we, ® ASM's COLLEGE OF COMMERCE, SCIENCE AND INFORMATION TECHNOLOGY (CSIT) ‘Affiated to the Sauiribal Phule Pune University & Recognised by the Government of Maharashira ‘S.No. 28/1 + 2A, Noar Empire Estate, Pune-Mumbai Highway, Pimpr, Pune - 411018 aoe ‘Tol. 020 - 68351700, 27478866 | Fax: 020 -27471753, warwesited.in | wnwasmgroup.edu.in Batch 20 Admission Application Form —_FormNo... Course Applied for: FullTime Courses of the Savitribai Phule Pune University 11 MSc. (Computer Science) 11 BSc. (Computer Science) Please attach your recent DBA (Computer Applications) BBA (International Business) passport size photograph here. O BBA 1 BCom, Integrated Specialisations CIA BA DM LM CC & MC Q Q a a Q ‘Do you want a Hostel Accomodation? Yes O No Note: Photographs would be taken & the entire information ofthis form would be scanned. Therefore, please write clearly in Blockletters 1, Name (as it appears on official documents, school records, passport, etc.) Surname First Name Middle Name 2.Gender = Male Female 3.Marital Status Single 0 Married 4, Date of Birth (Day / Month /Year) 5.Graduated From (1 Maharashtra 1 Outside Maharashtra6. Nationality 7.Category 0 Open ast osc 1 o8c O INT Caste & Sub caste: 8, Doyouhave a passport O Yes 1 No, Passport No. Date of issue ‘Aadhar No. 9, Father’ (Guardian's) Name ‘umname ‘rst Name Middle Name Phoneno,: mal Mothers Name: Sumame Fist Name Middle Name Phonene,: mal 10.Father’s / Guardian's Occupation. Designation Company Name Salary/income (p.a) PAN no, T1.Address. Permanent Citys state Pin Code: Contact Details (a) STD Code: (b) Telephone Number (Mobile Number: (@) Email (e) Facebook profile link {(f) Linkedin profile link:12, Academie Profile: (Prease list in chronological order including examinations with results pending) & | Bamunon | StooCaleset | Eantingbond! | semana | =| ores | fates ase tnt ea erento) a | wax 3 | sm © | aduson {Any ther Qualifeation (pleats spect) D | CouseName 13, Extra & Co-curricular Activities “Mention the significant achievement in extra &co-cuscular activites, Only those which ate certified need to be ised here, attach separate sheetifrequred, sr, a Achievements Level Year Certificate Details 14.Please ist your Strengths & Weaknesses Strength Weakness 15 Hobbies and interests 16.Please state your long term career goals17 Full ime work experience For those with full time job experience undertaken after graduation through a valid appointment order of a recognized ‘company with proper terms and condition including salary and work experience details. The job profile should associate with sales, marketing, human resource, operations, finance and information technology. No Duration Total CCompany’sName & Address From=To Pay onmiyy) (mmiyy)_| (Rs Month) St Nature of Designation we 18, Medical History Please state below any ilness/allergies that you may have along with the medication that you have been prescribed. Blood Group: 19. Documents submitted SSCC] HSCL] TCL] MigrationC] Gap Certiicate[] other] 20. Deciaationby the Canidae afl the infomation rey submit mypeo the dcpar autor of estate no nde dy cncened compet auth ar anaecthe ac that nee to mata ‘herequste attendance forth acai ane other acts by af my ain uct of stealing whch he stu has te land fal autor to Inte apna aceon against me sper the les an regulation ofthe competent autor hereby ape to comply witha heres and egustons ofthe rst In (duc fry pate are thatthe decoy ofthe tut athe lb fl and ego "ad my paorsiuarian have cast rted he sgt rs, preodures of sision,mpatant nots for foe ohn submission of ences (grea nthe CSIT pospacus whieh | feques I falow ana shal mars an ilrelatonaccapl ihe decane gen bythe management Seating, | Satsuor al the equ ogi cerca tested cole fetter clearance of ily lth xa forms aay the ete tian fey, crafeac other feerothe aves ofre he ar mentions date by he ie sing which! sone ws be responeb forthe consequences Hy fount hve funsheaae Inert supeessed mater nfomatn Il ate, be dred andy fees wl be ort, ulyunsertan hehe Wanagement fhe nat a fl bry oops fom he eae ay ingens Fe nr and elton of condi nd pine ven ints respects ‘Theinfernaon ivenby me in my aptcatontrueto thebestof my awed nlc "amaware a th ntti eserves the igo change th ames of courses oF ancl couse ser Gove regulations. "rect poyrsund sy changes the es neo ethar args that may Pave sce due to shanges made hy he concemed author, Aldspaes subject theeal letono Pune cy, ape Dae Pace “igntare oe appre FOR OFFICE USE Date & centre of Pl attended: Alison 80 RECEP NG ‘Amount of fee pa Course admitted in Principal / Director Counselors: Referred by: