Convocation Year :2018

Gujarat Technological University

Application form for

GTU Degree / Diploma Certificate

156400309102
Institute [640] R. C. TECHNICAL INSTITUTE, SOLA, AHMEDABAD

1. Name of Applicant : SOLANKI VISHAL KAMALBHAI

2. Correspondence :

  Address : B/6 TEJENDRA POINT RAW HOUSE OPP AMRAIWADI POST OFFICE NEAR UTTKARSH HIGH

SCHOOL,AMRAIWADI, AHEMDABAD Gujarat 380026

  Email : vissh.solanki.102@gmail.com

  Contact. (Phone)  : 9106772726     (Mob.)  : 9106772726

  Aadhar : 589510905225
   
3. Passing Out Educational Qualification :  

DI

Branch : [09] ELECTRICAL ENGINEERING

Month & Year passing : Jun 2018

CPI : 8.55

CGPA : 8.67
 
4. Whether willing to receive degree in person or in absentia (Tick) :   Absentia
5. Transaction Details :
Degree/Diploma Payment Detail
  Challan No. : DUA4194048
  Total Amount. : 300
  Branch Name. : REGAL ESTATE
  Challan Date. : 13-Dec-2018
6. Part of GTU Allumni :
  Allumni. : NO

: Declaration :
I agree that I have submitted my own detail, the detail are right as per my confirmation. If this information will be wrong then I may be bound with legal affairs or advocate
illegal activity. I am also confirmed that I register here for my own convocation application, if i found with registering other's information, then GTU can claim illegal activity
to me. I must use every effort to keep my password safe and should not disclose it to any other person. I shall also not permit, either directly or indirectly, any other person
to utilize my User ID or password. GTU not responsible, if any other person misuses the service by logging into your account.

Very Important:
* I have verified all my details (Including Name , Photo & Other Degree Certificate Details) and I know that it cannot be
changed later on after printing Degree Certificate.
Date : 13/12/2018
Place : Signature of Applicant