Application for Admission to First Year of Four Year Degree Course in EngineeringINSTITUTE LEVEL / VACANT SEATS (if any, after the CAP Rounds) IMPORTANT NOTES It is the candidate’s responsibility to ensure that all the columns are correctly filled in All fields marked with * are mandatory Incorrect entries / incomplete data may lead to the application form being rejected *Preference for branch: CIVIL ENGINEERINGCOMPUTER ENGINEERINGINFORMATION TECHNOLOGY MECHANICAL ENGINEERING ARTIFICIAL INTELLIGENCE AND MACHINE LEARNING ELECTRONICS AND COMPUTER SCIENCE COMPUTER SCIENCE AND ENGINEERING (DATA SCIENCE) Name of the Candidate: *Gender: --- Male Female Other Date of birth : *Category: --- CHRISTIAN OPEN SC ST DT NT OBC SBC If belonging to Minority / Backward Class, submit duly attested photocopies of necessary documents' with 'Attach Caste Certificate / Caste Validity Certificate / Valid Non-Creamy Layer Certificate (if applicable) Particulars of Academic Record:Std. X (SSC/ICSE/CBSE) Std. XII (HSC/CBSE/Any Other)It is mandatory to fill in the Physics marks*, Mathematics marks* & Chemistry marks*If the candidate has appeared for an Additional Subject eg. Biology / Biotechnology / Technical Vocational Subjects / Computer Science / Information Technology / Informatics Practices / Agriculture / Engineering Graphics / Business Studies, the marks of the same should be entered.FOR OPEN CATEGORY STUDENTS –The total of Physics + Mathematics + Chemistry / Additional Subject marks should be minimum 45%For SC / ST / NT / DT / OBC / SBC Category students –The total of Physics + Mathematics + Chemistry / Additional Subject marks should be minimum 40% MHT CET / JEE-MAIN ScoreIf you have appeared for both the exams, please fill in details for bothMHT-CET SCORE JEE MAIN SCORE DIPLOMA IN ENGINEERING (If Applicable)FOR OPEN CATEGORY STUDENTS – OBTAINED AT LEAST 45% MARKSFor SC / ST / NT / DT / OBC / SBC Category students - OBTAINED AT LEAST 40% MARKS FIRST YEAR (SEM 1) FIRST YEAR (SEM 2) SECOND YEAR (SEM 3) SECOND YEAR (SEM 4) THIRD YEAR (SEM 5) THIRD YEAR (SEM 6) Declaration to be signed by the Candidate: The information given by me in this application is true to the best of my knowledge and belief. I understand that if any of the statements made by me in the application form or any information supplied by me in connection with my admission is found to be false or incorrect, later on at any time, my admission will be cancelled, fees forfeited and I may be expelled from the college by the Principal.I have not been debarred from appearing at any examination held by any Government constituted or statutory examination authority in India.I fully understand that the offer of a course will be made to me depending on my inter se merit and availability of a seat at the time of scrutiny of my application, when I actually will report to the admission authority according to the schedule of admission.I am fully aware that the College Authorities will not make any correspondence with me regarding admission. I am also aware that it is entirely my responsibility to see the notices on the notice board of the college/website.I fully understand that the fees to be paid are determined by the Fee Regulating Authority appointed by Govt. of Maharashtra and I will abide by the fee fixed by the committee. Declaration to be signed by the Parent/ Guardian: I declare that the particulars furnished by my son/daughter/ward in this application form are correct to the best of my knowledge and belief.I undertake and abide myself to pay on behalf of my son/ daughter/ ward such fees, charges etc. which Government of Maharashtra/ University may levy from time to time by due date and in the event of failure on my part and/or on the part of my son/daughter/ward, the Principal of the College may take such action against my son/daughter/ward, as he may deem fit.I agree to sign the requisite agreement bond as prescribed by the Government.I agree to pay the fees as fixed by the Fee Regulating Authority of Govt. of Maharashtra Documents to be uploaded (Mandatory) (Max. File size 500 kb each) S.S.C. Marksheet H.S.C. Marksheet / Diploma Marksheet MHT-CET/ JEE Scorecard Junior College Leaving Certificate Student Photograph Student Signature Additional Documents to be uploaded (Max. File size 500 kb each) Acknowledgement of Registration at Facilitation Centre Proof of Christian Minority (if applicable) Domicile Certificate Caste Certificate / Caste Validity Certificate / Valid Non-Creamy Layer Certificate (if applicable)