BHARATI VIDYAPEETH DEEMED UNIVERSITY, PUNE GN ‘NAAC Admission Form (For Office Use) (Admission Date | [ | Admission Reg. No. bee roy Roll No. Fee Paid (Rs.) Seat Type Receipt No. Date To (To be filled in BLOCK LETTERS by the Candidate) The Registrar, M : fis your recent Bharati Vidyapeeth Deemed University, Pune Sir, zs ‘passport size Photograph 1 request you to grant me admission to programme | (ont Supe) of Bharati Vidyapeeth Deemed University during 20 - 20 . I shall abide by the rules and regalation of the University. (Signature of Candidate) Candidate Information appears on 10" / 12h Certificate / Degree Certificate [Student Namel[-Mr/Ms./Miss Gender M/F ‘Name of Exam Merit Marks Entrance Test SeatNo. No. |Obtained| ‘Name of Father/Husband Father’s E-mail ID ‘Name of Mother ‘Mother's E-mail ID Father’s Phone No. Mother's Phone No. Lt Father’s Occupation [Mother’s Occupation Permanent Address City District State Pin Code Country Phone ‘Student Mobile No. ‘Student Email ID Name and Address of Last |School/College attended Physical Fitness Normal Differently abled| Blood Gorup[Local Addresss in Pune [Emergency Contact No. DoDM Mw ry y 7 [Date of Birth Place of Birth ‘Nationality [Retigion Category] SC/ST/OBC/DINT / General] Caste / Sub Caste For POI or Foreign or NRI students [Passport No. Date of Expiry] Passport issued by isa No. Date of Expiry] ice Registration No. [Date of Issue Date of Expiry [Registration Validity from| to Academic Information Write your academic history as per sequence given SN] Exams ‘Name of the College attended Board? Medium | Year of | — Total University Stream | Passing | Percentage 1 oh 2| 12h 3. | Graduation a | Pow Graduation 3 | Other Enclosed Original | Mark Sheet of 12th [] Graduation [] PGT] LCL] TCL] Certificates Migration [1] Character ["] Education Gap Affidavit [] ‘Others PASS] Degree [] Experience[] Casie[] DECLARATION FROM THE CANDIDATE 8) I declare that, | have read all the rules of admission and after understanding, these rules { have filled the form for admission forthe year 20-20 ») [shall submit my 1) Final Marksheet,2) Degreeipassing Cerificate, 3) Migration Certificate, 4) TCILC, 5) and all other required documents, fr grant ‘of eligibility on before 25 Aug. 20. «) know I wil not be allowed to fll first semester examination form, if fail to submit my lst qualifying mark- sheet with minimum percentage of Marks required for eligibility as per University rules. €) 1 shall submit Examination form for the concerned exami- nation if found eligible, within stipulated dates announced by University. e) [know fraction percentage of mark will not be allowed to be rounded up for grant of eligibility. ) I shall abide by the decision of the University in all the matters concerning eligibility, courses of stud. 1 shall attend minimum 75% ofthe lectures and practic, If admitted and wll be observing all rules and regulations of the Institute and Univesity that wil be in force from time ‘wtime. —g) Lknow if my attendance in class, practical’ is below 75% inthe Semester my examination form will not be accepted. h) I hereby agree to ‘confirm tothe ules and regulation made for the governance of the Institue. i) | fully understand thatthe Dean/Director of the Institute where | am study- ‘ng will have full iberty to expel me from the Institute for any violation of the rules, eligibility condition and policies as lad down by the Institute. Date : Candidate Signature. Place + (For Office Use) Admitted provisionally / Not admitted or Associate Dean Admission _Incharge Eligibility Section Account section DIRECTOR Date . Date : Dee ee —