Admission Form

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Academic Details 2024-25

* Year

* Course

Personal Information Section

* Name of the Student: (Surname)

* First Name

* Middle Name

* Father's/ Husband's Surname

* First Name

* Middle Name

* Mother's Maiden Name

* First Name

* Middle Name

आडनाव

प्रथम नाव (देवनागरी)

वडिलांचे नाव

आईचे नाव

Previous Name of the Student (changed name)

First Name

Middle Name

Reason of name change

* Marital Status

* Date of Birth: (DD-MM-YYYY)

* Gender

* Place of Birth

* Blood Group (with Rh)

* Address for correspondence

Pin Code

State

District

Tahshil

City / Town / Village

Permanent (Native Place) Address (Write only if different than ‘Address for Correspondence’)

* Mobile/ Whatsapp No.

* Email ID (Otp Purpose)

* Parents/ Guardian’s Phone No.

Legal Reservation Information Section

Domicile

* Aadhar Card No.

Voter ID No.

* Religion

* Caste Category

* Are you Physically Challenged

N. B. : At the time of admission, all Reserved Category applicant should submit his / her caste / tribe declaration form prescribed by the Government of Maharashtra.

Academic Record

Exam Passed - S.S.C
* Name of the Board
* Exam Seat No.
* School / College from Which Passed
* Total Marks Obtained
Year of Passing
Percentage / Grade

Exam Passed - H.S.C
* Name of the Board
* Exam Seat No.
* School / College from Which Passed
* Total Marks Obtained
Year of Passing
Percentage / Grade

Exam Passed - F.Y.Sem-I
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Exam Passed - F.Y.Sem-II
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Exam Passed - S.Y.Sem-III
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Exam Passed - S.Y.Sem-IV
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Exam Passed - T.Y.Sem-V
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Exam Passed - T.Y.Sem-VI
Name of the University
Exam Seat No.
College from Which Passed
Year of Passing
Total Marks Obtained/ GPA
Total Marks Out Of
Percentage / Grade

Other Information Section

* Mother Tongue

* Employment Status

* Do you wish to join NSS

* Do you wish to join DLLE

* Do you wish to go for Blended Learning

* Do you wish to go for Certificate Course?

*Hobbies and Other Interest

Attached are Documents and Certificates Section * Only image file allowed. File should not be above 1 MB.

1.	Statement of Marks of Std. 10th (Attested True Copy)
2.	Leaving Certificate of 10th
2.	Statement of Marks of Std. 12th (Attested True Copy)
3.	Leaving Certificate of 12th (only in case of transfer from other college)
1.	Certificate of Caste with Category (Attested True Copy)
2.	Non-Creamy Layer Certificate (Attested True Copy)
3.	Certificate for Physically Challenged (Attested True Copy)
4.	Provisional Statement of Eligibility (Other than Maharashtra Board / Mumbai University) (Original)
5.	Affidavit for changed name / Marriage Certificate / Gov. Gazette (Other than Maharashtra Board / Mumbai University) (Original)
6.	ABC ID
7.	EMPLOYMENT Document

Family Details

1.	Ex-Serviceman / Ward of Ex-Serviceman
2.	Active - Serviceman / Ward of Active - Serviceman
3.	Freedom Fighter / Ward of Freedom Fighter
4.	Ward of Primary Teacher
5.	Ward of Secondary Teacher
6.	Deserted / Divorced / Widowed Women
7.	Member of Project Affected Family
8.	Member of Earthquake Affected Family
9.	Member of Flood / Famine Affected Family
10.	Resident of Tribal Area
11.	Kashmir Migrant

* Occupation of the Guardian/ Parents

* Annual Income of the Guardian/ Parents (Rs.)

Career Katta

I. UPSC / MPSC Exam
II. Entrepreneurship