(cap round) (for all category candidates)

ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S

COLLEGE OF ENGINEERING KENNEDY ROAD, PUNE – 411 001

TEL.PH. 26057660 & 26058587 EXTN NO. 1106/1114, 26058342, FAX 26058943

M.E. (FIRST YEAR ) ADMISSION 2017 – 2018

Procedure of Reporting and Confirmation of CAP Admission

(CAP ROUND) (For All Category Candidates)

A ) Payment of Fees :

Fees to be paid between 1100h to 1600h only by pay order / demand draft as given below:

I) Interim (Tuition) & Other Fees:

Sr. Fees Details

Open (Pune University)

Open (Other than Pune University)

SC / ST

No.

1 Tution Fees 72273.00 72273.00 00.00

2 Development Fees 7227.00 7227.00 7227.00

3 University Charges 600.00 600.00 600.00

4 Caution Money Deposit 1000.00 1000.00 1000.00

6 University Eligibility Fees 550.00 1050.00 550.00

7 Form Fees 500.00 500.00 500.00

Total - 82150.00 82650.00 9877.00

8

Less Fees Paid at ARC Centre

-4000.00

-4000.00

-00.00

Total Fees : 78150.00 78650.00 9877.00

*SC Category Fees Concession will be granted only to those candidates

1) Who have been granted SC Scholarship for their B.E. Admission. 2) Their annual parents income is less income is less then Rs. 2,00,000/-

Only the above condition is not fulfilled then SC Category student fulfilled then SC Category student have to pay fees applicable to category.

The above fees is to be paid by Pay order / Demand Draft drawn in favour of “ The Principal, AISSMS, COE, PUNE”, payable at Pune.

B) Admission form and fees challan : All Candidates should download the admission form given on the College website www.aissmscoe.com under admission head and also they should download fees challan from the above given website.

C) Place of Reporting and Submission of Admission Form: All Candidate should report to Student Section Office (Second Floor) alongwith All downloaded filled Forms and fees challan alongwith Original documents and Certified photo copies (Two Sets) of Original documents, Demand Draft/Pay Order, two passport size photograph. Important Note: The last date of reporting and confirmation of Admission of CAP Round will be as per the schedule given by D.T.E. No reporting and confirmation of admission will be done after the last date. This should be noted carefully by all M.E. candidates admitted through the CAP.

PUNE No.COE/PN/ /17-18 Dr D S Bormane Date : 27.07.2017 Principal

Copy to : 1) Main Notice Board, 2) Library Notice Board, 3) Account Section. 4) Stationery Store.

http://www.aissmscoe.com/


COLLEGE OF ENGINEERING KENNEDY ROAD, PUNE – 411 001

TEL.PH. 26057660 & 26058587 EXTN NO. 1106/1114, 26058342, FAX 26058943

M.E. (FIRST YEAR) ADMISSION 2017 – 2018

Documents to be submitted (Two Sets Attested photo copy with Original documents) Please arrange

the original documents & one photo copy set as per the following order of Sr. No.

Sr. No. Original Documents

1 Allotment Letter & CAP Conformation Letter

2 GATE Score Card

3 HSC (12th Std) Marksheet

4 SSC (10th Std) Marksheet

5 B.E. Marksheet

6 B.E. Passing Certificate

7 If B.E. appeared then Bonafide Certificate stating appeared for B.E.

8 Transfer Certificate/School Leaving Certificate

9 Candidate Nationality Certificate

10 GAP Certificate (If Applicable)

11 Sponsorship / No objection Certificate (If Applicable)

12 Cast Certificate (If Applicable)

13 Cast Validity Certificate (If Applicable)

14 Non Creamy layer (If applicable)

15 I – Card Form

16 Domicile Certificate (If Applicable)

17 Migration Certificate (If Applicable)

18 Address Proof-Light Bill Or Telephone Bill

19 Photo copy of D.D. or Pay Order

20 CAP Conformation Form

21 Addhar Card of Candidate

PUNE No.COE/PN/ /17-18 Dr D S Bormane Date : 27.07.2017 Principal

Copy to : 1) Main Notice Board, 2) Library Notice Board, 3) Account Section.

No .

All India Shri Shivaji Memorial Society’s

College of Engineering PHOTO

Kennedy Road, Pune 411 001.

Affiliated to University of Pune & Recognised by AICTE New Delhi

Application for Admission To Post Graduation Course in Engineering (To be filled by candidate in CAPITAL LETTER only)

M.E. (FIRST YEAR) ADMISSION - YEAR : - 2017 - 2018.

Branch Allotted : - __________________ Category __________ Admission Against __________

Admission Details :

1) Name : __________________________________________________________________________

Surname

First Name

Father’s Name

Mother’s Name

2) Sex : Male :

Female : Date Of Birth : / /

3) Religion :

Caste :

Category :

4) Blood Group : __________________ Mother tong : ____________________ 5) Permanent Address ( Parents) : ____________________________________________________________ ___________________________________________________________________________________________

City : _________________ , State of Domicile : _______________________ Pin Code : Mobile No :

Email : ____________________

Res Tel No with STD Code : _________________________

6) Local Address : __________________________________________________________________________

_________________________________________________________________________________________

Mobile No :

Email : _________________________ Res Tel No with STD Code : ______________

7) Details of qualifying examination passed :

Examination

Month & Year

of Passing

Name and address

of the Institute

Maximum

Marks

Marks

Obtained

Percentage

of Marks

S.S.C. / DIPLOMA

H.S.C. / DIPLOMA

B.E. / B. TECH.

GATE 2017

Bank Account Details of Student : SB A/C No. ______________________________ Name of of the Bank

_____________________________________

Branch __________________________________ IFSC Code ______________________________________ MICR Code ____________________________________________ I hereby Declared that : I have not been debarred from appearing at any examination held by Savitribai Phule University of Pune, Pune or any statutory examination authority in India. Signature of Parents Signature of Candidate

Name :_______________________________ Name : ___________________________

I understand that the admission given to me against quota for reserve category is purely provisional and will be

cancelled if my caste certificate is rejected by the Director of School Welfare, Maharashtra State or if I fail to submit

caste validity certificate to College

Signature of Parents Signature of Candidate

Name :_______________________________ Name : ___________________________

Date : / / 2017.

Place : Pune

Roll No/Admission No

Application for Eligibility

(for office Use)

Form Fee: 50 `

(For Post Graduate Courses/PH.D/ M.Phill)

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

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

2. examination 5. Cast certificate (For reserved category candidates)

Education Gap certificate 6. Cast validity certificate (For reserved category candidates)

3. Affidavit for change in name 7. Transfer Certificate

AISSMS, College of Engineering, Pune 411 001

RECEIPT CUM ACKNOWLEDGEMENT

Date : / / 2017

Received following original documents from Mr. / Ms. ________________________________________

______________ of Class M.E. (First Year) Branch _________________ academic year 2017 – 2018.

Please arrange the original documents & one photo copy set as per the following order of Sr. No.

Received _______ Nos Documents Receivers signature

__________________________________________________________________________________________

AISSMS, College of Engineering, Pune 411 001

RECEIPT CUM ACKNOWLEDGEMENT

Date : / / 2017

Received following original documents from Mr. / Ms. ________________________________________

______________ of Class M.E. (First Year) Branch _________________ academic year 2017 – 2018.

Please arrange the original documents & one photo copy set as per the following order of Sr. No.

Received ________ Nos Documents Receivers signature

1) Allotment Letter 9) GAP Certificate

2) GATE Score Card 10) Sponsorship / No objection Certificate

3) HSC (12th Std) Marksheet 11) Cast Certificate (If Applicable)

4) SSC (10th Std) Marksheet 12) Cast Validity Certificate (If Applicable)

5) B.E. Marksheet 13) Non Creamy layer (If applicable)

6) B.E. Passing Certificate 14) Domicile Certificate (If Applicable)

7) If B.E. appeared then Bonafide Certificate stating appeared for B.E. 15) Migration Certificate (If Applicable)

8) Transfer Certificate/School Leaving Certificate 16)

17)

18)

Any other

CAP Conformation Form

Addhar Card of Candidate

1) Allotment Letter 9) GAP Certificate

2) GATE Score Card 10) Sponsorship / No objection Certificate

3) HSC (12th Std) Marksheet 11) Cast Certificate (If Applicable)

4) SSC (10th Std) Marksheet 12) Cast Validity Certificate (If Applicable)

5) B.E. Marksheet 13) Non Creamy layer (If applicable)

6) B.E. Passing Certificate 14) Domicile Certificate (If Applicable)

7) If B.E. appeared then Bonafide Certificate stating appeared for B.E. 15) Migration Certificate (If Applicable)

8) Transfer Certificate/School Leaving Certificate 16)

17) 18)

Any other

CAP Conformation Form

Addhar Card of Candidate

(Note : Fill the form in BLOCK LETTERS only)

-- Identity Card Form --

Name : ____________________________________________________________________________

Local Address :______________________________________________________________________

__________________________________________________________________________________

Ph. No. (Res.) __________________ Mobile No. ___________________________________

Permanent Address _________________________________________________________________

__________________________________________________________________________________

Ph. No. (Res.) __________________ Mobile No. ___________________________________

Class ____________________________________ Branch __________________________________

Roll No._________________________________ Date of Birth _______________________________

Blood Group _____________________________ Student’s Sign ______________________________

Contact Person Name & Phone / Cell No. in case of emergency __ ____________________________

__________________________________________________________________________________

"Affiliated to University of Pune" ( IdNo. PU/PN/Engg/093 [1992] Tel: (020) 26058587/ 26058660 Fax : (020) 26058943 Direct : (020) 26058342 E-Mail : [email protected] [email protected]

Website : www.aicoep.org

All India Shri Shivaji Memorial Society's

COLLEGE OF ENGINEERING

Kennedy Road, Pune : 411001

PHOTO

mailto:[email protected]

mailto:[email protected]

http://www.aicoep.org/


COLLEGE OF ENGINEERING PUNE – 411 001

Anti Ragging Rules & Procedures

(As per AICTE regulation on curbing the menace of Ragging in Higher Educational institutions 2009,

hereinafter called the “Regulations”)

What is Ragging?

“Any Conduct whether by words spoken or written or by an act which has the effect of teasing, treating or handling with rudeness any other student, indulging in rowdy or undisciplined activities which causes or is likely to cause annoyance, hardship or psychological harm or to raise fear or apprehension thereof in a fresher or a junior student or asking the students to do any act or perform something which such student will not in the ordinary course and which has the effect of causing or generating a sense of shame or embarrassment so as to adversely affect the physique or psyche of a fresher or junior student.” Ragging is a Social Crime. As per above referred AICTE “Regulations”, Ragging is strictly prohibited in

the College Campus as well as outside the College Campus. All students are hereby informed not to

indulge in any kind of Ragging activity either directly or indirectly. A strict action as per AICTE

“Regulations” will be taken.

(A) For Senior Student:

The senior student should note that they should not engage themselves in any kind of Ragging activity

inside as well as outside of College Campus. Strict action as per above” AICTE “Regulations” will be

taken against them if anybody is found indulging in Ragging activity.

(B) For all Students & Parents / Guardians:

All the students and their Parents/Guardians should carefully read and fully understand the provisions

contained in the said AICTE “Regulations” (Copy of the said “Regulations” is attached). All the students

and their Parents/Guardian should submit the enclosed Affidavits along with the Admission form at the

time of Payment of fees. The student who fails to submit the Affidavit will not be granted admission in the

College. (Copy of Student Affidavit and Parent/Guardian Affidavit is enclosed).

(C) Anti Ragging Committee and Anti Ragging Squad

The following Committee and Squad are formed at College level to effectively look into the ragging cases

and to monitor the activities’ of the students inside as well as outside the College Campus.

Anti Ragging Committee Sr No

Name Designation Post Contact Number

01 Dr D S Bormane Principal Chairman 9850282286

02 Shri S P Shinde Businessmen Civil administration 9422036902

03 Shri M M Mujawar P I Ex Officio Member 020-26208226 981116488

04 Shri Umesh Ghongade Reporter Sakal News Papers Ltd,Pune

Media Member 9881099032

05 Shri P V Deshmukh Assistant Professor in Mechanical Department

Member 9001084170

06 Mrs S J Pachouly Assistant Professor in Computer Department

Member 9623433699

07 Shri Shenvi Nitin Madhav Parent Representative Member 9096698691

08 --- Local Citizen --- --

09 --- Student - Fresher --- --

10 Shri Mohit Shenvi Student :GS Member 9860007450

11 Shri A B Bhonsle Administration Officer Member 9422083314

Anti Ragging Squad

Sr.No. Name Designation Post Contact Number

01 Dr D P Gaikawad Assistant Professor Chairman 9822609276

02 Prof S R Patil Assistant Professor Member 9422302582

03 Mrs K B Chaudhari Assistant Professor Member 9822844958

04 Mrs K N Bawankar Assistant Professor Member 9860643970

05 Shri A B Bhonsle Administration Officer Member 9422083314

06 Mrs M M Kondhare Physical Director Member 9881294721

The students can contact the Committee Members at any time on the mobile numbers, if any incident of

Ragging is observed by them.

(D) For Fresher Student:

The fresher student can contact any of the Committee Member or the Principal at any time, if anybody

tries to do Ragging with them. The Fresher student should desist from doing anything against their will

even if ordered by the seniors. They should immediately contact the Office or any of the Anti Ragging

Committee Member and report the incident immediately. The College will take stringent action against the

senior student involved in Ragging .The fresher’s should not fear of any action and should not tolerate any

kind of atrocities of seniors students.

The Fresher students can also contact the General Student Association (GSA) Committee members for

participation in various College level Technical, Cultural, Sports & other activities.

The Academic Calendar of the various Academic and other activities to be held in the College is

enclosed.

College Contact Numbers:

Office (Direct) - (020) 26058342

(020) 26058587, 26057660

Ext. No. - 1101, 1106, 1103

Fax No. - (020) 26058943

----------------------------------------------------------------------------------------------

ANNEXURE II

AFFIDAVIT BY PARENT/GUARDIAN

I,Mr./Mrs./Ms_________________________________________________________________(full name of parent /

guardian)father / mother /guardian of,_____________________________________________ ( full name of Student

) have been admitted to AISSMS,COE, Pune 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.

1) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

2) I have also, in particular, perused clause 7 and clause 9.1 of the Regulation and am fully aware of the penal and

administrative action that is liable to be taken against my ward in case he/she is found guilty of or a betting ragging

actively or passively, or being part of a conspiracy to promote ragging.

3) I hereby solemnly aver and undertake that

(a) my ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the

Regulations.

(b) 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.

4) I hereby affirm that, if found guilty of ragging, I 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.

5) I hereby declare that my ward has not been expelled or debarred from admission in any institution 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.

6) Along with the above mentioned points I do hereby declare that

(a) My ward will obey the code of conduct of the Institute and do not indulge in any kind of in-disciplined activity while

in and off the institution campus.

(b) My ward will solely responsible for any kind accident/mishap caused on account of the above mentioned clause

(6.a).

Declared this_______________ day of _____________________ Month of _________year.

Signature of deponent

Name:

Address:.

Telephone / Mobile No:

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 Pune on this th_______________ day of _____________________ Month of _________year.


ANNEXURE I

AFFIDAVIT BY THE STUDENT

I, __________________________________________________________, (full name of student) s/o d/o Mr./

Mrs./Ms. _______________________________________________ having been admitted to AISSMS,COE, Pune,

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.

1) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

2) I have also, in particular, perused clause 7 and clause 9.1 of the Regulation and am fully aware of the penal and

administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or

passively, or being part of a conspiracy to promote ragging.

3) I hereby solemnly aver and undertake that

(a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations.

(b) I 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.

4) 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 penal law or any

law for the time being in force.

5) I hereby declare that I have not been expelled or debarred from admission in any institution 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 cancelled.

6) Along with the above mentioned points I do hereby declare that

(a) I will obey the code of conduct of the Institute and do not indulge in any kind of in-disciplined activity while in and

off the institution campus.

(b) I will solely responsible for any kind accident/mishap caused on account of the above mentioned clause (6.a). Declared this_______________ day of _____________________ Month of _____________year.


Name:

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 Pune on this the______________ day of _____________________ Month of _________year.


AISSMS, COLLEGE OF ENGINEERING Kennedy Road, Pune -1

Admission Against _________________________________

Category - OPEN (MAH. CANDIDATE)

M.E. (First Year) Admission Year 2017-18 (For Student Section)

Name of the Candidate (In full, in BLOCK letters)

Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________

(First Name) (Father’s Name)

Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)

Academic Year 2017-18

Sr.No. Particulars Rs

1) Tuition Fees 72273/-

2) Development Fees 7227/-

4) Caution Money Deposit 1000/-

5) University Charges 600/-

6) University Eligibility Fees 550/-

7) Form Fee 500/-

Total : 82150/-

8) Less Fees Paid at ARC Centre -4000/-

Total 78150/-

Rupees(In words) : Seventy Eight Thousand One Hundred Fifty

Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================

(For office Use Only)

Date : / /2017 Receivers Signature

Seal of College




M.E. (First Year) Admission Year 2017-18 (For Account Section)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 82150/-


Total 78150/-


Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College




M.E. (First Year) Admission Year 2017-18 (For Student)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 82150/-


Total 78150/-


Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College



Category - OPEN (OMS. CANDIDATE)



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 82650/-


Total 78650/-

Rupees(In words) : Seventy Eight Thousand Six Hundred Fifty

Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College






Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 82650/-


Total 78650/-


Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College




M.E. (First Year) Admission Year 2017-18 (For Student )


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 82650/-


Total 78650/-


Only

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College


Admission Against – CAP – I / II / III / IV

Category - SC / ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 9877/-


Total 9877/-

Rupees(In words) : Nine Thousand Eight Hundred Seventy

Seven Only -

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College

AISSMS, COLLEGE OF ENGINEERING

Kennedy Road, Pune -1


Category - SC / ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 9877/-


Total 9877/-


Seven Only -

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College



Category - SC / ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)








7) Form Fee 500/-

Total : 9877/-


Total 9877/-


Seven Only -

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College




Category - OPEN (MAH. / OMS CANDIDATE)



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)



1) Tuition Fees





7) Form Fee 500/-

Total :

8) Less Fees Paid at ARC Centre

Total

Rupees(In words) : ____________________________________________

_________________________________________________________________

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================









Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)



1) Tuition Fees


q Caution Money Deposit 1000/-



7) Form Fee 500/-

Total :


Total

Rupees(In words) : ____________________________________________

_________________________________________________________________

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College




M.E. (First Year) Admission Year 2017-18 (For Student )


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

M.E. _______________________________________ Roll No._____________________________ (Branch)



1) Tuition Fees





7) Form Fee 500/-

Total :


Total

Rupees(In words) : ____________________________________________

_________________________________________________________________

Cash/P.O./D.D. No. ____________________________ Date : / / 2017

Drawn on _____________________________ _________________________________________

==========================================================



Seal of College