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Form Verification (For Office Use Only) Fill Date : 06/06/2024 07:36 PM - Print Date : 06/06/2024 07:36 PM
Sign. Sign.
Div & Subject Alot. Auth Division Roll No. Rcpt. Made By Rcpt. No. Amount Date
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Form Checked By Scholarship Verification Fee Category Caste Category Caste Member ID
INDIAN Maharashtra S.C. No
Nationality State of Resident Caste Category Is Handicapped
Registration Information
Student's Information
Student's Name :
TIJORE ABHISHEK VILAS
Father's Name : Mother's Name :
TIJORE VILAS JAYASHRI
Local Address :
At. Khuntefal
N.A.
Location : Taluka : District :
Shevgaon Shevgaon Ahmed Nagar
State : Country : Pin Code :
Maharashtra INDIA 414502
Permanent Address :
Khuntefal
Location Type: Location : Taluka :
N.A. Shevgaon Shevgaon
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District : State : Country :
Ahmed Nagar Maharashtra INDIA
Pin Code : Email ID :
414502 vilastijore1980@gmail.com
Mobile No. : Father's Mobile No. : Is Parent Alumni? :
9021141231 7040187076 No.
Father's Profession : Father's Occupation : Phone No 1 :
N.A. Agricultur N.A.
Gender : Birth Date : Birth Place :
Male 25/06/2005 SHEVGAON
Birth Place Taluka : Birth Place District : Birth Place State :
SHEVGAON AHMEDNAGAR MAHARASTRA
Birth Place Country : Nationality : Mother Tongue :
INDIA INDIAN Marathi
Marital Status : Blood Group : Handicap :
Single B+ No
Religion : Caste : Sub Caste :
HINDUISM MAHAR HINDU
Ration Card Type : Interest :
Yellow N.A.
Guardian's Information
Concession Information
Passport Information
Subject's Information
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2) RELATIONAL DATABASE MANAGEMENT 21122 Subject Group - A
SYSTEMS (RDBMS) (21122)
3) APPLIED ALGEBRA (21221) 21221 Subject Group - A
4) NUMERICAL ANALYSIS (21222) 21222 Subject Group - A
5) DIGITAL SYSTEM HARDWARE (21321) 21321 Subject Group - A
6) ANALOG SYSTEMS (21322) 21322 Subject Group - A
7) ENGLISH (21521) 21521 Subject Group - A
8) OBJECT ORIENTED CONCEPTS USING C++ 22121 Subject Group - A
(22121)
9) SOFTWARE ENGINEERING (22122) 22122 Subject Group - A
10) DATA STRUCTURES PRACTICAL & C++ 22123 Subject Group - A
PRACTICALS (22123)
11) DATABASE PRACTICALS & MINI PROJECT 22124 Subject Group - A
USING SOF. ENG. (22124)
12) COMPUTATIONAL GEOMETRY (22221) 22221 Subject Group - A
13) OPERATIONS RESEARCH (22222) 22222 Subject Group - A
14) PRACTICAL MATHEMATICS (22223) 22223 Subject Group - A
15) ARCHITECTURE, INTERFACING & 22321 Subject Group - A
PROGRAMMING (22321)
16) COMMUNICATION PRINCIPALES (22322) 22322 Subject Group - A
17) PRACTICAL (ELECTRONICS) (22323) 22323 Subject Group - A
18) ENGLISH (22521) 22521 Subject Group - A
19) A COURSE IN ENVIRONMENTAL AWARENESS 22727 Subject Group - A
(22727)
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ANTI RAGGING AFFIDAVIT BY THE STUDENT
Class : S.Y.BSC.COMP. -- Academic Year : 2024
1. I, TIJORE ABHISHEK VILAS S/O or D/O Mr./Mrs./Ms. TIJORE VILAS having been admitted to
BPHE Society's Ahmednagar College, Ahmednagar have received a copy of the UGC Regulations on
Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the Regulations)
carefully read and fully understood the provisions contained in the said Regulations.
2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty for abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
4. I hereby solemnly aver and undertake that I will not indulge in any behaviour or act that may beconstituted
as ragging under clause 3 of the Regulations.I will not participate in or abet or propagatethrough any act of
commission or omission that may be constituted as ragging under clause 3 of the Regulations.
5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penallaw or
any law for the time being in force.I hereby declare that I have not been expelled or debarred fromadmission in
any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to
promote, ragging; and further affirm that, in case the declaration is found to be untrue, I am aware that my
admission is liable to be canceled.
Declared on ______________________
__________________________________
Signature of Student
Name : TIJORE ABHISHEK VILAS
Adress : At. Khuntefal, Shevgaon, Shevgaon, Ahmed Nagar, , Maharashtra, INDIA, 414502
Verification
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.
Signature of Student
(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)
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AFFIDAVIT BY PARENT/GUARDIAN
Class : S.Y.BSC.COMP. -- Academic Year : 2024
__________________________________
Signature of Parent/Guardian
Name : TIJORE VILAS
Adress : Khuntefal, Shevgaon, Shevgaon, Ahmed Nagar, , Maharashtra, INDIA, 414502
Verification
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.
Signature of Parent/Guardian
(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)
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BPHE Society’s
Ahmednagar College, Ahmednagar
(2022-23)
__________________________________________________________
UNDERTAKING
I have given the exam of the class _____, whose results are
yet to be announced.