Application Form

FACULTY : SCIENCE / COMMERCE / ARTS CLASS : XI
PERSONAL INFORMATION
FIRST NAME * LAST NAME *
FATHER'S NAME * MOTHER'S NAME *
GENDER MALE FEMALE * BIRTH DATE   *
ADDRESS FOR CORRESPONDENCE
LINE 1 * LINE 2 *
PINCODE * CITY *
DISTRICT * TELEPHONE NUMBER
PERMANENT ADDRESS ( IF SAME AS ADDRESS FOR CORRESPONDENCE)
LINE 1 * LINE 2 *
PINCODE * CITY *
DISTRICT * TELEPHONE NUMBER
MOBILE NUMBER * EMAIL ID *
FATHER'S OCCUPATION * ANNUAL INCOME *
CATEGORY * MARITAL STATUS MARRIED UNMARRIED *
RELIGION * MINORITY *
CASTE * SUB CASTE *
DISABILITY YES NO * NATIONALITY *
BLOOD GROUP * AADHAR CARD(UID NUMBER)
PHOTO
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FOR STUDENTS COMING FROM OTHER STATES AND ABROAD
NAME OF THE COUNTRY * NATIONALITY *
R. P. NUMBER DATE OF ISSUE DATE OF EXPIRE PLACE OF ISSUE
PASSPORT * * * *
VISA * * * *
EDUCATIONAL QUALIFICATION
NAME OF THE SCHOOL LAST ATTENDED *
MEDIUM OF THE INSTRUCTION FOR * MS-CIT PASSED REGISTERED NO *
LAST EXAM ATTENDED * IN *
YEAR OF PASSING * SEAT NUMBER *
GEN. REGISTER NO * BOARD *
MARKS STATEMENT FOR S.S.C
S.No. SUBJECT MARKS OBTAINED OUT OF
1. ENGLISH * *
2. II ​LANGUAGE * *
3. III ​LANGUAGE * *
4. SCIENCE * *
5. MATHS * *
6. SOCIAL SCIENCE * *
7. EVS * *
TOTAL MARKS OBTAINED * OUT OF * PERCENTAGE *
SELECT SUBJECT*
Science general group
S.NO. SUBJECT
1 English
2 EVS
3 Health and physical education
4 Marathi
Hindi
5 Physics
6 Chemistry
7 Mathematics
Geography
8 Biology
Science with bifocal group
S.NO. SUBJECT
1 English
2 EVS
3 Health and physical education
4 Physics
5 Chemistry
6 Mathematics
7 Computer science
Commerce
S.NO. SUBJECT
1 English
2 EVS
3 Health and physical education
4 Marathi
Hindi
5 Organisation of commerce
6 Secretarial Practice
7 Book keeping and accountancy
8 Economics
Arts
S.NO. SUBJECT
1 English
2 EVS
3 Health and physical education
4 Marathi
Hindi
5 History
6 Political science
7 Sociology
8 Economics
UNDERTAKEN FROM STUDENT
I AGREE AND ACCEPT THE FOLLOWING TERMS & CONDITION.
  1. I HEREBY DECLARE THAT ABOVE INFORMATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AM AWARE THAT IF ANY INFORMATION HEREIN IS FOUND TO BE INCOMPLETE, MY APPLICATION FORM WILL BE REJECTED/ADMISSION WILL BE CANCELLED.
  2. I HERE BY SUBMIT TO THE DISCIPLINARY JURISDICTION OF THE PUNE DIVISIONAL BOARD AND THE SCHOOL AUTHORITIES AND SHALL OBSERVE AND ABIDE BY THE RULES MADE IN THIS RESPECT.
  3. I HAVE CAREFULLY NOTED THE RULES AND PROCEDURES OF ADMINISTRATION AS GIVEN IN THE PROSPECTUS.
  4. I SHALL ATTEND THE LECTURE AND PRACTICALS FOR EACH COURSE REGULARLY AS PER THE RULES OF PUNE DIVISIONAL BOARD.