Modern Education Society' NOWROSJEE WADIA COLLEGE, Pune-411001 . "NAAC Accredited by 'A+'"
Contact:  (020)-26162944, Tele-Fax: 26169108, www.nowrosjeewadiacollege.edu.in
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Email *
Student's Information Form
Specialization *
Class
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Student Name *
In Block Letter (Surname-Name-Father's or Husband's name)
Mother's Name *
DOB *
Date Of Birth
MM
/
DD
/
YYYY
Email *
POB *
Place of Birth
Town *
District *
State *
Mobile *
Gender *
Martial status *
If you belongs to reserved category,state caste and category *
(If this col. is applicable to the student he/she should attach Xerox copy of the authentic caste certificate)
Caste *
Sub Caste *
(Put NA if not applicable)
Category *
Caste Category
Fees concession *
If claiming concession for fees please check category
if Other (Specify)
Religion *
Nationality *
Country *
Address in Pune *
Address with Pin code
Permanent Address *
If not a resident of Pune along with Pin Code
Bank Account No. *
Aadhar *
Bank Name and Branch *
IFSC Code *
PAN No.
I Passed the Graduation Examination. I give below information regarding the Examination. I have passed:
Name of college *
College name of the 12th standard
Year *
Year of Passing of 12th Standard
Seat No *
12th seat No
Marks *
Total Marks
Board *
University/Board
State *
Graduation & P G College Name *
University *
University of B.Sc college
State: *
Passing Year *
Passing year of B.Sc
Exam Seat No *
Seat No Of B.Sc Exam
Total Marks *
Total marks obtained in B.Sc Exam
Grade *
Class/Grade obtained in B.Sc
Guardian *
Name of Father/Guardian
Relationship
In the case of Guardian Relationship with student
Occupation *
Occupation of Parent/guardian
Income *
Annual income of Parent/guardian
Address *
Address of Parent/Guardian
Mobile No. *
Parent's Mobile Number
Minority *
Are you belong to the Minority? Yes / No ( if yes please specify type which has given below)
Declaration
a) I have enclosed  with this form : a. ORIGINAL COPY of the COLLEGE LEAVING CERTIFICATE which is NOT RETURNABLE to me if the admission is confirmed.  b.Certified Xerox copy of the statement of XIIth / B. Sc.b) I hereby submit to the disciplinary jurisdiction of the authorities of the College and institute and shall observe and abide by the rules made by Principal of the College / Head of the Institution. I assure that the information supplied by me is correct to the best of my knowledge and belief.c) Further, I assure that I will not accept any full time or part time job anywhere while doing the course. If found, I am aware that my admission to the M. Sc.  Course will be cancelled.       *
ENDORSEMENT BY PARENT GUARDIAN *
1. The application is my son / daughter / ward and is seeking admission to your college with my consent. 2.I confirm the correctness of all the entries made in his / her application. 3.I have read the College rules and undertake to assist to principal in implementing the rules of the College and insisting on their observance in respect of my son / daughter / ward.
Student's Pledge
ENDORSEMENT BY PARENT /GUARDIAN
1) The Applicant is my son/daughter/ward and is seeking admission to your college with consent. 2) I confirm the correctness of all the entries made in his/her application. 3)I have read the college rules and undertake to assist the principal in attempting the rule of the college and insisting on their observance in respect of my son/daughter/ward *
Kindly Select the following option "Send me a copy of my responses". Note: Once you Submit the form you can't Re-edit/Re-submit the Form
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