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Bharati Vidyapeeth's Jawaharlal Nehru Institute of Technology (Poly.), Katraj-Dhankawadi, Pune -411046
ADMISSION FORM
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Admission Form for (FY/Direct SY/Transfer SY/ Transfer TY)
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First Year
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1. Form No. ( as per Prospectus No) :
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2. Aadhar No :
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3. Application ID (Starts with DEN / DSD) :
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4. Branch Name : (Select from Drop down List)
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Civil Engineering
Chemical Engineering
Computer Technology
Electrical Engineering
Electronics & Tele-Communication
Mechanical Engineering
5. Name of the Student (in CAPITAL Letters , as per SSC marksheet) :
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6. Gender :
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Male
Female
7. Father's Name :
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8. Mother's Name :
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9. Passed from Maharashtra :
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No
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10. SSC (10th) Percentage :
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11. Mathematics Marks (SSC)
(out of 100)
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12. Science Marks (SSC) (out of 100):
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13. English Marks (SSC)
(out of 100)
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14. Passed HSC (12th Science) or ITI (2 years Course) :
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No
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14. HSC (12th Science) or ITI Percentage (If applicable i.e. if passed HSC/ITI) :
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15. Mode of Admission
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HSC
10th + (2 years CTS)
10th + (2 years ATS)
Not Applicable
16. Religion :
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Hindu
Muslim
Islam
Sikh
Buddhist
Bouddha
Jain
Christian
Zoroastrian (Parsi)
17. Caste- Sub Caste (Enter correct Caste Name as per caste certificate ):
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18. Category (Select from drop down list ) :
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OPEN
SC
ST
NT1 (NT-B)
NT2 (NT-C)
NT3 (NT-D)
VJ/DT NT
OBC
SBC
TFWS
EWS
19. Nationality :
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20. Date of Birth (as per Leaving / Birth Certificate) :
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DD
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YYYY
21. Place of Birth
(as per Leaving / Birth Certificate) :
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22. Last class studied (like 10th, 12th, ITI etc ) :
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23. Year of Leaving of last class studied :
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24. Name of last school/college (as per Leaving Certificate) :
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25. Students Address First Line :
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Address Second Line :
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26. City Name :
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27. District Name :
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28. State Name :
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29. Pin Code :
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30. Students Mobile Nos. :
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31. Email ID :
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32. Parents Mobile Nos. :
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33. Parents Annual Income in Rs. :
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