pragati sy AF
pragati sy AF
pragati sy AF
Form Verification (For Office Use Only) Fill Date : 28/05/2024 08:02 PM - Print Date : 28/05/2024 08:02 PM
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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 O.B.C. No
Nationality State of Resident Caste Category Is Handicapped
Registration Information
Student's Information
Student's Name :
SHINDE PRAGATI SURESH
Father's Name : Mother's Name :
SURESH PRALHAD SHINDE MANGAL
Local Address :
PIMPALGAON MALVI
N.A.
Location : Taluka : District :
Pimpalgaon Malvi Ahmednagar Ahmed Nagar
State : Country : Pin Code :
Maharashtra INDIA 414601
Permanent Address :
PIMPALGAON MALVI
Location Type: Location : Taluka :
N.A. Pimpalgaon Malvi Ahmednagar
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District : State : Country :
Ahmed Nagar Maharashtra INDIA
Pin Code : Email ID :
414601 pragatishinde578@gmail.com
Mobile No. : Father's Mobile No. : Is Parent Alumni? :
9373129664 9307605113 No.
Father's Profession : Father's Occupation : Phone No 1 :
N.A. N.A. N.A.
Gender : Birth Date : Birth Place :
Female 29/03/2005 AHMEDNAGAR
Birth Place Taluka : Birth Place District : Birth Place State :
NAGAR AHMEDNAGAR MAHARASHTRA
Birth Place Country : Nationality : Mother Tongue :
INDIA INDIAN Marathi
Marital Status : Handicap : Religion :
Single No HINDUISM
Caste : Interest :
SUTAR N.A.
Guardian's Information
Other Activity :
(None)
Short Term Course Offered by Inst. : Preparing for Competitive Exam :
N.A. N.A.
Availed Earn & Learn Scheme :
N.A.
Concession Information
Passport Information
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Subject's Information
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ANTI RAGGING AFFIDAVIT BY THE STUDENT
Class : S.Y.BSC.COMP. -- Academic Year : 2024
1. I, SHINDE PRAGATI SURESH S/O or D/O Mr./Mrs./Ms. SURESH PRALHAD SHINDE 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 : SHINDE PRAGATI SURESH
Adress : PIMPALGAON MALVI, Ahmednagar, Pimpalgaon Malvi, Ahmed Nagar, , Maharashtra,
INDIA, 414601
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 : SURESH PRALHAD SHINDE
Adress : PIMPALGAON MALVI, Ahmednagar, Pimpalgaon Malvi, Ahmed Nagar, , Maharashtra,
INDIA, 414601
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.