Sr. No.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

Name of student Aadil Akhtar Kshitij Anand Sahil Anand Aditya Arora Arzoo Arora Jaskaran Singh Aulakh Amrinder Singh Bains Sidharth Bhandari Aseem Bhatnagar Manmohan Singh Bhayal Vicky A. Bhayani Abhishek N Biradar Raghav Chandran Gaurav Chaudhary Harpreet Chawla Prateek Prakash Chawla Deepinder Singh Chhatwal Mandeep Singh Chhatwal Mahiraj Singh Chundawat Abhimanyu Singh Deora Parth Dhall Ankur Diwan Shashwat P. Dubey Shamoil Javeed Ebrahim Zeshan Navil Edulkaka Sheetal Epari Khwaja Farooqui Kriti Garg Shreya Gopinath Ishaan Gulati Vanshaj Gupta Rahul Gupta Rahul Gursahani Surbhi Jain Saksham Jain Jatin Kamboj Payal Kamboj Animesh Kapoor Amogh J. Khandalkar Mohith Kothapalli Giridhar Krishnamurthy Aakash Dilip Kukreja Akshay Kumar Nitesh Kumar Rishi Lamba Bhupen Maini Ganapathy B Maletira Parth Malhotra Rahul A Mankawade

Company Name To be filled by VBT BD Pune.

Duty To be filled by VBT BD Pune

ID proof DL DL PAN Card DL UID PAN Card PAN Card DL PAN Card DL Passport Passport DL DL DL Passport PAN Card DL DL DL DL PAN Card UID UID ST. ID Card Passport DL DL Passport DL PAN Card PAN Card DL PAN Card DL UID Passport Passport DL PAN Card UID DL

50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81

Sumedh Mathur Harshali Ajay Mohite Ankit Rajendran Nair Gopikrishna R. Nair Jatin Nanda Naman Panwar Shubham Parakh Apoorv Parihar Onkar Sanjay Parkar Harsh Anilbhai Patel Anubandh Pathak Anuj Aanil Kumar Poothatta Shefali Qadri MD. Salik Abdul Sayeed Qureshi Ridhiraj Singh Rathore Aaheli Ray Vishesh Chetan Sahgal Feroz Sandhu Saurabh Saraf M.A.Muheeb Shaikh Harshil Sharma Himanshu Sharma Shaurya Shetty Mohit Singh Swarnima Singh Saurabh Shrigopal Soni S.Sreeram Shravan Sridhar Mohammad Hamza Syed Arjit Tiwari Ashutosh Prabhakar Vikhe Subham Subhash Zine

UID PAN Card UID UID Election Comm. ID Passport DL UID DL PAN Card UID UID DL Passport DL DL PAN Card DL DL Passport PAN Card DL DL UID PAN Card DL UID Passport

ID No.: the number of the above provided card. ID Proof : Write the name of the ID card scanned. For example if passport is available and scanned, fill in 'passport' under the

ID No. RJ-27/DLC/12/225151 HR-2620120135886 BBPPA8449C 11120 09767 4063 572 01391 BDNPA5728C BMZPB8556J DL-1120120226837 BLDPB8522R MH0220120050707 K7035437 J9674336 MH0320120031635 MH20201200141300 RJ-30/DLC/12/63351 J2571222 BBKPD5460P CH01/2012/0001240 MH3120120026600 MH0120120014459 MH0220120025619 ABJPE6251B 5868 9490 8238 4469 6655 2718 K7303814 UK-0820120071968 RJ-14/DLC/12/977263 J8468703 16110011986/2/2/11 2350 9597 4382 2875 7511 6305 DL-0120120146245 BPWPK9550B MH2020100036491 2516 7513 2064 K8052992 J5324685 DL-1220120091853 BVVPM1212R 3453 8629 8649 MH3120120003002

Contact No. 9049727449 9766544339 8806595549 9960400662 8087187551 9960298119 9960281311 9960396011 9717959707 9960385891 9172333221 9004440773 9890003358 8806696082 9960347302 9920477241 9890010110 8805733133 9414239789 9785325909 9623562474 9646720372 9766730038 9870304447 9892311201 8007238631 8237238964 8806686374 9960398003 9960403704 9766543977 9960378838 8390981610 9527210629 9766546773 8888653583 7875634342 8806444926 7387691378 9766231912 9673998781 9923843344 9960195961 9960398799 9960343771 9899792018 8806685787 8552096976 9404101776

5127 6672 2448 BTNPM8322E 8768 2392 9914 7555 5504 9879 SRF0023648 K1134530 MH1720120000131 9247 1562 5780 GJ0120120044559 BXNPP4534R 3011 2264 9494 5416 9496 9351 RJ19/DLC/12/489344 H3456801 MH0120120029772 HR26-7416/2010 EHJPS1766P MH2020110037299 MP09R-2012-0021628 K0419866 CXLPS4493P RJ-23/DLC/2006/53070 MH2020100044173 2809 6653 9370 EHZPS3062Q DL-0320120296367 9173 6532 4363 H3074154

9096966664 8793403118 9823355593 9645667033 8888653674 9766544327 9503161666 9960357031 9930228744 9960377119 9960393023 8446359394 7875658600 9975793336 9799792329 9920988843 9920698787 9225717777 8407984126 9049707447 9960384935 9960404174 9870008084 9461151113 9960377647 9175965558 9645776330 9769435032 9910097664 9960393580 8888900391 9028287070

nd scanned, fill in 'passport' under the ID proof column. Similarly for driving license, PAN card etc.

Residence Address 19-20,OTC B-Block , Sajjan Nagar , 80 Feet Rd , Mahaveer Street , Udaipur , Rajasthan , 313001 503 , Airport Apartments , Sector - 47 , Plot No. 3, Gurgaon H-3 , Ridge Castle Apartments , Dada Barfi , Mehrauli , New Delhi , 110030 6, Mission Compound , Saharanpur , U.P. 247001 L.I.G. 104 , Hemant Vihar , Barra -2 , Kanpur - 208027 1295 - Urban Estate Phase - I , Jalandhar , Punjab 499 , Hawaa Singh Block , Asiad Games Village , New Delhi , 1100494 30/1 , Race Course Road , Indore (M.P.) , 452003 Flat No. 107 , Pocket - 24 , Sector - 24 , Rohini , New Delhi - 110085 272 , Paschim Vihar , Off Sirsi Rd , Jaipur , 302021 6A, 100102, Whispering Palms, Akurli Road, Lokhandwala Township, Kandivali(E), Mumbai-400101 H No. 8-825/1 , Asif Gunj , Lohar Galli , Gulbarga , Karnataka 3rd Floor , Paripriya apts, 448 , Gokhale road , near deepbangla , Model Colony , Pune I-2/67 , Awas Vikas, Keshavpuram , Kalyanpur , Kanpur , 208001 Sarb Nagar , C.P. Mission Compound , Jhansi 88-A, Collectors Colony, Opp. Nirankari Bhavan , R.C Marg , Chembur, Mumbai - 400074 H. No. 5-6-40 , Sunder Damodar Villa, New Osmanpura Aurangabad H. No. 5-6-41, Sunder Damodar Villa, New Osmanpura Aurangabad Mrs. Ritvika Kumari, Mayo College's Girls School Ajmer ,Near Mayo Link Rd, Rajasthan - 305008 D-53,54, J.K.Puram , Near Basantgarh , Pindwara , Rajasthan 12/423, Sunder Vihar , 2nd Floor, Paschim Vihar, New Delhi , 110087 House No. 1536, Sector 33D , Chandigarh 602, Nishigandha Appts. Near FCI Godown Prashant Nagar AJNI , Nagpur - 440015 42, Gitanjali , 73, Walkeshwar Rd , Mumbai - 400006 402, Tribon Greenfield Estate, A.B.Nain Rd. Opp. Juhu Post Office, Juhu Mumbai - 400049 Evita 701 , Powai , Hiranandani Gardens , Mumbai - 400079 Roshan Gali , Maqsood Colony , Farooqui Trainning Centre , Aurangabad I/11 , Gandhi Nagar , Jaipur Wydra Compound Observatory Rd, Kodaikanal , Tamil Nadu A-115 , Meera Bagh , Paschim Vihar , New Delhi - 110087 1st floor, #1, Kohli Niwas , Gandhi Ashram , Vishnu Garden , Kankhal , Haridwar , Uttarkhand 553, Shanti Nagar , Gopalpura By Pass , Jaipur , Rajasthan 26-A , PKT A-14 , Mimgiri Appts , Kalkaji Ext , New Delhi 53 , Sector - 2 ,Vaibhav Nagar , Firozabad , U.P - 283203 H No.24 , Sector 15-A , Noida , 201301 Verma Appartment Bharari Bazar , Shimla , H.P. ,171001 A-130 , R.A Line , P.O. Dilkusha Cantt , Topkhana Bazar , Lucknow - 226002 , U.P. 378, Hakikat Nagar , Kingsway Camp , Delhi - 110009 118, Dattatray Nagar, Nagar , Near Kherde Clinic - 440024 Daspalla Hills , Near Navy House, Opp. Krishna Residency, Vishakapatnam Flat No.4 , Plot no.195 , Neha Park , Jyoti Nagar , Aurangabad Bhutkarwadi , Savadi Road , Ahmednagar 21,Anand Vihar Colony,Nainital Road,Bareilly,Uttar Pradesh AT-Gupta Press,Po+Ps+Dist. Madhubani,Bihar P1/55,DLF - 2 ,Gurgaon,Haryana E-9/7 , Vasant Vihar,New Delhi - 110057 Craigmore Plantations India PVT(Ltd) , Glencarnie Estate,Kullakumby Post ,Nilgiris,Tamil Nadu FD-25,Tagore Garden,New Delhi - 110027 153,Ganesh Nagar,Sharda Chowk , Nagpur - 440009

608 , Regent Chamber , Nariman Point, Mumbai - 40021 12 , Sunflower , Garden Estate , Near K.T.Mehta High School, Nashik Road,Nashik MIG,B-59,Thakare Nagar,N2,CIDCO,,Aurangabad Dharmapuri,(H)(Po),Makkada,Kakkodi,Cherukulam,Calicut Nanda Niwas ,Near power house , new TOTU , Shimla - 1710011(H.P.) 24, R.K.Puram , Behind Shipra Hotel, Bulandshahir,U.P. - 203001 Dwarkamai Mandir Rd, Hotel Sai Dwarka , Opp. To Dwarkamai Mandir , Shirdi - 423109 Parihar Nursing Home,near Exhibition Ground,Railway Crossing , Bhoor, Bulandshahir B/503 , The Residency Umiya Nagar, Vishweshwar Nagar, Road Goregaon(E), 400063 , Mumbai 17,Samarpan Bunglow, Opp. HP Petrol Pump , Jugdes Bunglow Cross Rd. Bodakdey , Ahemdabad D8,Garden Homes,Phase 1,AlkaPuri, Near New High Court,Gwalior(M.P.) 400 , Radhika Appts. , Flat No. 2 , Sai Section Ambarnath(E) 17,5th Floor,Model Enclave Apts. Kempanna Main Rd. Vignan Nagar, Bangalore - 560037 House No. 5-1-31 , Near Ram Mandir, Osmanpura , Aurangabad 261, Umaid Heritage , Behind Umaid Bhawan Palace , Jodhpur , Rajasthan Sunflower Building , Flat No. 2 , 2nd Floor , Cuffe Parade , Mumbai - 400005 31-A, Pankaj Mansion, Dr. A.R.Road , Opp. Podar Hospital , Worli , Mumbai - 400018 G-403 , Central Park 1 , Sector 42 , Guragaon , Haryana B-204 , Ashoka Mews , Pune , Kondhwa , Pune - 48 Kausar Clinic , Silk Mills colony , Near Railway Station , Aurangabad 1 , Sanskriti Park , 5/13 , Dr. R. S Bhandhari Marg , Race Course Rd. Indore V-11/22 , DLF Phase 3 , Gurgaon , Haryana B-604 , Suraj Ventures , B.K.Marg , Mahim , Mumbai - 400016 D-10 , Basant Vihar , B/4 Central Co-operative Bank , Sikar , Rajasthan P-1 , D - 255 , DeviMarg , Bani Park , Jaipur , Rajasthan Sripuram Kasliwal heritage , Near Tapadia Knowledge Park , Shreyanagar , Aurangabad Aroma , S.V.Colony , P.O. Eranhipalam , Calicut , Kerala B - 705 , Paradise , Rahesa Vihar , Powai , Mumbai - 400072 F - 172 , Sarita Vihar , New Delhi , 110076 F - 1 , Royal Apartments , Chanakyapuri , Chunabhatti , Bhopal , 462016 Sadatpur Rd, PaomashriNagar , Loni(BK) , TAQ - Rahata , Distt Ahmednagar , Maharashtra Sai Bunglow , Manik Nagar , Near Gunjal Hospital , Nayar , Pune Rd . Ahmednagar - 414001

D proof column. Similarly for driving license, PAN card etc.

Access To be filled by VBT BD Pune

Scanned Copy of ID

Passport Size photograph