Savitribai Phule University, Pune National Service Scheme Adventure camp Narkanda, Himachal Pradesh List of Selected Volunteers Dt. 28 Feb 2015 to Dt.9 March 2015

No Volnteers Name College Std Mob Pune City M1 Pratik Sangale Abasaheb Garware College, T.Y.B.A. 9503295098 Karve road, Pune –411 004

M2 Sahil Kelkar Sanghas, Kaveri College of 8007189711 Sci & commerce, Erandwane, Pune

M3 Kunal Chormule Sir Parshubhau College, Pune

F4 Appasaheb Jedhe College, Pune

F5 Krutika Surya Bharti Vidyapith Engineering 7798826565 College, Pune Pune Rural M6 Ravindra Naikodi Arts & Science College Nimgaon Sava, Junner, Pune

M7 Yadav Chetan Chagan Arts & Science College Kalamb F.Y.B.A. 8600383003 Walchandnager, Indapur, Pune

F8 Diksha Ramdas Bhujbal Arts, comm. college Talegaon T.Y.B.Com 7276327318 Dhamdhere, Tal- Shirur

F9 Vyankatrajani Ramayya T. J. College, Khadaki, Pune T.Y.B.Com 9762338546 B. F10 Gauri Shahaji Supute M.S. Kakade Mahavidyalay 7507021031 Someshwar Nagar Ahemadnager M11 Pande Sagar Sangamner Nagarpalika Arts, D. J. S.Y.B.A. 9762056667 Malpani Comm. & B. N. Sarada Sci. College, Sangamner,

M12 Khatale Sharad Sahadu Dhanvantari Arts & Science College F.Y.B.A. 8390899495 Dhavalpuri M13 Amit Annasaheb Dhage Shri Saibaba Institute of Engineering 8446250091 Research & allied science, Rahata F14 Shejwal kajal kisan Ramesh Phirodia Arts,Comm. & S.Y.B.Sc 9527136411 Science College, Sakur, Tal- Sangamner,Dist- A’ Nagar

F15 Jadhav Joti Sampat Arts Comm. & Sci. College, S.Y.B.A. c/o Alkuti, Tal – Parner 9404311/23 Dist- A’ Nagar

Nashik M16 Roshan Shevale K. K. Wagh College of Engineering, T.Y.B.Eng. 9405667157 Vidyanagari, Panchavati, Dist – Nashik M17 Raite Satish Shashikant K.T.H.M. College, Nashik S.Y.B.Com 8888243145 F18 Pooja Haribhau Jadhav NVPM Arts, Sci. & Commerce S.Y.B.Com 8605343927 College Lasalgaon, 8605705795

Tal – Niphad, Dist – Nashik F19 Sarasvati Tukaram Jadhav K. K. Wagh Arts, Sci. & Comm., S.Y.B.A. 9011233345 College, Pimpalgaon (B), 9637757896 Tal – Niphad, Dist – Nashik – 422 209 F20 Chetana Dinesh Sharma KSKW CIDCO College 7350179009 Nashik – 422 403 M- Dr. Deepak Gaikwad Shahu Mandir ASC College, Parvati, 9049097037 Team Pune Leader F- Team Leader

Programme Coordinator National Service Scheme

Annex.-III

Certificate of Medical/Physical Fitness – A Specimen

Signature of the Candidate……………………………………...

I do hereby certify that I have examined Mr./Ms……………………………Son/Daughter of…..…………………………… and found fit for undergoing rigorous training for Pre-Republic Day/Republic Day Camp.

The candidate whose signatures are given above is not suffering any communicable or chronic disease, which may cause any hindrance in his/her participation in the above-mentioned rigorous training programme.

Signature of the Medical Officer with Seal Station:______

Dated:______

Annex.-IV

Form of Indemnity – A Specimen

In consideration of my being nominated at my request to undergo all types of training and also participating in any camp/course/adventure training activities in/outside NSS and traveling I undertake and agree that neither I nor my executer/ administrator will make any claim against the Government of or against any officer of NSS/Principal/Programme Officer/ Programme Coordinator/State Liaison Officer/Youth Officer/ Assistant Programme Adviser/Deputy Programme Adviser/ Programme Adviser in respect of any loss or injury to the property or person (including injury resulting in death), which may suffer while or inconsequence of my being in training/ participating in any camp/course/adventure training activities in/ outside NSS and traveling and I understand that no compensation will be paid by Government of India or any Officer as mentioned against any such loss or injury (including injury resulting in death) and I agree so as to bind myself, executers and administrators to indemnity to the Government of India, any NSS official and any person in the service of Government of India, against any claim which may be made any third party against them or any of them arising out of any ac or default on my part during or in connection of said training camp/course/NSS Pre-RD Parade/RD Parade Camp/adventure training and journey by road/rail/sea/river/flight.

Signatures of the applicant with address

In the presence of Witness 1 ______

Witness 2 ______

NB: One of the witnesses must be the parent/guardian of the NSS volunteer with address

Annex.-V

Volunteer ship Certificate – A Specimen

It is certified that Shri./Kum………………………………. Son/Daughter of Shri……………………………. is a bona-fide student of (name of institution) …………………………………

He/ She is a regular NSS volunteer from……………. and has completed his/her one year of volunteer ship and he/she is neither a member of NCC nor a member of Scouts and Guides/ Rovers/Rangers.

He has attended NSS Special camp from…….to…… (Date) at…… (Venue)

Signatures of the Programme Officer with seal Signatures of the Principal with seal