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Form UG

This document is an application for eligibility assessment for undergraduate courses. It requests information such as the applicant's name, mother's name, nationality, gender, date of birth, reserved category, physical handicaps if any, and educational qualifications. The applicant needs to attach attested copies of documents such as mark sheets, domicile certificate, caste certificate, and transfer certificate. The eligibility application will be processed by the college/institute and the applicant will be deemed eligible or not eligible for admission. Fees for eligibility assessment vary based on the applicant's place of origin within or outside Maharashtra state.

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annugiri0606
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20 views3 pages

Form UG

This document is an application for eligibility assessment for undergraduate courses. It requests information such as the applicant's name, mother's name, nationality, gender, date of birth, reserved category, physical handicaps if any, and educational qualifications. The applicant needs to attach attested copies of documents such as mark sheets, domicile certificate, caste certificate, and transfer certificate. The eligibility application will be processed by the college/institute and the applicant will be deemed eligible or not eligible for admission. Fees for eligibility assessment vary based on the applicant's place of origin within or outside Maharashtra state.

Uploaded by

annugiri0606
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Roll No/Admission No

(for office Use)


Application for Eligibility
Form Fee: 50 `
(For Under Graduate Courses only)

I wish to apply for the Eligibility for the academic year 20 ‐ 20

1. Name of the Course to which application is sought


Year : 1st / 2nd / 3rd /4th / 5th

2. Name in full of the Applicant (in English capital Letters)


Name as per last Mark sheet should be mentioned. N.R.I Student should write their name as it appears in their Passport.

3. Mother’s Name
4. Nationality 5. Type: Maharashtrian / Non‐ Maharashtrian
6. Gender: Male / Female 7. Date of Birth:
DD MM YYYY
8. Reserved Category *
Do you belong to any of the following Reserved Categories?
If so attach a certificate of a Competent Authority in support of it
(Tick mark √ in
applicable box ) Open SC ST DT(A) NT(B) NT(C) NT(D) OBC SBC

Do you belong to the creamy layer of NT(C), NT (D) and OBC? Yes / No
If you do not belong to the creamy layer, submit a certificate of a Competent Authority in support of it.

9. Are you a physically handicap? No / Yes ( If Yes specify type )#

Particulars of the H.S.C. Examination


1. Have you passed Exam from Maharashtra board? Yes / No
if No please specify Name of Board
2. Name of the school/Jr. College/College

Seat No. Month & Year Of Passing Percentage Class/Grade

Please specify Educational gap details if any

Last Examination name Seat No. Month & Year Of Passing Percentage Class/Grade

10. Are you Belong to the Minority? No/ Yes (if yes please specify type which has given below)

Linguistic: Religious:

Signature of Candidate

Copies of Following attested certificates are annexed to application form


1. Statement of Marks of the qualifying 4. Domicile Certificate
examination 5. Cast certificate (For reserved category candidates)
2. Education Gap certificate 6. Cast validity certificate (For reserved category candidates)
3. Affidavit for change in name 7. Transfer Certificate
To be filled by College/Institute / University Department
Receipt No. Date: Eligible / Not Eligible

Asst. Sr. Asst. O.S./Registrar /HOD

Physical Handicap Types:

P1 Blind /Visually impaired/अंध/द्रिु हीन

P2 Dumb and Deaf /मुकबिधर

P3 Orthopedically impaired/ अि थ यंग

P4 Mentally Challenged/मितमंद/गतीमंद वगैरे

OT Other Physical disabilities

46

ANNEXURE ‘A’ ELIGIBILITY FEE


1. Student passing qualifying examination and seeking admission FirstTime to First Year of any
Degree/Diploma/Certificate (U.G./P.G.) the Eligibility Fee will be as under :

Sr. Particulars Fees


No.
Non-professional Professional

Rs. Rs.
1. Within the State of Maharashtra 100 200
2. From outside the State of Maharashtra 200 300
3. From any foreign country (Out of India) and 500 1000
(NRI/Foreign Citizen-Foreign National, P.I.O.)
4. A Student passing qualifying examination from
Pune University and seeking admission to
second degree/diploma/certificate U.G./P.G. of
our University and is Domiciled in Maharashtra
a) Domiciled outside Maharashtra State 100 200
b) NRI/Foreign Citizen/Foreign National, P.I.O. 200 300
c) Eligibility fee for issue of provisional 500 1000
5. eligibility certificate
For (1)
and for (2) & (3) 100 200
Eligibility Form Fee 300 500
6. 50 50

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