S S College Aurangabad

PMSP Bonafide Certificate

This is to Certify That Mr/Miss/Mrs *

Son/Doughter *

Father's Name *

Mother's Name *

Class Roll No *

University Reg No *

Mobile No *

Email *

Class Name*

Course Name*

Category *

Session *

Academic Year *

Section *

Course Duration *

Current Course Year *

Admission Date It is to be given for the first year of the course (yyyy-mm-dd) *

Admission Date (yyyy-mm-dd) *

Admission Fee-Receipt Date (yyyy-mm-dd) *

Hosteller (Yes/No) *

Amount Paid by Applicant As Hosteller (Amount as per Semester/Year):Rs *

Divyang (Yes/No) *

Divyang % (If Yes) *

Lateral Entry Details (If Applicable) *

Has the student failed in the current session/last year (Yes/No) *

If yes, mention the year of failure *

Was the fee paid by the applicant in the failed year? (Yes/No) *

Last Exam Certificate *

Last Exam Marksheet *

Student Photo *

Receipt 1 *

Receipt 2

Receipt 3

Receipt 4

Here By I am Declaring that I have No Dues Remaining in the college, library or lab.