Admission Form for Direct Second Engineering
Candidate Photo:
Course in Engineering (Branch):
Surname:
First Name:
Middle Name:
Application ID:
Password:
Student's Mobile Number:
Email-Id:
Date of Birth:
Sex (Male/Female):
Male
Female
Blood Group:
Religion:
Category:
Caste:
Aadhaar Card No.:
Annual Income (Parents):
Diploma Seat No:
Diploma Name of College:
Diploma Last Year %:
Diploma Aggregate %:
HSC Seat No:
HSC Name of College:
HSC Last Year %:
HSC Aggregate %:
SSC Seat No:
SSC Name of College:
SSC Last Year %:
Mother's Name:
Mother's Occupation:
Mother's Mobile Number:
Father's Full Name:
Father's Occupation:
Father's Mobile Number:
Parents' Permanent Address:
Pin:
Local Guardian Name:
Local Address:
Pin:
Guardian's Occupation:
Guardian's Mobile Number:
Month and Year of Passing from Last Institute:
Name and Address of Institution:
Whether Passed From Maharashtra
Yes
No
ARC. Letter:
SSC Mark List:
HSC Mark List:
Diploma Mark List:
Leaving / Transfer Certificate:
Domicile & Nationality/Birth Certificate:
Income Certificate:
EWS Certificate:
Gap Certificate (If applicable):
Aadhaar Card (Xerox):
Are you a reserved category candidate?
No
Yes
Reserve Category Candidates
Caste Certificate:
Caste Validity Certificate:
Non - Creamy Layer Certificate:
Candidate Signature:
Parent Signature:
DECLARATION BY THE STUDENT
I do hereby solemnly state that I have carefully read the Rules and Regulations stipulated by the college and I agree to abide by them.
In case if I violate any rule of conduct, discipline, attendance etc., I understand that I am liable for action that will taken by the college.
My admission shall be cancelled if I fail to fulfill my attendance above 75%.
I will pay college fees of all the years in case, I discontinue my study in the middle of the course.
In case, if I fail to submit the documents related to sanction of EBC / Scholarship / Free ship I will pay the college fees as admission in open category.
In case of any misbehavior on my part, the Principal/Correspondent may cancel my admission without any prior intimation.
By submitting the form I do hereby agree to the declaration above
Submit