Admission Form

Admission To *

Branch *

Admission Year *

Name As Per HSC/DIPLOMA Marksheet

Last Name *

First Name *

Middle Name

Gender * MaleFemale

Date of Birth *

Place of Birth *

Admission Type *

Candidature Type*

DTE Application No *

Blood Group*

Nationality *

State General Merit Number *

National Merit Number *

Is Handicapped*

Religion *

Caste *

Category *

Student's Email ID *

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Student's Aadhar No*

PAN

Defence *

Domiciled *

Registered with State Election Commission *

Whether Belong to Minority? *

Student Mobile No. *

CHANGE NUMBER

VERIFY

Student Bank Details

Account No. *

Bank Name *

Branch Name *

Branch Code

Bank Address *

IFSC Code

Is Account Linked With Aadhar*

Father's Full Name *

Profession *

Mother's Full Name *

Profession *

Annual Income *

Parent's Email ID

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Parent's Mobile No. *

VERIFY

Permanent Address Details

Permanent Address *

State *

District *

Taluka *

Pin Code *

Correspondence/Present Address Details Copy Permanent Address Details

Correspondence/Present Address *

State *

District *

Taluka *

Pin Code *

Guardian Details

Guardian Name

Relationship

Mobile

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Address

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PREVIOUS ACADEMIC DETAILS

Class	Board/University	School/College	Month	Year	Seat No.	Mark Obtained	Out Of	Percentage/SGPA
10th
12th
DIPLOMA

HSC MARK DETAILS

HSC PHYSICS MARKS	HSC CHEMISTRY MARKS	HSC MATHEMATICS MARKS	HSC VOCATIONAL SUBJECT	VOCATIONAL SUBJECT MARKS	QUALIFYING TOTAL

ENTRANCE EXAM DETAILS

EXAMNAME		ROLL NO	PHYSICS MARKS/PERCENTILE	CHEMISTRY MARKS/PERCENTILE	MATHEMATICS MARKS/PERCENTILE	TOTAL MARKS/PERCENTILE
MHT-CET
JEE

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Student Profile Image (Only png/jpg/jpeg file allow upto 200 KB)

Sr.No	Document Name	Select Document (Only PDF file allow upto 250 KB)	ACTION
1	ARC Confirmation Letter
2	Allotment Letter
3	SSC Marksheet
4	HSC or Diploma Marksheet
5	Leaving or Transfer Certificate
6	Entrance Exam Score Card
7	Nationality Certificate or Birth Certificate
8	Domicile Certificate or Birth Certificate
9	Caste Certificate
10	Caste Validity Certificate or Tokan
11	Non-Creamy Layer Certificate
12	Income Certificate (Optional)
13	Physical Handicap Certificate
14	Defense Certificate
15	EWS Certificate
16	Migration Certificate
17	Gap Certificate
18	Bank Passbook
19	Undertaking
20	Other

Undertaking : Hereby do undertake to declare that;

I am taking admission to AISSMS College of ENGINEERING, Pune in for Academic Year 2021-2022.
I will abide by the decision / rules, regulations and directions regarding fees from Savitribai Phule Pune University, from time to time.
I hereby agree to confirm the rules, acts and laws enforced by Government from time to time. I hereby undertake that as long as I am student of College / Institute, I will not behave in a manner which may result in compelling the authorities to take disciplinary action against me
I fully understand that the Principal of the College will have rights to expel, rusticate me from the college, for any infringement of the rules prescribed by the college / University / Government.
I will abide by all the rules and regulations of the college and I confirm to accept the same.

Declaration :

We hereby declare that the information given in the Admission Form is true and correct to the best of our knowledge and belief. We will be solely responsible for any consequences arising out of any wrong information.
We abide to inform any change in the information to AISSMSCOE Office.
We ensure to comply with all the above rules, regulations and requirements.
We are aware that my admission is provisional and is subject to approveal by Director of Technical Education, Savitribai Phule Pune University and Admission Regulatory Authority, Maharashtra State.
We Undertake to pay College Fees and if in case we fail to pay Fees our admission is likely to be cancelled.
We are aware that if my admission is under Reserved Category then I will be responsible for filling the online form of Scholarship / Freeship of my Category and if I fail to do so then I will be responsible for paying the full fees of college.
The College has provided us the copy of Anti Ragging rules. We are fully aware of Anti Ragging rules and regulations and we undertake to abide with the same.
We are aware that, if we avail the facility of EBC, then we will be fully responsible for filling the online Form of EBC and if fail to do so then we will be responsible for paying the full fees of College.

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COLLEGE OF ENGINEERING

FE/DSE ADMISSION FORM For A.Y. 2021-2022

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