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Syba Admission Form

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0% found this document useful (0 votes)
320 views5 pages

Syba Admission Form

Uploaded by

satarou gojo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Savitribai Phule Pune University

CAMP EDUCATION SOCIETY


DR. ARVIND B.TELANG SR. COLLEGE OF ARTS, SCIENCE & COMMERCE

Sector No. 27/A,Pradhikaran, Nigdi, Pune, Maharashtra 411044


020-27658596, Email ID : [email protected]
Admission Form Details (Academic Year : 2022-2023)

Form Verification (For Office Use Only) Fill Date : 07/10/2022 05:02 PM - Print Date : 07/10/2022 05:32 PM

Sign. Sign.
Div & Subject Alot. Auth Division Roll No. Rcpt. Made By Rcpt. No. Amount Date

Sign. Sign.
Form Checked By Scholarship Verification Fee Category Caste Category Caste Member ID
INDIAN Maharashtra OPEN No
Nationality State of Resident Caste Category Is Handicapped

Registration Information

Admission Form Number : 1721140

Registration Number : 2100147489

Admission Type : Section : Class :


Provisional U.G. S.Y.BA -CREDIT
Division : Fee Category : Caste Category :
NON-GRANT PAYING OPEN
Eligibility No.(UG & PG) : Adhaar Card No. :
12021137564 751989802347

Student's Information

Student's Name :
PANDEY AAKASH KRISHNAMURARI
Father's Name : Mother's Name :
KRISHNAMURARI PANDEY NILU
Local Address :
WALHEKARWADI NISARG HSG SOC. CHINCHWAD
Location : Taluka : District :
Chinchwadgaon Pune City Pune
State : Country : Pin Code :
Maharashtra INDIA 411033
Email ID : Mobile No. :
[email protected] 9373839770
Father's Mobile No. : Gender : Birth Date :
Male 24/04/2004
Nationality : Blood Group : Is Organ Donor :
INDIAN N.A. No.
Religion : Caste : Sub Caste :
HINDUISM BRAHMIN N.A.

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 1
[email protected].(Form No.:1721140)
Last Year's Details with (TC/LC)/Migration/Eligibility Information

Last Attended Institute Name :


CES AV TELANG SR COLLEGE
Last Attended Examining Body (Board/University) :
N.A.
Last Attended Class : Eligibility : State of Residence :
FYBA N.A. M.S.
Last Qualified Exam : Passing Month : Passing Year :
FYBA Jun 2022
Percentage : Result : Attempt :
N.A. - 1st

Subject's Information

Medium : English
Subject Name Subject Code Subject Group
1) SEM III : COMPULSORY ENGLISH (CORE 23001 Compulsory
COURSE- I ) (23001)
2) SEM III : ENVIROMENTAL AWARNESS (23999) 23999 Compulsory
3) MS OFFICE (MSO) MSO Compulsory
4) SEM IV : ENVIROMENTAL AWARNESS (SEM IV SEM IV 2999A Compulsory
2999A)
5) SEM IV : COMPULSORY ENGLISH (CORE SEM IV ENG Compulsory
COURSE- II ) (SEM IV ENG)
6) SEM III : ECO BASIC CONCEPT OF RESEARCH 23154 Optional Subject - A1
METHODOLOG (23154)
7) SEM III : SEC-1A ADVANCED STUDY OF 23333 Sub-Group - EAA1
ENGLISH LANGUAG
8) SEM IV : ADDITIONAL ENGLISH G2 : SKILL SEM IV G2 Sub-Group - EAA1
ENHANCEMENT ADEN
9) SEM III : HINDI G2 ADHUNIK KAVYA, KAHANI 23093 Sub-Group - EAC1
TATHA VYA
10) SEM IV : HINDI G2 ADHUNIK VYANGA TATHA SEM IV G2 HIN Sub-Group - EAC1
VYAVHARIK H
11) SEM III : ECONOMICS SP 1 MICRO 23151 Subject Group - E
ECONOMICS -I (SUKSH (23151)
12) SEM III : ECONOMICS SP 2 MACRO 23152 Subject Group - E
ECONOMICS -I (SAMAG (23152)
13) SEM III : ECONOMICS G2 FINANCIAL SYSTEM - 23153 Subject Group - E
I (VITTI (23153)
14) SEM III : ECO BASIC CONCEPT OF RESEARCH 23154 Subject Group - E
METHODOLOG (23154)
15) SEM III : ECO BASIC CONCEPT OF RESEARCH 33154 Subject Group - E
METHODOLOG (33154)
16) SEM IV : ECONOMICS SP 1 MICRO SEM IV ECO S1 Subject Group - E
ECONOMICS -II (SUKSH (SEM IV ECO S1)
17) SEM IV : ECONOMICS SP 2 MACRO SEM IV ECO S2 Subject Group - E
ECONOMICS -II (SAMAG (SEM IV ECO S2)
18) SEM IV : ECONOMICS G2 FINANCIAL SYSTEM - SEM IV G2 ECO Subject Group - E
II (VITTI (SEM IV G2 ECO)

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 2
[email protected].(Form No.:1721140)
PANDEY AAKASH KRISHNAMURARI PANDEY AAKASH KRISHNAMURARI
Scanned Signature Student's Signature

Undertaking

We hereby certify that the information provided in this application form is correct. We undertake to
abide by the rules and regulations of the college and the orders issued by the competent authorities from time
to time. We are agree that decision of the principal in respect of the student’s admission will be binding upon
us.

Parent's Signature Student's Signature

Admission Admission Not


Principal's/Vice Principal's/Authority Signature Confirmed Confirmed

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 3
[email protected].(Form No.:1721140)
ANTI RAGGING AFFIDAVIT BY THE STUDENT
Class : S.Y.BA -CREDIT -- Academic Year : 2022

Registration No. :2100147489 Date : 07/10/2022 05:32 PM

1. I, PANDEY AAKASH KRISHNAMURARI S/O or D/O Mr./Mrs./Ms. KRISHNAMURARI PANDEY


having been admitted to CAMP EDUCATION SOCIETY DR. ARVIND B.TELANG SR. COLLEGE OF
ARTS, SCIENCE & COMMERCE have received a copy of the UGC Regulations on Curbing the Menace of
Ragging in Higher Educational Institutions, 2009, (hereinafter called the Regulations) carefully read and fully
understood the provisions contained in the said Regulations.
2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty for abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
4. I hereby solemnly aver and undertake that I will not indulge in any behaviour or act that may beconstituted
as ragging under clause 3 of the Regulations.I will not participate in or abet or propagatethrough any act of
commission or omission that may be constituted as ragging under clause 3 of the Regulations.
5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penallaw or
any law for the time being in force.I hereby declare that I have not been expelled or debarred fromadmission in
any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to
promote, ragging; and further affirm that, in case the declaration is found to be untrue, I am aware that my
admission is liable to be canceled.

Declared on ______________________

__________________________________
Signature of Student
Name : PANDEY AAKASH KRISHNAMURARI
Adress : WALHEKARWADI NISARG HSG SOC. CHINCHWAD, Pune City, Chinchwadgaon, Pune, ,
Maharashtra, INDIA, 411033

Verification
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.

Verified at _________________________________ on _________________________________

Signature of Student

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 4
[email protected].(Form No.:1721140)
AFFIDAVIT BY PARENT/GUARDIAN
Class : S.Y.BA -CREDIT -- Academic Year : 2022

Registration No. :2100147489 Date : 07/10/2022 05:32 PM

1. I Mr./Mrs./Ms., KRISHNAMURARI PANDEY father/mother/guardian of PANDEY AAKASH


KRISHNAMURARI having been admitted to CAMP EDUCATION SOCIETY DR. ARVIND B.TELANG
SR. COLLEGE OF ARTS, SCIENCE & COMMERCE have received a copy of the UGC Regulations on
Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the Regulations)
carefully read and fully understood the provisions contained in the said Regulations.
2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penaland administrative action that is liable to be taken against my ward in case he/she is found guilty of or
abetting ragging, actively or pasively, or being part of a conspiracy to promote ragging.
4. I hereby solemnly aver and undertake that My ward will not indulge in any behaviour or act that may be
constituted as ragging under clause 3 of the Regulations. My ward will not participate in or abet or propagate
through any act of commission or omission that may be constituted as ragging under clause 3 of the
Regulations.
5. I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of
the Regulations, without prejudice to any other criminal action that may be taken against my ward under any
penal law or any law for the time being in force.
6. I hereby declare that my ward has not been expelled or debarred from admission in any institution in the
country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and
further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be
cancelled.
Declared on ______________________

__________________________________
Signature of Parent/Guardian
Name : KRISHNAMURARI PANDEY
Adress : WALHEKARWADI NISARG HSG SOC. CHINCHWAD, Pune City, Chinchwadgaon, Pune, ,
Maharashtra, INDIA, 411033

Verification
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.

Verified at _________________________________ on _________________________________

Signature of Parent/Guardian

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 5
[email protected].(Form No.:1721140)

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