education For
Preceding 3Years
in maharashtra :

 Parent Details
Parent Occupation : Parent Income :
Father's Domicle Mother's Domicle
maharashtra : maharashtra :

 Contact Details
Student Mobile No : 8999828090 Mother's Name : GOKARNA
Parent Mobile No : 8999828090 Guardian Mobile
No :
Guardian Email Id : Father Email Id : balajiaalane316@gmail.com
Mother Email Id : Landline Number :
 Qualifying Exam Information
Exam State Marks :
Name : Rank :
Roll No : Total
Marks :

 Education Information

SSC DETAILS

Medium of MARATHI Month of 3 Year of Passing : 2024


Instruction : Passing :
Marks Obtained : 430 Marks Out of : 500 % of marks : 86
Name of SHRI Education Board LATUR Single Attempt : Y
Institution : HANUMAN :
VIDYALAYA
SHIVALI

 Correspondance Address

SHIVALI,SHIVALI,TAL AUSA, DIST LATUR,,AUSA,413520

 Certificate details

Document Name Document Description Document Submision


Size Date

SSC [10th] Mark Sheet / SSC [10th] Mark Sheet /


Certificate Certificate
Leaving/Transfer Certificate Leaving/Transfer Certificate

Domicile Certificate Domicile Certificate


Caste Validity Certificate Caste Validity Certificate

Aadhaar Card (Both Side) Aadhaar Card (Both Side)

 Student _________________________  Parent _________________________


signature : signature :

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