SANT GADGE BABA AMRAVATI UNIVERSITY
EXAMINATION APPLICATION FORM
WINTER 2024
Type of Programme UG
Name of Course / Level B.E First Year - Semester - I
Branch (B.E First Year)
Name of College/Institute Manav School of Engineering and Technology, Vyala, Akola.-(271)
College Area Rural
Enrollment No
PRN No
PERSONAL DETAILS
1. Full Name Of The Applicant: DHANANJAY RAHUL WANKHADE /
2. Gaurdian's/Husband's Full Name: Mr. RAHUL NAMDEO WANKHADE
3. Mother's Full Name: Mrs. SHARDA
4. Correspondence Address: MILIND NAGAR,NAGZARI ROAD,SHEGAON
(With Pin Code) ,444203
5. Permanent Address: MILIND NAGAR,NAGZARI ROAD,SHEGAON
(With Pin Code) ,444203
6. E-mail-ID :
[email protected]. Contact No. : 7972596649
8. Date of Birth: 9/6/2005 9. Applicant Gender: MALE
10.Category: SC 11.Religion: HINDU
12.Mother Tongue: MARATHI 13.Medium of Instruction: English
14.Differently NO 15.Nationality: Indian
Abled/Divyang:
Subjects offered:
SUBJECT CODE SUBJECT NAME PAPER TYPE THEORY PRACTICAL
1AL100BS Applied Mathematics -I (BSC) Theory Paper -- --
1AL101BS Engineering Physics (BSC) Theory Paper -- --
1AL102ES Computer Programming (ESC) Theory Paper -- --
1AL103ES Engineering Mechanics (ESC) Theory Paper -- --
1AL104BS Engineering Physics (BSC) Lab Practical Paper -- PRACTICAL
Computer Programming (ESC)
1AL105ES Practical Paper -- PRACTICAL
Lab
Engineering Mechanics (ESC)
1AL106ES Practical Paper -- PRACTICAL
Lab
1AL107ES Workshop (ESC) Lab Practical Paper -- PRACTICAL
(I.T) Introduction to Web
1AL108VS4 Practical Paper -- --
Technology
Professional Communication
1AL109AE Practical Paper -- PRACTICAL
(ACE)
1AL110CC Co-curricular Course (CC) Practical Paper -- --
Receipt No. & Date of payment of exam sgbau67725bfa86b03 2024-12-30 14:09:25 1250
fees:
Date: Applicant Signature
Student's Declaration :
WINTER 2024
REGULAR
Name of Examination : (B.E First Year) Medium : English
Semester : Semester - I.
Subject (Only for P.G.Exams) :
Examination Centre :
Exam & Other Fees. (D.D/University cash receipt no : sgbau67725bfa86b03) Total Fee Rs. : 1250
a. As per provision of the ordinance No.1 of 1985 ,I have participated in the activities.
b. As is not permitted in the Ordinance, I am not appearing in any other Examination.
c. I solemnly affirm that the complete information given in this application form is true and correct. If any information given in this form
found to be false I shall be eligible for imposition of fine and punishment & shall be personally responsible for any loss.
d. I understand that my application form shall be rejected or result of examination shall not be declared in case of appearing any
discrepancy/deficiency in this application form as well as for non-compliance of the same within the stipulated time.
Date : Applicant Signature
( िव�ा�ा�ने online सादर केले�ा परी�ा आवेदनप�ाची एक �त �ां�ा महािव�ालयात सादर के�ानंतरच परी�ा �मांक generate होईल )
CERTIFICATE OF PRINCIPAL
(For collegiate students only )
a. Certified that applicant student has been Enrolled in Sant Gadge Baba Amravati University and he /she has fully complied all
conditions and provisions prescribed in the concern Ordinance and regulations and rules. There is no objection regarding his/her
character which could be a disqualification for appearing in the examination.
b. Original certificates/Marksheets/Degree/Diploma as an eligibility qualification issued by the Board/University to this student are verified
and he/she is eligible for admitting in this examination.
c. This student has participated in the activities viz....................,as per provisions of Ordicance No./1985.
Date: Principal -------------- (Sig. & Stamp)
