(CAP ROUND)submit the hard copy of the online form filled by them to Mr. Tekawade. The student w ho...

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

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) Tuition & Other Fees:

Sr. No.

Fees Details Open (Mah)

Open (OMS) OBC NT/SBC/VJ/TFWS

SC ST J& K / GOI

1 Tution Fees 99545.00 99545.00 49773.00 0.00 0.00 0.00 15000.00

2 Development Fees 9955.00 9955.00 9955.00 9955.00 0.00 9955.00 5000.00

3 University Charges 600.00 600.00 600.00 600.00 600.00 600.00 600.00

4 Caution Money Deposit 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00

5 Other - - - - - - 2500.00

6 Amartya Shiksha Yojana 701.00 701.00 701.00 701.00 701.00 701.00 701.00

7 University Examination Fees (First Sem)

940.00 940.00 940.00 940.00 940.00 940.00 940.00

8 University Eligibility Fees 550.00 1050.00 550.00 550.00 550.00 550.00 1050.00

9 Form Fees 500.00 500.00 500.00 500.00 500.00 500.00 500.00

Total - 113791/- 114291/- 64019/- 14246/- 4291/- 14246/- 27291/-

10 Less Fees paid at ARC Centre

-4000.00 -4000.00 -4000.00 -4000.00 -00.00 -00.00 00.00

Total Fees : 109791.00 110291.00 60019.00 10246.00 4291.00 14246/- 27291.00

The above fees is to be paid by Pay order / Demand Draft drawn in favour of “The

Principal, AISSMS, COE, PUNE”, payable at Pune.

Please enclose photo copy of D.D/Pay Order with the admission form.

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 as per their category from the above given website.

http://www.aissmscoe.com/

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 Self

Attested photo copies (Two Sets) of Original documents, Demand Draft/Pay Order, two

passport size photograph.

D) For Reserve Category Candidates :

The Reserve Category Candidate will have to fill the online application Form through

Social Welfare website www.mahaeschol.maharashtra.gov.in. The Candidates will be

issued the Original Fees Payment Receipt and Admission Confirmation letter after they

submit the hard copy of the online form filled by them to Mr. Tekawade. The student who

fail to fill the online form and submit the hardcopy to office on or before 30 July 2017, will

have to pay full fees of the College.

E) The Reserved Category Candidates who are not having Caste Validity Certificate will have to pay full fees as per open category, as there Scholarship Form is not accepted by Samaj Kalyan Department due to non-submission of Validity Certificate. The fees paid will be refunded to them after they submit their Caste Validity Certificate and their Scholarship / Freeship Form is accepted by Samaj Kalyan Office.

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 First Year

candidates admitted through the CAP.

PUNE

No.COE/PN/ 16-17 Dr D S Bormane

Date : 29.06.2017 Principal

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

http://www.mahaeschol.maharashtra.gov.in/



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

F.E. (ALL BRANCHES) STUDENTS FOR THE ACADEMIC YEAR 2017-2018

All students of F.E. are hereby informed that they should pay Soft Skill charges at the

time of admission.

For All Category Students

Sr. No. Particular Amount

1 Soft Skill Training Charges 1500/-

Total Fees Rs. 1500/-

Rs. 1,500/- Pay order / Demand Draft drawn in favour of “The Hon. Secretary, AISSM Society,

PUNE, payable at Pune.

Pune Dr D S Bormane

No. : AISSMS/COE/PN/2016-17/ Principal

Date : 29.06.2017

Copy to :- 1) Main Notice Board 2) Library Notice Board 3) Student Section

4) Account Section 5) Stationery Store 6) All HOD’s for information & Dept Notice Board

All India Shri Shivaji Memorial Society’s

College of Engineering, Pune – 411 001 Approved by AICTE, New Delhi

Affiliated to Savitribai Phule Pune University, Pune

PHOTO

Application for Admission to First Year Engineering of Academic Year 2017-18 (To be filled by Candidate in CAPITAL LETTERS only)

Year Branch Roll No Fees (Rs) DD No & Date Name of Bank

FE

Category: Admission against: PRN:

In case of Reserve Category, whether Online Scholarship Form:

Filled / Not filled

Sign of Clerk:

1. Name of Student:

(Surname) (First Name) (Father’s Name) (Mother’s Name)

Gender (M/F): Date of Birth: Blood Group:

Religion: Caste: Category:

Domicile State: Mother Tongue: Languages known:

Staying in: Own House/ College Hostel/ Private Hostel/ Rented Flat/ Cot basis/ Any other

Any major ailment:

Mobile No: Landline No: Email id:

a. Local Address: *

b. Permanent Address: *

City - Pin Code - State -

2. Information of Father:

Name:

Education: Occupation: Designation:


3. Information of Mother:

Name:



4. Information of Local Guardian (If applicable):

Name:


Address:


5. Parent’s Address for Correspondence: *

6. Details of Qualifying Examination Passed: *

Qualifying

Exam Month & Year of

Passing PCM Marks

Total Marks Out Of Percentage

S.S.C (Std X th)

---------

H.S.C (Std XII

th)

Physics -

Chemistry -

Mathematics -

Biology/Voc -

======

PCM Total -

CET / JEE

Score --------- --------- CET -

JEE -

7. Have you been debarred from appearing at any examination held by any

statutory examination authority in India: Yes / No

8. Bank Account/ Aadhar Card details of Student: *

SB A/C No: Name of Bank: Branch:

IFSC Code: MICR Code: Aadhar No:

9. Important rules, regulations and responsibilities related to attendance, activity schedule and

academic calendar of the College and their implications:

(i) Student is required to have at least 75% attendance in each head of passing of Theory, Practical, Term-

Work, Project, Seminar, etc.

(ii) Student is required to complete 100% Term Work to satisfactory level.

(iii) Student is required to maintain good conduct.

(iv) Student who fails to comply with any of these requirements (i, ii, iii) will be detained and hence will

not be permitted to appear for University Examinations. The detained student also stands to lose one

whole year and will have to seek readmission to the same class in the succeeding year/s and repeat it with

full payment of fees.

(v) Student has to abide by the academic calendar of College for smooth conduct of academics,

participate and attend various curricular, co-curricular and extra-curricular activities.

10. Declaration:

(i) We hereby declare that the information given above is true and correct to the best of our knowledge

and belief. We will be solely responsible for any consequences arising out of any wrong information.

(ii) We abide to inform any change in above information to AISSMSCOE Office.

(iii) We ensure to comply with all the above rules, regulations and requirements.

Date & Place Signature of Parent Signature of Student

* Self attested photocopy of relevant documents is compulsory to be enclosed.

For Office Use only

Name & sign of Mentor Name & sign of GFM Reporting date

Remark:



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

FIRST YEAR ADMISSION 2017 – 2018

Documents to be submitted (Two Sets Attested photo copy with

Original documents)

Please arrange the original documents & two photo copy set as per the

following order of Sr. No.

Sr. No.

Documents

For Maharashtra State Board Candidate

For other then Maharashtra State Board Candidate i.e. CBSC etc.

1 Allotment Letter Allotment Letter

2 MHT-CET-2017/JEE Score Card JEE Score Card

3 HSC (12th Std) Marksheet HSC (12th Std) Marksheet

4 SSC (10th Std) Marksheet SSC (10th Std) Marksheet

5 School Leaving Certificate School Leaving Certificate

6 Candidate Nationality Certificate Candidate Nationality Certificate

7 Performa I Performa I

8 Birth Certificate / Domicile Certificate Birth Certificate / Domicile Certificate

9 Gap Certificate (if any) Passing Certificate

10 Address Proof-Light Bill Or Telephone Bill Migration Certificate

11 Photo copy of D.D. or Pay Order Gap Certificate ( if any )

12 CAP Conformation Form Address Proof-Light Bill Or Telephone Bill

13 Addhar Card of Candidate Photo copy of D.D. or Pay Order

14 CAP Confirmation Form

Addhar Card of Candidate

In addition to above documents Reserve Category Candidate

will have to submit following documents

1) Cast Certificate

2) Cast Validity Certificate

3) Non Creamy layer (applicable to OBC, VJ, NT, NT (A),(B),(C),(D) & SBC) Valid upto 31 March 2018.

4) Income Certificate (TFWS Candidates)

5) Performa H in case Cast Validity Certificate is not available. On Rs. 100/- stamp paper

6) Addhar Card Linked Bank Account Passbook PUNE No.COE/PN/ 16-17/ Dr D S Bormane Date : 29.06.2017 Principal

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

AISSMS, College of Engineering, Pune 411 001

RECEIPT CUM ACKNOWLEDGEMENT

Date : / / 2017

Received following original documents from Mr. / Ms. ________________________________________

______________ of Class F.E. / S.E. (Direct) Branch _________________ academic year 2017 – 2018.

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

10) Bank Pass book (Photo Copy)

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 F.E. / S.E. (Direct) 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

11) Income Certificate ( If Applicable)

2) JEE / MHT CET Score Card

12) GAP Certificate ( If Applicable)

3) HSC (12th Std) Mark Sheet/ Diploma Mark Sheet

13) Fathers /Mother Domicile Certificate ( If Applicable)

4) SSC (10th Std) Mark Sheet

14) HSC (12

th Std) Passing Certificate / Diploma Passing Certificate

5) School Leaving Certificate

15) Migration Certificate ( If Applicable)

6) Nationality Certificate

16) Cast Certificate ( If Applicable)

7) Domicile Certificate / Birth Certificate

17) Cast Validity ( If Applicable)

8) Anti ragging affidavit

18) Non Creamy Layer Certificate ( If Applicable)

9) Addhar Card (Photo Copy)

19) Any Other

1) Allotment Letter

11) Income Certificate ( If Applicable)

2) JEE / MHT CET Score Card

12) GAP Certificate ( If Applicable)

3) HSC (12th Std) Mark Sheet/ Diploma Mark Sheet

13) Fathers /Mother Domicile Certificate ( If Applicable)

4) SSC (10th Std) Mark Sheet

14) HSC (12

th Std) Passing Certificate / Diploma Passing Certificate

5) School Leaving Certificate

15) Migration Certificate ( If Applicable)

6) Nationality Certificate

16) Cast Certificate ( If Applicable)

7) Domicile Certificate / Birth Certificate

17) Cast Validity ( If Applicable)

8) Anti ragging affidavit

18) Non Creamy Layer Certificate ( If Applicable)

9) Addhar Card (Photo Copy)

19) Any Other

(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 __ ____________________________

__________________________________________________________________________________

All India Shri Shivaji Memorial Society's

COLLEGE OF ENGINEERING

Kennedy Road, Pune : 411001

"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]

PHOTO

mailto:[email protected]

mailto:[email protected]

http://www.aicoep.org/

Roll No/Admission No

Application for Eligibility

(for office Use)

Form Fee: 50 `

(For Under Graduate Courses only)

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 / No ‐ Maharashtria 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 ark √ i

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


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 Satish Nikam S P I Ex Officio Member 020-26125884

04 Shri Umesh Ghongade Reporter Sakal News Papers Ltd,Pune

Media Member 9881099032

05 Dr (Mrs) S K Upasani Associate Professor Member 9422881122

06 Dr D V Nighot Assistant Professor Member 9422339320

07 Student : Fresher Member --

08 Student : GS Ex Officio Member --

09 Shri A B Bhonsle Administration Officer Member 9422083314

Anti Ragging Squad

Sr.No. Name Designation Post Contact Number

01 Prof U R Awari Assistant Professor Chairman 9763314475

02 Prof S R Patil Assistant Professor Member 9422302582

03 Assistant Professor Member

04 Prof S H Lavate Assistant Professor Member 8888949191

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)

F.E. 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._______________________________________________________________________

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

Academic Year 2017-18

Sr.No. Particulars Rs

1) Tuition Fees 99545/-

2) Development Fees 9955/-

3) Caution Money Deposit 1000/-

4) University Charges 600/-

5) University Eligibility Fees 550/-

6) University Examination Fees 940/-

7) NICL ASY Policy 701/-

8) Form Fee 500/-

Total : 113791/-

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

Total 109791/-

Rupees (In words) : One Lac Nine Thousand Seven Hundred

Ninety One Only

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

Drawn on _____________________________ _________________________________________

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

(For office Use Only)

Date : / /2017 Receivers Signature

Seal of College





(For Account Section)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _____________________________________________ Roll No._______________________

(Branch)










8) Form Fee 500/-

Total : 113774/-


Total 109774/-


Ninety One Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College





(For Student)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _____________________________________________ Roll No.______________________

(Branch)










8) Form Fee 500/-

Total : 113774/-


Total 109774/-


Ninety One 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._______________________________________________________________________

F.E. _______________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total : 114291/-


Total 110291/-

Rupees (In words) : One Lac Ten Thousand Two Hundred

Ninety One Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College







Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _______________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total : 114291/-


Total 110291/-


Ninety One Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College





(For Student)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _______________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total : 114291/-


Total 110291/-


Ninety One Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College

AISSMS, COLLEGE OF ENGINEERING Kennedy Road, Pune -1.


Category - OBC


( For Student Section)


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E _____________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

49773/-







8) Form Fee 500/-

Total - 64019/-


Total 60019/-

Rupees(In words) : Sixty Thousand Nineteen Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - OBC F.E. Admission Year 2017-18

( For Account Section)


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E _____________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

49773/-







8) Form Fee 500/-

Total - 64019/-


Total 60019/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - OBC


( For Student )


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E _____________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

49773/-







8) Form Fee 500/-

Total - 64019/-


Total 60019/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College


Admission Against _____________________________

Category SC F.E. Admission Year 2017-18



Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 4291/-


Total 4291/-

Rupees (In words) : Four Thousand Two Hundred Ninety One Only

Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College






Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 4291/-


Total 4291/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College




(For Student )


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 4291/-


Total 4291/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College



Category ST F.E. Admission Year 2017-18



Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 14246/-

Rupees (In words) : Fourteen Thousand Two Hundred Forty Six Only

Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College






Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 14246/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College




(For Student )


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ___________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 14246/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College



Category NT / DT / VJ /SBC / TFWS




Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 10246/-

Rupees(In words) : Ten Thousand Two Hundred Forty Six Only

Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College







Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 10246/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College





(For Student )


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)










8) Form Fee 500/-

Total - 14246/-


Total 10246/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ __________________________________________

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



Seal of College



Category - _______________________________




Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees






8) Form Fee 500/-

Total -

9) Less Fees Paid at ARC Centre

Total

Rupees(In words) : _____________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2017

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



Seal of College



Category - _______________________________




Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees






8) Form Fee 500/-

Total -


Total

Rupees(In words) : _____________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2017

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



Seal of College



Category - _______________________________


(For Student)


Shri./Smt______________________________________________________________________________

(Surname)

__________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. _________________________________________ Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees






8) Form Fee 500/-

Total -


Total

Rupees(In words) : _____________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2017

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



Seal of College


F.E. Admission Against _________________________________

Category - J & K / G.O.I.




Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ________________________________________ Roll No._____________________________ (Branch)










8) Form Fee 500/-

9) Any Other 2500/-

Total 27291/-

Rupees (In words) : Twenty Seven Thousand Two

Hundred Ninety One Only

Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



Seal of College







Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ________________________________________ Roll No._____________________________ (Branch)










8) Form Fee 500/-

9) Any Other 2500/-

Total 27291/-



Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



Seal of College





(For Student )


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

F.E. ________________________________________ Roll No._____________________________ (Branch)










8) Form Fee 500/-

9) Any Other 2500/-

Total 27291/-



Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



Seal of College

AISSM, SOCIETY,

Shivajinagar, Pune -5

Admission Year 2017-18 (For Student Section)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________

Class ______________Branch ________________________ Roll No.___________________


1) Soft Skill Training Charges 1500/-

Total

1500/-

Rupees(In words) : Fifteen Hundred Only

Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



AISSM, SOCIETY,


Admission Year 2017-18 (For Account Section)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________




Total

1500/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



AISSM, SOCIETY,


Admission Year 2017-18 (For Student)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________




Total

1500/-


Cash/P.O./D.D. No. ____________________________Date: / / 2017

Drawn on _____________________________ _________________________________________

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



(CAP ROUND)submit the hard copy of the online form filled by them to Mr. Tekawade. The student w ho...

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