- Admissions

APPLICATION FOR ADMISSION

Form No.{{formNumber}}

To,
The Principal

Respected Sir/Madam,
I seek admission to the First/Second/Third Year Degree Class of your college. I hereby agree to abide by all rules and regulations of the college.

Important instructions for students :

a. Read prospectus carefully before filling the admission form

c. Fill in all fields in CAPITAL English letters only.

d. Select appropriate Option.

Students Email ID.

Students Mobile Number

Have you availed

Freeship

Scholarship

during Academic Year {{academicYear}}

Course :

Course Code :

Year (1st, 2nd, 3rd)

Exam Centre Name :

Semester I :

Semester II for MCA :

Applied Under

a) General Category

b) Reserved Category

1. Old Students

2. Transfer Certificate

3. Migration

4. Eligibility

5. Enrolment

16 Digit PRN / Roll No. and Year, if already given

A. Personal Information Section

1. Name of the Student (in English):

Surname(Last Name)

First Name

Father's/Husband's Name

Mother's Name

2. Name of the Student as printed on the School certificate

Surname(Last Name)

First Name

Father's/Husband's Name

Mother's Name

Previous Name of the Student (In case of Name change) :

Surname(Last Name)

First Name

Father's/Husband's Name

Mother's Name

Reason for Name Change :

Willingly

After Marriage

Marital Status :

Unmarried

Married

2. Date of Birth

3. Place of Birth

4. Gender: Male / Female

5. Mother Tongue

6. Nationality

7. Religion

8. Aadhaar Card No.

9. Student UDISE No.

10. Information regarding Extra Curricular Activities

11. Student's location Category :

Rural

Urban

Tribal Area

City/ Town/ Village

Tehsil

District

State

Country

13. Contact Details :

Phone # 1

Phone No

Phone # 2

Phone No

Mobile No.

E-Mail

Is student a NRI/Foreign student? :

Yes

If Yes Attached following documents Xerox for information.
Passport No, Validity, Country, Type of Indian Visa, Visa Validity, Visa/Residential Permit No., Date of Issue, Police Verification Report,

Sponsoring Agency :

Private

Government

Others

Legal Reservation Category Information Section :

Domicile of State :

Reservation Category :

Open / Merit

Reserved

Caste :

Sub-Caste :

If Reserved please specify:

Scheduled Castes (SC)

Scheduled Tribes (ST)

Nomadic Tribes (NT-A)

Nomadic Tribes (NT-B)

Nomadic Tribes (NT-C)

Nomadic Tribes (NT-D)

Other Backward Class (OBC)

Special Backward Class (SBC)

Economically Backward Classes (EBC)

Educationally Backward Classes (PTC)

STC

If Physically
Challenged :

Visually Impaired

Speech Impaired

Hearing Impaired

Mentally Retarded

Orthopedic Disorder

Percentage of Disability :

3. Educational Details Section :

[Write ‘YES' in the last column, against the qualifying examination, on the basis of which you are seeking admission to the said course. Write ‘NO' in front of other examinations]
Please Note: 10th & 12th Details are mandatory if passed.

Last College Attended :
Name of Examination	Name of Board / University State	Name of School/College	Date of Passing (MM/YYYY)
Std 12th
Degree
SY
FY
Other

Year	Roll No	Examination Seat No. (Last)	Passing Certificate No.	Marks Obtained	Out of	Result
Std 12th
Degree
SY
FY
Other

4. Name of Subject and Codes

for semester pattern courses select Sem 1 and Sem 2 subjects also.

Select the subjects as per respective courses from the prospectus.

Bachelor of Commerce (B.Com.)

Bachelor of Accounts & Finance (B.A.F.)

Bachelor of Science in Information Technology (B.Sc - IT)

Bachelor of Science in Computer Science (B.Sc - CS)

Name of Subject / Specialization / Group :

Select The Language in which you want the Study Material Answering Language For :

English

Hindi

Marathi

5. Student's Work experience or Employment Details

If Employed :

Service

Business

Self Employment Profession

Other

If student is not Employed Write Fathers Occupations and Income Details

Occupation Students / Father :

Experience in Years :

Annual Income :

Gap in Education :

6. Declaration by Student

I hereby declare that, I have read the rules related to admission as given in the prospectus; and that the information furnished by me is true and complete to the best of my knowledge. I am aware that my admission will be finalized by the University headquarters and that the admission fee will not be returned or transferred to next year in any case. I further agree that the decision taken by the University and any change made in the rules regarding admission from time to time will be binding on me.

Please Upload a passport size (35 mm X 45 mm) Photograph here. File should not exceed XXKB size.

Passport Size Photograph

Upload student signature, sign only with black ink. File should not exceed XXKB size.

Signature

I have noted the statement above signed by my ward and I shall see he/she observes the rules of the college.

Signature of Guardian

I hereby declare that I fully intend to complete my education by obtaining a seat at your institution.

Signature of the Applicant

Vidyavikas Degree College

APPLICATION FOR ADMISSION

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