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9/3/2019

SANT GADGE BABA AMRAVATI UNIVERSITY


EXAMINATION APPLICATION FORM
WINTER-2019
Type of Programme UG
Name of Course / Level Bachelor of Architecture (CGS) - Semester - VII
Branch (Bachelor of Architecture (CGS))
Name of College/Institute College Of Engineering And Technology, Akola-(212)
College Area Urban
Enrollment No 162129112007
PRN No 162129112007

PERSONAL DETAILS
1. Full Name Of The Applicant: (SHRI.) GAURAV HARISH SADHWANI
2. Gaurdian's/Husband's Full Name: Mr. HARISH SADHWANI
3. Mother's Full Name: Mrs. ROMA
4. Correspondence Address: Gopi nivas addarsh colony akola,, ,444001
(With Pin Code)
5. Permanent Address: Gopi nivas addarsh colony akola,, ,444001
(With Pin Code)
6. E-mail-ID : gsado.3@gmail.com 7. Contact No. : 7030303720
8. Date of Birth: 3/3/1998 9. Applicant Gender: MALE
10.Category: GN 11.Religion: HINDU
12.Mother Tongue: SINDHI 13.Medium of Instruction: English
14.Differently Abled/Divyang: NO 15.Nationality: Indian
Subjects offered:
SUBJECT CODE SUBJECT NAME PAPER TYPE THEORY PRACTICAL
Compulsory
10057 Advance Construction - I THEORY --
Paper
Compulsory
10058 Environmental Services - I THEORY --
Paper
Compulsory
10059 Professional Practice THEORY --
Paper
Compulsory
10060 Urban Planning THEORY --
Paper
Compulsory
10061 Architectural Structure - VI THEORY --
Paper
Compulsory
10062 Architectural Design Studio - VII -- PRACTICAL
Paper
Compulsory
10063 Advance Construction Studio - I -- PRACTICAL
Paper
Compulsory
10064 Urban Planning Studio -- PRACTICAL
Paper

Date: Applicant Signature

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9/3/2019

Student Declaration :
WINTER-2019
REGULAR
Name of Examination : (Bachelor of Architecture Medium : English
(CGS))
Semester : Semester - VII.
Subject (Only for :
P.G.Exams)
Examination Centre :

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

( Student should take printout of two copies & one copy Submit to College/Institute )
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)

FEE DETAIL (FOR OFFICIAL USE ONLY)


The Fee Amount to be Paid by Candidate is : RS 820 /-
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