Savitribai Phule Pune University, Pune
National Service Scheme
Adventure camp Narkanda, Himachal Pradesh
List of Selected Volunteers
Dt. 28 Feb 2015 to Dt.9 March 2015
No
M1
Volnteers Name
Pune City
Pratik Sangale
M2
Sahil Kelkar
M3
Kunal Chormule
College
Abasaheb Garware College,
Karve road, Pune –411 004
Std
T.Y.B.A.
Kannada Sanghas, Kaveri College of
Sci & commerce, Erandwane, Pune
Sir Parshubhau College, Pune
Mob
9503295098
8007189711
Appasaheb Jedhe College, Pune
F4
F5
Krutika Surya
M6
Pune Rural
Ravindra Naikodi
M7
Yadav Chetan Chagan
Arts & Science College Kalamb
Walchandnager, Indapur, Pune
F.Y.B.A.
F8
Diksha Ramdas Bhujbal
Arts, comm. college Talegaon
Dhamdhere, Tal- Shirur
T.Y.B.Com 7276327318
F9
T. J. College, Khadaki, Pune
T.Y.B.Com 9762338546
F10
Vyankatrajani Ramayya
B.
Gauri Shahaji Supute
M.S. Kakade Mahavidyalay
Someshwar Nagar
7507021031
M11
Ahemadnager
Pande Sagar Shivaji
M12
Khatale Sharad Sahadu
M13
Amit Annasaheb Dhage
F14
Shejwal kajal kisan
F15
Jadhav Joti Sampat
Bharti Vidyapith Engineering
College, Pune
7798826565
Arts & Science College Nimgaon
Sava, Junner, Pune
8600383003
Sangamner Nagarpalika Arts, D. J.
Malpani Comm. & B. N. Sarada Sci.
College, Sangamner,
S.Y.B.A.
9762056667
Dhanvantari Arts & Science College
Dhavalpuri
Shri Saibaba Institute of Engineering
Research & allied science, Rahata
Ramesh Phirodia Arts,Comm. &
Science College, Sakur,
Tal- Sangamner,Dist- A’ Nagar
F.Y.B.A.
8390899495
S.Y.B.Sc
9527136411
Arts Comm. & Sci. College,
Alkuti, Tal – Parner
Dist- A’ Nagar
S.Y.B.A.
c/o
9404311/23
8446250091
M16
Nashik
Roshan Shevale
M17
F18
Raite Satish Shashikant
Pooja Haribhau Jadhav
F19
Sarasvati Tukaram Jadhav
F20
Chetana Dinesh Sharma
MTeam
Leader
FTeam
Leader
Dr. Deepak Gaikwad
K. K. Wagh College of Engineering,
Vidyanagari, Panchavati, Dist –
Nashik
K.T.H.M. College, Nashik
NVPM Arts, Sci. & Commerce
College Lasalgaon,
Tal – Niphad, Dist – Nashik
K. K. Wagh Arts, Sci. & Comm.,
College, Pimpalgaon (B),
Tal – Niphad,
Dist – Nashik – 422 209
KSKW CIDCO College
Nashik – 422 403
Shahu Mandir ASC College, Parvati,
Pune
T.Y.B.Eng.
9405667157
S.Y.B.Com 8888243145
S.Y.B.Com 8605343927
8605705795
S.Y.B.A.
9011233345
9637757896
7350179009
9049097037
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 India 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