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12/6/2014

convo4deg.gtu.ac.in/convocation.aspx?x497Z8nR8yNAKVhpOeqyJjKG6lGxbBuu

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GujaratTechnologicalUniversity,Ahmedabad

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ApplicationformforGTU'sFourthConvocation(2014)

EnrollmentNo. 100410116036
Institute

[041]SARDARVALLABHBHAIPATELINSTITUTEOF
TECHNOLOGY,VASAD

1.NameofApplicant:DHONGANIVINITARAJKUMAR
?

CollegeDegree

2.Correspondence:

Address:c18motinagarsociety,harniwarashiyaringroad,baroda
nearshivvatikabarodaGujarat390006

GrantsAnd
Scholarships
UniversityOfPhoenix

Email:Vinita_dhongani@yahoo.in
Contact.(Phone):02652532100(Mob.):9726480131

4.PassingOutEducationalQualification:

BE

CollegeAdmissions
AlumniAssociation
DegreePrograms

Branch:[16]INFORMATIONTECHNOLOGY
Month&Yearpassing:Jul2014
CPI:7.47
CGPA:7.76

5.Whetherwillingtoreceivedegreeinpersonorinabsentia(Tick):Absentia

Undergraduate

6.Comingwithparents:No

Admissions

7.TransactionDetails:

SummerSemester

Degree/DiplomaPaymentDetail
ChallanNo.:DU09024592
TotalAmount.:500
BranchName.:SBIHarniWarasiaRingRoad
ChallanDate.:6Dec2014

UniversityOfNorth

8.PartofGTUAllumni:

AccreditedOnline

Allumni.:NO

AlumniPaymentDetail
ChallanNo.:
TotalAmount.:200
BranchName.:
ChallanDate.:

:Declaration:

IagreethatIhavesubmittedmyowndetail,thedetailarerightaspermyconfirmation.IfthisinformationwillbewrongthenImaybebound
withlegalaffairsoradvocateillegalactivity.IamalsoconfirmedthatIregisterhereformyownconvocationapplication,ififoundwithregistering
other'sinformation,thenGTUcanclaimillegalactivitytome.Imustuseeveryefforttokeepmypasswordsafeandshouldnotdiscloseittoany
otherperson.Ishallalsonotpermit,eitherdirectlyorindirectly,anyotherpersontoutilizemyUserIDorpassword.GTUnotresponsible,ifany
otherpersonmisusestheservicebyloggingintoyouraccount.

VeryImportant:
*Ihaveverifiedallmydetails(IncludingName&OtherDegreeCertificateDetails)andIknow
thatitcannotbechangedlateronafterprintingDegreeCertificate.
Date:06/12/2014
Place:

http://convo4deg.gtu.ac.in/convocation.aspx?x497Z8nR8yNAKVhpOeqyJjKG6lGxbBuu

SignatureofApplicant

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12/6/2014

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