(CAP ROUND)aissmscoe.com/wp-content/uploads/2017/07/Second-Year...by Samaj Kalyan Office. Important Note : Th e last date of reporting and confirmation of Admission of CAP Round will

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

SECOND YEAR (DIRECT) 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.

Particular For Open

Category

OBC

Category

SC ST NT, DT, NT,

SBC, TFWS

Category

1 Tution Fees 90909/- 45455/- 00/- 00/- 00/-

2 Development Fees 9091/- 9091/ 00/ 9091/ 9091/

3 Caution Money Deposit 1000/- 1000/- 1000/- 1000/- 1000/-

4 University Charges 600/- 600/- 600/- 600/- 600/-

5 University Eligibility Fees 1050/- 1050/- 1050/- 1050/- 1050/-

6 Amartya Shiksha Yojana Policy 454/- 454/- 454/- 454/- 454/-

7 Admission Form Fees 500/- 500/- 500/- 500/- 500/-

Total – 103604/- 58150/- 3604/- 12695/- 12695/-

8 Less Fees Paid at ARC Centre -4000/- -4000/- -00/- -00/- -4000/-

Total Fees Rs. 99604/- 54,150/- 3604/- 12695/- 8,695/-

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 Challan :

All Candidates should download the admission form given on the College website

www.aissmscoe.com under News and Events and also they should download fees

challan as per their category 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 Self attested

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

photograph.

http://www.aissmscoe.com/

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 31 August 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 Direct Second Year candidates admitted

through the CAP.

PUNE

No.COE/PN/ /17-18 Dr D S Bormane

Date : 18 /07/2017 Principal

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

Store

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



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

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

All students of S.E.(Direct) 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/2017-18/ Principal

Date : 18.07.2017

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



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

SECOND YEAR (DIRECT) ADMISSION 2017 – 2018

Documents to be submitted (Three Sets Attested photo copy

with Original documents)

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)

PUNE

No.COE/PN/ /17-18 Dr D S Bormane

Date : 18 /07 /2017 Principal

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

Sr.

No. Documents

1 Allotment Letter and CAP Confirmation Letter.

2 SSC ( 10th

Std ) Marksheet

3 Final Year Diploma Marksheet

4 College Leaving Certificate

5 Candidate Nationality Certificate

6 Provisional Passing Certificate

7 Birth Certificate / Domicile Certificate

8 Gap Certificate ( if any )

9 Address Proof-Light Bill/Telephone Bill

10 Equivalence Certificate issued by MSBTE Mumbai (if applicable)

11 Photo copy of D.D. or Pay Order

12 I – Card Form

13 CAP Conformation Form

14 Addhar Card of Candidate

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 Second Year (Direct) 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

SE (DIRECT)

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)

---------

Diploma

---------

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:

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

AISSMS, College of Engineering, Pune 411 001

RECEIPT CUM ACKNOWLEDGEMENT

Date : / / 2017

Received following original documents from Mr. / Ms. ________________________________________

______________ of Class S.E. (Direct) Branch _________________ academic year 2017-18.

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

1) Allotment Letter and CAP Confirmation Letter.

2) HSC (12th

Std) Mark Sheet / Diploma Mark Sheet

3) SSC (10th

Std) Mark Sheet

4) School Living Certificate

5) Nationality Certificate

6) Cast Certificate ( If Applicable)

7) Cast Validity ( If Applicable)

8) Non Creamy Layer Certificate ( If Applicable)

9) HSC (12th

Std) Passing Certificate / Diploma Passing Certificate

10) Migration Certificate ( If Applicable)

11) Domicile Certificate / Birth Certificate

12) Fathers /Mother Domicile Certificate

13) GAP Certificate ( If Applicable)

14) CAP Conformation Form

15) Addhar Card of Candidate (Photo Copy)

16)

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 S.E. (Direct) Branch _________________ academic year 2017-18.

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

1) Allotment Letter and CAP Confirmation Letter.

2) HSC (12th

Std) Mark Sheet / Diploma Mark Sheet

3) SSC (10th

Std) Mark Sheet

4) School Living Certificate

5) Nationality Certificate

6) Cast Certificate ( If Applicable)

7) Cast Validity ( If Applicable)

8) Non Creamy Layer Certificate ( If Applicable)

9) HSC (12th

Std) Passing Certificate / Diploma Passing Certificate

10) Migration Certificate ( If Applicable)

11) Domicile Certificate / Birth Certificate

12) Fathers /Mother Domicile Certificate

13) GAP Certificate ( If Applicable)

14) CAP Conformation Form

15) Addhar Card of Candidate (Photo Copy)

16)

Received ________ Nos Documents Receivers signature

(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/


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 CAP – I / II/ III / IV

Category - OPEN

S.E.(Direct) 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._______________________________________________________________________

S.E. (Direct) ________________________________ Roll No.________________________ (Branch)

Academic Year 2017-18

Sr.No. Particulars Rs

1) Tuition Fees 90909/-

2) Development Fees 9091/-

3) Caution Money Deposit 1000/-

4) University Charges 600/-

5) University Eligibility Fees 1050/-

6) NICL ASY Policy 454/-

7) Form Fee 500/-

Total : 103604/-

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

Total 99604/-

Rupees(In words) : Ninety Nine Thousand Six Hundred Four

Only

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

Drawn on _____________________________ _________________________________________

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

(For office Use Only)

Date : / /2017 Receivers Signature

Seal of College



Category - OPEN

S.E.(Direct) Admission Year 2017-18 (For Account Section)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 103604/-


Total 99604/-


Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - OPEN

S.E.(Direct) Admission Year 2017-18 (For Student )


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 103604/-


Total 99604/-


Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - OBC



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 58150/-


Total 54150/-

Rupees(In words) : Fifty Four Thousand One Hundred Fifty Only

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

Drawn on ______________________________________________________________________

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



Seal of College



Category - OBC



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 58150/-


Total 54150/-


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

Drawn on _____________________________________________________________________

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



Seal of College



Category - OBC

S.E.(Direct) Admission Year 2017-18 (For Student)


Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 58150/-


Total 54150/-


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

Drawn on ______________________________________________________________________

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



Seal of College



Category - SC



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 3604/-

8) Less Fees Paid at ARC Centre 00/-

Total 3604/-

Rupees(In words) : Three Thousand Six Hundred Four Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - SC



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 3604/-


Total 3604/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - SC



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 3604/-


Total 3604/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 12695/-

Rupees(In words) : Twelve Thousand Six Hundred Ninety Five

Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 12695/-


Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - ST



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 12695/-


Only

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._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 8695/-

Rupees(In words) :Eight Thousand Six Hundred Ninety Five Only

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

Drawn on _____________________________ _________________________________________

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



Seal of College






Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 8695/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College






Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________










7) Form Fee 500/-

Total : 12695/-


Total 8695/-


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

Drawn on _____________________________ _________________________________________

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



Seal of College



Category - OPEN



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________




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



Category - OPEN



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________




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



Category - OPEN



Shri./Smt_______________________________________________________________________________

(Surname)

_________________________________________________________________________________________


Ph.No./Mob. No._______________________________________________________________________




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

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 _____________________________ _________________________________________

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



Seal of College

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 _____________________________ _________________________________________

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



Seal of College

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 _____________________________ _________________________________________

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



Seal of College