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1 of 16
4 Female Team Manager 1
3 Male Team Manager 1
5 Professional Accompanist(s) 0
7 Total 26
6 Student Accompanist(s) excluding participants 6
2 Event Participant (Female Student(s) including student accompanist(s)) 10
YOUTH FESTIVAL 2024-2025
'A' Grade NAAC Re-Accredited (4th Cycle)
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
Final Submission Copy
Mode of Departure Bus Departure Time 04:15 Departure Date 28 October 2024
Payment Details :-
Registration
Fess
1000/- Admission
Fees
Meal Fees Total
Mode of Arrival Bus Arrival Time 11:30 Arrival Date 24 October 2024
Team Name R.C.Patel Arts, Commerce & Science College,Shirpur
Male Team Manager
Name
MR. RAVINDRA NAMDEO
KOSODE
Email ID RAVINDRAKOSODE@GMAIL
.COM
Mobile No. 8378008748
Female Team
Manager Name
RAJPUT JYOTI KEVALSING Email ID ITSJKRAJPUT2001@GMAIL.
COM
Mobile No. 8080265807
1 Event Participant (Male Student(s) including student accompanist(s)) 8
Sr. No Description Numbers
Student Development Officer
Signature
Principal/Director/Head of Department
Seal & Signature
Date :-
Place :-
11/10/2024
2 of 16
1 Fine Arts Poster Making
2 Fine Arts Mehandi
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ SHIMPI JAYASHREE MADHUKAR ]
Course Name B.A. Class Second Year
ID Card No. 87 Roll No. 87 Last Exam Passing Year 2023
Address WARWADE TAL SHIRPUR DIST DHULE
Participant Personal Information
Participant Name SHIMPI JAYASHREE MADHUKAR
Date of Birth 24/03/2006 Gender Female
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
3 of 16
3 Music Indian Light Vocal
4 Music Western Vocal Solo
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PATIL ANJALI SHARADCHANDRA ]
Course Name M.Sc. Class Second Year
ID Card No. 05 Roll No. 05 Last Exam Passing Year 2023
Address At post Bhone Tal. Dist Nandurbar
Participant Personal Information
Participant Name PATIL ANJALI SHARADCHANDRA
Date of Birth 25/09/2002 Gender Female
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
4 of 16
5 Fine Arts Rangoli
6 Fine Arts Spot Painting
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ RAJPUT VISHAL SANJAY ]
Course Name M.Com. Class Second Year
ID Card No. 11 Roll No. 11 Last Exam Passing Year 2023
Address At Post Shindkheda Dist Dhule
Participant Personal Information
Participant Name RAJPUT VISHAL SANJAY
Date of Birth 10/12/2000 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
5 of 16
7 Literary Event Elocution
8 Literary Event Debate
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ JADHAV JINAL DINESH ]
Course Name B.Sc. Class Second Year
ID Card No. 52 Roll No. 52 Last Exam Passing Year 2023
Address Shirpur
Participant Personal Information
Participant Name JADHAV JINAL DINESH
Date of Birth 03/04/2005 Gender Female
Affix Participant
Recent Passport
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Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
6 of 16
Student Signature
[ BISHT SAINA BRIJPALSINGH ]
10 Fine Arts Cartooning
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.Sc. Class Second Year
ID Card No. 77 Roll No. 77 Last Exam Passing Year 2023
Address SHIRPUR
Participant Personal Information
Participant Name BISHT SAINA BRIJPALSINGH
Date of Birth 15/11/2006 Gender Female
Affix Participant
Recent Passport
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Director / HoD
9 Literary Event Debate
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PARIHAR NANDINI BHAYYASAHEB ]
Course Name B.Sc. Class Second Year
ID Card No. 328 Roll No. 328 Last Exam Passing Year 2023
Address Shirpur
Participant Personal Information
Participant Name PARIHAR NANDINI BHAYYASAHEB
Date of Birth 12/08/2005 Gender Female
Affix Participant
Recent Passport
Size Photo
Attested by
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Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
7 of 16
Student Signature
[ PAWARA SHALIKRAM SAYSING ]
12 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.A. Class Second Year
ID Card No. 15 Roll No. 15 Last Exam Passing Year 2023
Address Shemalya Tal Shirpur Dist Dhule
Participant Personal Information
Participant Name PAWARA SHALIKRAM SAYSING
Date of Birth 06/01/2005 Gender Male
Affix Participant
Recent Passport
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Attested by
Principal /
Director / HoD
11 Fine Arts Collage
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ ISHI LOKESH DIGAMBAR ]
Course Name B.Sc. Class Second Year
ID Card No. 79 Roll No. 79 Last Exam Passing Year 2023
Address Shirpur
Participant Personal Information
Participant Name ISHI LOKESH DIGAMBAR
Date of Birth 25/11/2004 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
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Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
8 of 16
Student Signature
[ DHOBI NANDANABAI DIPAK ]
14 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.A. Class Second Year
ID Card No. 50 Roll No. 50 Last Exam Passing Year 2023
Address Holnanthe Tal Shirpur
Participant Personal Information
Participant Name DHOBI NANDANABAI DIPAK
Date of Birth 03/08/2005 Gender Female
Affix Participant
Recent Passport
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Attested by
Principal /
Director / HoD
13 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PAWARA ASHA SURESH ]
Course Name B.A. Class Second Year
ID Card No. 20 Roll No. 20 Last Exam Passing Year 2023
Address Kodid Tal Shirpur
Participant Personal Information
Participant Name PAWARA ASHA SURESH
Date of Birth 29/08/2004 Gender Female
Affix Participant
Recent Passport
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Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
9 of 16
Student Signature
[ THAKARE NITA KAILAS ]
16 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.A. Class Second Year
ID Card No. 117 Roll No. 117 Last Exam Passing Year 2023
Address Shirpur
Participant Personal Information
Participant Name THAKARE NITA KAILAS
Date of Birth 05/10/2004 Gender Female
Affix Participant
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Director / HoD
15 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PAWARA JAYA BHAGIRAM ]
Course Name B.A. Class Second Year
ID Card No. 84 Roll No. 84 Last Exam Passing Year 2023
Address Dahivad tal Shirpur
Participant Personal Information
Participant Name PAWARA JAYA BHAGIRAM
Date of Birth 09/06/2005 Gender Female
Affix Participant
Recent Passport
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Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
10 of 16
Student Signature
[ PAWARA RITHESH BANSI ]
18 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.A. Class Second Year
ID Card No. 23 Roll No. 23 Last Exam Passing Year 2023
Address KODID TAL SHIRPUR
Participant Personal Information
Participant Name PAWARA RITHESH BANSI
Date of Birth 05/04/2005 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
17 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PAWARA SHARDA SHIVRAM ]
Course Name B.A. Class Second Year
ID Card No. 45 Roll No. 45 Last Exam Passing Year 2023
Address Shirpur
Participant Personal Information
Participant Name PAWARA SHARDA SHIVRAM
Date of Birth 04/08/2004 Gender Female
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
11 of 16
Student Signature
[ PAWARA SANDIP DINESH ]
20 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name B.A. Class Second Year
ID Card No. 38 Roll No. 38 Last Exam Passing Year 2023
Address SHIRPUR TAL SHIRPUR
Participant Personal Information
Participant Name PAWARA SANDIP DINESH
Date of Birth 17/06/2004 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
19 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PAWRA SALIM GOTIRAM ]
Course Name B.A. Class First Year
ID Card No. 3 Roll No. 3 Last Exam Passing Year 2023
Address SHIRPUR TAL SHIRPUR
Participant Personal Information
Participant Name PAWRA SALIM GOTIRAM
Date of Birth 05/08/2006 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
12 of 16
22 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
[ PAWARA JITESH DARASING ]
Course Name B.A. Class Second Year
ID Card No. 02 Roll No. 02 Last Exam Passing Year 2023
Address SHIRPUR TAL SHIRPUR
Participant Personal Information
Participant Name PAWARA JITESH DARASING
Date of Birth 07/02/2005 Gender Male
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
[ PAWAR RAHUL RAJU ]
21 Fine Arts Photography
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Student Signature
Course Name B.A. Class Second Year
ID Card No. 54 Roll No. 54 Last Exam Passing Year 2023
Address SHIRPUR TAL SHIRPUR
Participant Personal Information
Participant Name PAWAR RAHUL RAJU
Date of Birth 12/10/2000 Gender Male
Affix Participant
Recent Passport
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Director / HoD
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PARTICIPANT REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
13 of 16
1 Music Indian Light Vocal
2 Music Western Vocal Solo
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Candidate Signature
[ CHAUDHARI CHETAN BIRJU ]
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR DIST DHULE
Event Helper Personal Information
Participant Name CHAUDHARI CHETAN BIRJU
Date of Birth 27/05/2003 Gender Male Type of Helper Student
Affix Participant
Recent Passport
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Director / HoD
Final Submission Copy
HELPER REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
14 of 16
Candidate Signature
[ PAWARA ROSHAN LOHARYA ]
4 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR TAL SHIRPUR
Event Helper Personal Information
Participant Name PAWARA ROSHAN LOHARYA
Date of Birth 01/06/2005 Gender Male Type of Helper Student
Affix Participant
Recent Passport
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Attested by
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Director / HoD
3 Music Indian Light Vocal
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Candidate Signature
[ THAKARE SARTHAK JIJABRAO ]
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR DIST DHULE
Event Helper Personal Information
Participant Name THAKARE SARTHAK JIJABRAO
Date of Birth 01/06/2003 Gender Male Type of Helper Student
Affix Participant
Recent Passport
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Director / HoD
Final Submission Copy
HELPER REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
15 of 16
Candidate Signature
[ PAWARA DILIP NIMBU ]
6 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR TAL SHIRPUR
Event Helper Personal Information
Participant Name PAWARA DILIP NIMBU
Date of Birth 01/06/2002 Gender Male Type of Helper Student
Affix Participant
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Attested by
Principal /
Director / HoD
5 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Candidate Signature
[ PAWARA ARUN MAGAN ]
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR TAL SHIRPUR
Event Helper Personal Information
Participant Name PAWARA ARUN MAGAN
Date of Birth 01/06/2006 Gender Male Type of Helper Student
Affix Participant
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HELPER REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
16 of 16
Principal/Director/Head of Department
Seal & Signature
Student Development Officer
Signature
Date :-
Place :-
11/10/2024
It is certified that the rules and regulations of the competition have been read carefully and accordingly, the
information provided by the participant student matches the same as our official documents. Certified TC is
attached as proof of age of the student.
[ PAWARA RAMPAL KANTILAL ]
Candidate Signature
7 Dance Indian Folk Dance - Group Dance
Event Participation Details
Sr. No. Event Name Sub Eevent Name
Course Name NA Class NA
ID Card No. NA Roll No. NA Last Exam Passing Year NA
Address SHIRPUR DIST HULE
Event Helper Personal Information
Participant Name PAWARA RAMPAL KANTILAL
Date of Birth 01/06/2005 Gender Male Type of Helper Student
Affix Participant
Recent Passport
Size Photo
Attested by
Principal /
Director / HoD
Final Submission Copy
HELPER REGISTRATION FORM
YOUTH FESTIVAL 2024-2025
KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON

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  • 1. 1 of 16 4 Female Team Manager 1 3 Male Team Manager 1 5 Professional Accompanist(s) 0 7 Total 26 6 Student Accompanist(s) excluding participants 6 2 Event Participant (Female Student(s) including student accompanist(s)) 10 YOUTH FESTIVAL 2024-2025 'A' Grade NAAC Re-Accredited (4th Cycle) KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON Final Submission Copy Mode of Departure Bus Departure Time 04:15 Departure Date 28 October 2024 Payment Details :- Registration Fess 1000/- Admission Fees Meal Fees Total Mode of Arrival Bus Arrival Time 11:30 Arrival Date 24 October 2024 Team Name R.C.Patel Arts, Commerce & Science College,Shirpur Male Team Manager Name MR. RAVINDRA NAMDEO KOSODE Email ID RAVINDRAKOSODE@GMAIL .COM Mobile No. 8378008748 Female Team Manager Name RAJPUT JYOTI KEVALSING Email ID ITSJKRAJPUT2001@GMAIL. COM Mobile No. 8080265807 1 Event Participant (Male Student(s) including student accompanist(s)) 8 Sr. No Description Numbers Student Development Officer Signature Principal/Director/Head of Department Seal & Signature Date :- Place :- 11/10/2024
  • 2. 2 of 16 1 Fine Arts Poster Making 2 Fine Arts Mehandi Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ SHIMPI JAYASHREE MADHUKAR ] Course Name B.A. Class Second Year ID Card No. 87 Roll No. 87 Last Exam Passing Year 2023 Address WARWADE TAL SHIRPUR DIST DHULE Participant Personal Information Participant Name SHIMPI JAYASHREE MADHUKAR Date of Birth 24/03/2006 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 3. 3 of 16 3 Music Indian Light Vocal 4 Music Western Vocal Solo Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PATIL ANJALI SHARADCHANDRA ] Course Name M.Sc. Class Second Year ID Card No. 05 Roll No. 05 Last Exam Passing Year 2023 Address At post Bhone Tal. Dist Nandurbar Participant Personal Information Participant Name PATIL ANJALI SHARADCHANDRA Date of Birth 25/09/2002 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 4. 4 of 16 5 Fine Arts Rangoli 6 Fine Arts Spot Painting Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ RAJPUT VISHAL SANJAY ] Course Name M.Com. Class Second Year ID Card No. 11 Roll No. 11 Last Exam Passing Year 2023 Address At Post Shindkheda Dist Dhule Participant Personal Information Participant Name RAJPUT VISHAL SANJAY Date of Birth 10/12/2000 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 5. 5 of 16 7 Literary Event Elocution 8 Literary Event Debate Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ JADHAV JINAL DINESH ] Course Name B.Sc. Class Second Year ID Card No. 52 Roll No. 52 Last Exam Passing Year 2023 Address Shirpur Participant Personal Information Participant Name JADHAV JINAL DINESH Date of Birth 03/04/2005 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 6. 6 of 16 Student Signature [ BISHT SAINA BRIJPALSINGH ] 10 Fine Arts Cartooning Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.Sc. Class Second Year ID Card No. 77 Roll No. 77 Last Exam Passing Year 2023 Address SHIRPUR Participant Personal Information Participant Name BISHT SAINA BRIJPALSINGH Date of Birth 15/11/2006 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 9 Literary Event Debate Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PARIHAR NANDINI BHAYYASAHEB ] Course Name B.Sc. Class Second Year ID Card No. 328 Roll No. 328 Last Exam Passing Year 2023 Address Shirpur Participant Personal Information Participant Name PARIHAR NANDINI BHAYYASAHEB Date of Birth 12/08/2005 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 7. 7 of 16 Student Signature [ PAWARA SHALIKRAM SAYSING ] 12 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.A. Class Second Year ID Card No. 15 Roll No. 15 Last Exam Passing Year 2023 Address Shemalya Tal Shirpur Dist Dhule Participant Personal Information Participant Name PAWARA SHALIKRAM SAYSING Date of Birth 06/01/2005 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 11 Fine Arts Collage Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ ISHI LOKESH DIGAMBAR ] Course Name B.Sc. Class Second Year ID Card No. 79 Roll No. 79 Last Exam Passing Year 2023 Address Shirpur Participant Personal Information Participant Name ISHI LOKESH DIGAMBAR Date of Birth 25/11/2004 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 8. 8 of 16 Student Signature [ DHOBI NANDANABAI DIPAK ] 14 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.A. Class Second Year ID Card No. 50 Roll No. 50 Last Exam Passing Year 2023 Address Holnanthe Tal Shirpur Participant Personal Information Participant Name DHOBI NANDANABAI DIPAK Date of Birth 03/08/2005 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 13 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PAWARA ASHA SURESH ] Course Name B.A. Class Second Year ID Card No. 20 Roll No. 20 Last Exam Passing Year 2023 Address Kodid Tal Shirpur Participant Personal Information Participant Name PAWARA ASHA SURESH Date of Birth 29/08/2004 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 9. 9 of 16 Student Signature [ THAKARE NITA KAILAS ] 16 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.A. Class Second Year ID Card No. 117 Roll No. 117 Last Exam Passing Year 2023 Address Shirpur Participant Personal Information Participant Name THAKARE NITA KAILAS Date of Birth 05/10/2004 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 15 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PAWARA JAYA BHAGIRAM ] Course Name B.A. Class Second Year ID Card No. 84 Roll No. 84 Last Exam Passing Year 2023 Address Dahivad tal Shirpur Participant Personal Information Participant Name PAWARA JAYA BHAGIRAM Date of Birth 09/06/2005 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 10. 10 of 16 Student Signature [ PAWARA RITHESH BANSI ] 18 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.A. Class Second Year ID Card No. 23 Roll No. 23 Last Exam Passing Year 2023 Address KODID TAL SHIRPUR Participant Personal Information Participant Name PAWARA RITHESH BANSI Date of Birth 05/04/2005 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 17 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PAWARA SHARDA SHIVRAM ] Course Name B.A. Class Second Year ID Card No. 45 Roll No. 45 Last Exam Passing Year 2023 Address Shirpur Participant Personal Information Participant Name PAWARA SHARDA SHIVRAM Date of Birth 04/08/2004 Gender Female Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 11. 11 of 16 Student Signature [ PAWARA SANDIP DINESH ] 20 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name B.A. Class Second Year ID Card No. 38 Roll No. 38 Last Exam Passing Year 2023 Address SHIRPUR TAL SHIRPUR Participant Personal Information Participant Name PAWARA SANDIP DINESH Date of Birth 17/06/2004 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 19 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PAWRA SALIM GOTIRAM ] Course Name B.A. Class First Year ID Card No. 3 Roll No. 3 Last Exam Passing Year 2023 Address SHIRPUR TAL SHIRPUR Participant Personal Information Participant Name PAWRA SALIM GOTIRAM Date of Birth 05/08/2006 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 12. 12 of 16 22 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature [ PAWARA JITESH DARASING ] Course Name B.A. Class Second Year ID Card No. 02 Roll No. 02 Last Exam Passing Year 2023 Address SHIRPUR TAL SHIRPUR Participant Personal Information Participant Name PAWARA JITESH DARASING Date of Birth 07/02/2005 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD [ PAWAR RAHUL RAJU ] 21 Fine Arts Photography Event Participation Details Sr. No. Event Name Sub Eevent Name Student Signature Course Name B.A. Class Second Year ID Card No. 54 Roll No. 54 Last Exam Passing Year 2023 Address SHIRPUR TAL SHIRPUR Participant Personal Information Participant Name PAWAR RAHUL RAJU Date of Birth 12/10/2000 Gender Male Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy PARTICIPANT REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 13. 13 of 16 1 Music Indian Light Vocal 2 Music Western Vocal Solo Event Participation Details Sr. No. Event Name Sub Eevent Name Candidate Signature [ CHAUDHARI CHETAN BIRJU ] Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR DIST DHULE Event Helper Personal Information Participant Name CHAUDHARI CHETAN BIRJU Date of Birth 27/05/2003 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy HELPER REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 14. 14 of 16 Candidate Signature [ PAWARA ROSHAN LOHARYA ] 4 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR TAL SHIRPUR Event Helper Personal Information Participant Name PAWARA ROSHAN LOHARYA Date of Birth 01/06/2005 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 3 Music Indian Light Vocal Event Participation Details Sr. No. Event Name Sub Eevent Name Candidate Signature [ THAKARE SARTHAK JIJABRAO ] Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR DIST DHULE Event Helper Personal Information Participant Name THAKARE SARTHAK JIJABRAO Date of Birth 01/06/2003 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy HELPER REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 15. 15 of 16 Candidate Signature [ PAWARA DILIP NIMBU ] 6 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR TAL SHIRPUR Event Helper Personal Information Participant Name PAWARA DILIP NIMBU Date of Birth 01/06/2002 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD 5 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Candidate Signature [ PAWARA ARUN MAGAN ] Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR TAL SHIRPUR Event Helper Personal Information Participant Name PAWARA ARUN MAGAN Date of Birth 01/06/2006 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy HELPER REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON
  • 16. 16 of 16 Principal/Director/Head of Department Seal & Signature Student Development Officer Signature Date :- Place :- 11/10/2024 It is certified that the rules and regulations of the competition have been read carefully and accordingly, the information provided by the participant student matches the same as our official documents. Certified TC is attached as proof of age of the student. [ PAWARA RAMPAL KANTILAL ] Candidate Signature 7 Dance Indian Folk Dance - Group Dance Event Participation Details Sr. No. Event Name Sub Eevent Name Course Name NA Class NA ID Card No. NA Roll No. NA Last Exam Passing Year NA Address SHIRPUR DIST HULE Event Helper Personal Information Participant Name PAWARA RAMPAL KANTILAL Date of Birth 01/06/2005 Gender Male Type of Helper Student Affix Participant Recent Passport Size Photo Attested by Principal / Director / HoD Final Submission Copy HELPER REGISTRATION FORM YOUTH FESTIVAL 2024-2025 KAVAYITRI BAHINABAI CHAUDHARI NORTH MAHARASHTRA UNIVERSITY, JALGAON