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GUJARAT TECHNOLOGICAL UNIVERSITY, AHMEDABAD

Wednesday, June 02, 2010

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User ID Name Date of Birth Nationality Gender Permanent Address

MBA06285
BHATT KRUTI SANJAYKUMAR 8-Dec-1987 Indian Female 205/ MUNISUVRAT DARSHAN APTT., NEAR N.O.P. MANEKLAL ROAD, SANDHKUVA City: NAVSARI PinCode: 396445 State: Gujarat District: Navsari Country: INDIA Union Territory : NA
MBA06285

Communication Address

205/ MUNISUVRAT DARSHAN APTT., NEAR N.O.P. MANEKLAL ROAD, SANDHKUVA City: NAVSARI PinCode: 396445 State: Gujarat Union Territory : NA District: Navsari Country: INDIA

Email ID : Mobile Number: Phone Number

KRUTI_SWEETU@YAHOO.CO.IN 9558029613 STD Code: Phone Number:

Category Information If category is not OPEN Name of the Certificate issuing authority Are you Physically Handicapped?

OPEN

No

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User ID: MBA06285 Educational Details

Is your bachelor's Degree under minimum of 10+2+4 Bachelor's Degree If Others, Please specify Result of Graduation Graduation from University 12th Std. (HSC) School located Are you a Kashmiri Migrant Declared Within Gujarat State Within Gujarat State No Grand Total Marks Examination S.S.C / 10th H.S.C / 12th Graduation Year of Passing 2003 2005 2009 University / Institute Obtained SETT R. J. J. HIGH SCHOOL SETT R. J. J. HIGH SCHOOL SARDAR PATEL UNIVERSITY 637 616 0 Out of 700 800 0 Percentage %
91 76.62

B.E

SPI

CPI

6.72

Incase of SPI and CPI, mention base information: 10 Help Centre Name Mahatma Gandhi Inst. of Tech. Edu. & Research Dist. Navsari

Declaration: I hereby declare that the particular furnished in this application form are correct to the best of my knowledge and understanding. I have verified my eligibility to apply against the category to which I am entitled. In case of incomplete information, I understand that my candidature is likely to be cancelled and in case any information furnished in the form is found to be incorrect or false, at any stage, my candidature / admission shall be cancelled. I further declare that I shall abide the provisions of the Act of rules made there under or any directions / Instruction of the Admission Committee.

Station: Date:

______________________ (Signature of the Candidate)

Checklist: The following documents are enclosed.

c d e f g c d e f g c d e f g c d e f g c d e f g c d e f g

S.S.C Marksheet HSC Marksheet School Leaving Certificate Degree first, second and in case of four year degree program third year also. Final year mark sheet if option declared is selected by a candidate. Equivalence of CPI, in case when graduation marks in CPI, SPI.

User ID: MBA06285 Application Printed on 6/2/2010 7:35:22 PM

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