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    Taarak Mehta Ka Ooltah Chashmah
    1. Gujar Aditya Hansraj, a 19-year-old male from Vadodara, Gujarat has applied for the Bachelor of Engineering Part Time program in Mechanical Engineering at the Maharaja Sayajirao University of Baroda. 2. He has completed his diploma in Mechanical Engineering from Parul University in 2019 and his SSC from Silver Oak School in Vadodara in 2016. 3. In his application, Gujar has indicated that he is currently employed and has paid the application fee of Rs. 300 for his application to the program.

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    Msu PDF

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    Taarak Mehta Ka Ooltah Chashmah
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    1. Gujar Aditya Hansraj, a 19-year-old male from Vadodara, Gujarat has applied for the Bachelor of Engineering Part Time program in Mechanical Engineering at the Maharaja Sayajirao University of Baroda. 2. He has completed his diploma in Mechanical Engineering from Parul University in 2019 and his SSC from Silver Oak School in Vadodara in 2016. 3. In his application, Gujar has indicated that he is currently employed and has paid the application fee of Rs. 300 for his application to the program.

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    1. Gujar Aditya Hansraj, a 19-year-old male from Vadodara, Gujarat has applied for the Bachelor of Engineering Part Time program in Mechanical Engineering at the Maharaja Sayajirao University of Baroda. 2. He has completed his diploma in Mechanical Engineering from Parul University in 2019 and his SSC from Silver Oak School in Vadodara in 2016. 3. In his application, Gujar has indicated that he is currently employed and has paid the application fee of Rs. 300 for his application to the program.

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    © All Rights Reserved
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    181 views2 pages

    Msu PDF

    Uploaded by

    Taarak Mehta Ka Ooltah Chashmah
    1. Gujar Aditya Hansraj, a 19-year-old male from Vadodara, Gujarat has applied for the Bachelor of Engineering Part Time program in Mechanical Engineering at the Maharaja Sayajirao University of Baroda. 2. He has completed his diploma in Mechanical Engineering from Parul University in 2019 and his SSC from Silver Oak School in Vadodara in 2016. 3. In his application, Gujar has indicated that he is currently employed and has paid the application fee of Rs. 300 for his application to the program.

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    of 2

    STUDENT COPY

    Faculty of Technology & Engineering (3386) Application No :


    KalabhavanVadodara
    The Maharaja Sayajirao University of Baroda 111746
    Fatehgunj, Vadodara-390 002, Gujarat (India) Regular
    Academic Year: 2019-2020

    Course Applied for : Bachelor of Engineering-Part Time-Mechanical-Regular-BE-I-PTD-FSBE-I-PTD (-) PRN:


    Application Date : 06/09/2019 Payment Category : General
    Exam Center Name [Code] : - [-]
    1.Personal Information
    Candidate's Name(Regional) : गुजर आ द य हंसराज
    GUJAR ADITYA HANSRAJ
    Candidate's Name as printed on
    [*This name will appear on all University
    School leaving/Passing Certificate :
    records/documents]
    Father's/Husband's Name : HANSRAJ GUJAR Mother's Name : MADHURI
    Marital Status : UnMarried Mother Tongue : Marathi
    Place of Birth : Vadodara Gender : Male Date of Birth (DD/MM/YYYY) : 09/11/2000
    Blood Group : BPositive Religion : Hindu Country of Citizenship : India
    Weight : Not
    Height : Not Available Hemoglobin : Not Available
    Available
    Is Student NRI/ Foreign National : No Domicile State: Gujarat
    Address For Correspondence :
    Tehsil/Taluka : City/Town/Village :
    State : Gujarat District : Vadodara Location Area : Urban
    Vadodara Vadodara
    Address (House
    no,street/area/suburb 302,riddhi enclave Narayan park, near novino Makarpura Pin Code : 390010
    etc.) :
    Permanent Address :
    Tehsil/Taluka : City/Town/Village :
    State : Gujarat District : Vadodara Location Area : Urban
    Vadodara Vadodara
    Address : 302,riddhi enclave Narayan park, near novino Makarpura Pin Code : 390010
    Contact details
    Mobile
    7490005859 Email ID: [email protected]
    Number
    2.Legal Reservation Information
    Category Type : Open Category : GEN
    Is Specially Abled? No Are you Employed/Self-employed?  Yes
    3.Social Information(Additional Information)

    Paper Selected for:


    FSBE-I-PTD

    SSBE-I-PTD

    Medium of Instruction :
    Application Fee Payment Details Payment Status : Paid Transaction Date : 09/09/2019
    Transaction Number :
    Fee Category : Online Application-[MSUNV] Transaction Type : Online Payment
    1117461568026309849
    Application Fee - 300 Total Amount : 300
    4.Guardian Information
    Occupation of Guardian : Annual Income of Guardian :
    5.Educational Details
    Month
    Name of Name of Board/University Name of and Exam Seat Certificate Mark Out
    CGPA %
    Examination and State of University School/College Year of No. No. Obtained Of
    Passing
    GUJARAT SECONDARY AND
    HIGHER SECONDARY SILVER OAK May
    Std 10th B5167566 0059596 372.00 600.00 -- - -- 62.00
    EDUCATION BOARD, SCHOOL 2016
    GANDHINAGAR,Gujarat
    Diploma : Gujarat technological PARUL July 7.36 -
    166380319056 Di-05368 - - -
    Mechanical University UNIVERSITY 2019 Bc
    Your Last Qualifying Exam: Mechanical
    7.Other Information
    Would you like to apply for Hostel accommodation required No
    DECLARATION
    I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
    knowledge and belief. I do understand that I need to obtain and produce all the required documents.
    I Application No :111746 admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines
    related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment according to
    the university regulations. "I hereby confirm that I will SUBMIT SYSTEM GENERATED APPLICATION-FORM along with necessary
    enclosures required to verify the Academic credentials and Personal details (Like Mark-sheets, Degree Certificates, Caste
    Certificates-if applicable…etc.) to the concerned Faculty/College under which I have applied through this application, at the time
    of "Merit-based Admission Schedule/Spot Admission Schedule" as available under the Prospectus/Published on the University
    website as notified by the concerned Dean of the Faculty/Principal of the College."
    I will undergo Thalassemia Test before the First Semester Examination. I hereby declare that I shall refrain from engaging in any
    behavior or activity that is prohibited as per the university regulations.
    Note: Candidate must carry two copies of above printout of his/her “Application Form” at the time of entrance test/merit based
    admissions, along with the self-attested copies of all required documents, as mentioned in the respective prospectus and identical
    photograph pasted at the appropriate place.On one copy of the application form , Candidate signs partially on the photograph and
    partially out side at the time of handing over the form.
    Completing the online application form does not guarantee admission in that particular course/program. All admissions are
    through entrance test/merit as per the requirement of the program and faculty norms. See Faculty Prospectus for Details.

    Place : Date  :
    ( Signature of the Candidate )
    For College/Institute/Study Center Use Only
    Designation Signature and
    Remarks / Particulars / Recommendations
    Date
    Admission Clerk
    Admission
    Committee
    Accountant/Cashier Cash Received: Rs. Receipt No.: Date:
    Registrar/Office
    Superintendent

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