Kasegaon Education Society's
RAJARAMBAPU INSTITUTE OF TECHNOLOGY, RAJARAMNAGAR
(An Autonomous Institute)
APPLICATION FORM FOR THE ADMISSION TO THE HIGHER CLASSES DEGREE
Admission For : Second Year Diploma Mechanical Engineering (2023-2024)
To,
The Director,
Rajarambapu Institute of Technology, Rajaramnagar.
Sir / Madam,
I wish to take the admission in the college for higher class. The details are given below. I may
please be given admission to the college. I have gone through the rules and regulation of
institute and i hereby agree to abide by the rules and regulations.
Name
GAIKWAD HARSHWARDHAN MAHESH
Date of Birth
10/04/2006
Blood Group
O+
Gender
MALE
Religion/Cast
HINDU MARATHA
Mobile No.
7071435454
Email Id
gaikwadharsh122@gmail.com
Adhar Card No.
962599407208
Local Address
Permanent Address
SHRIRAM CHOWK,
RAJKAMAL
NIWAS,RAMANAND NAGAR,
PALU
SHRIRAM CHOWK,
RAJKAMAL
NIWAS,RAMANAND NAGAR,
PALU
Category
OPEN
Taluka: PALUS Dist: SANGLI
MAHARASHTRA,INDIA 416308
Taluka: PALUS Dist: SANGLI
MAHARASHTRA,INDIA 416308
MobNo./Ph.No.(With STD) 9890020936
Parent or Guardian's Name MAHESH RANGRAO GAIKWAD
Relation with Guardian
SON
Last Attended Class
First Year Diploma
Year
2022-2023
Amount Paid
9730
Paid Through
CH
Rajarambapu Sahakari Bank
Ltd
Bank
Date of Application:
Roll No.
2276001
Transaction/DD/Challan No. 0000695
Transaction Date
14/07/2023
14/07/2023
Signature of Student
FOR OFFICE USE ONLY
Admitted To :
Roll No. :
P.R.No. :
ADMISSION INCHARGE
REGISTRAR
DIRECTOR