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Engg - Application - Form - 2020 - 21 Singhad

The document is an engineering admission form for Sinhgad Institutes for the academic year 2020-21, detailing the institutes, their affiliations, and application requirements. It includes sections for personal information, academic qualifications, and a declaration by the candidate. The form must be completed with preferences for institutes and submitted with a fee of Rs. 1050, along with necessary documents.

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0% found this document useful (0 votes)
39 views4 pages

Engg - Application - Form - 2020 - 21 Singhad

The document is an engineering admission form for Sinhgad Institutes for the academic year 2020-21, detailing the institutes, their affiliations, and application requirements. It includes sections for personal information, academic qualifications, and a declaration by the candidate. The form must be completed with preferences for institutes and submitted with a fee of Rs. 1050, along with necessary documents.

Uploaded by

sakshiiiur9255
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Application Form No:

SINHGAD INSTITUTES
(STES & SPSPM)
Self-
SINHGAD ENGINEERING INSTITUTES Attested
Approved by AICTE (New Delhi), Recognized by Government of Maharashtra &
Affiliated to Savitribai Phule Pune University & Punyashlok Ahilyadevi Holkar Solapur University Photo
Engineering Admission Form 2020-21

Aspirant can directly apply for admissions to the First year degree course in Engineering in any of the following
Institute(s) or can process through Centralized Admission.
Name of Prefer
Sr. Special
Institutes Name Affiliating ence
No ization
University No

Vadgaon (Bk)/Ambegaon (Bk) Campus, Pune - 411041


Sinhgad College of Engineering (SCOE) Savitribai Phule
1 S. No.44/1, Vadgaon (Bk), Off Sinhgad Road, Pune-411041, Pune University
020- 24354705 [email protected]
Smt. Kashibai Navale College of Engineering (SKNCOE) Savitribai Phule
2 S. No.44/1, Vadgaon (Bk), Off Sinhgad Road, Pune-411041, Pune University
020-24354938[email protected]
NBN Sinhgad Technical Institute Campus Savitribai Phule
NBN Sinhgad School of Engineering (NBNSSOE) Pune University
3
S.No. 10/1, Ambegaon (Bk), Off Sinhgad Road, Pune 411041,
020-24355041/42/46 [email protected]

Narhe Technical Campus, Pune-411041

Sinhgad Institute of Technology & Science (SITS)


Savitribai Phule
4 S.No.49/1, Off Westerly Bypass, Mumbai-Banglore Bypass, Narhe, Pune-411041 Pune University
020- 66831702/03/04  [email protected]
Kondhwa (Bk) Campus, Pune 411048
Sinhgad Academy of Engineering (SAE)
Savitribai Phule
5 Kondhwa (Bk), Kondhwa-Saswad Road, , Pune 411048, Pune University
020- 26934550/ 26934441 [email protected]
Warje Campus, Pune 411058
RMD Sinhgad Technical Institute Campus
RMD Sinhgad School of Engineering (RMDSSOE) Savitribai Phule
6
111/1, Pune-Mumbai Bypass Highway, Warje, Pune 411058, Pune University
020-25218401 / 02/05/06  [email protected]
Lonavla Campus, Dist - Pune 410401
Sinhgad Institute of Technology (SIT)
Savitribai Phule
7 Kusgaon (Bk), Off Mumbai-Pune Express Way, Lonavla, Dist - Pune 410401, Pune University
02114-673353/355/407/477 [email protected]
SKN Sinhgad Institute of Technology and Science (SKNSITS)
Savitribai Phule
8 Kusgaon (Bk), Off Mumbai-Pune Express Way, Lonavla, Dist - Pune 410401, Pune University
02114-673393/ 225 [email protected]
Solapur Campus
N.B. Navale Sinhgad College of Engineering (NBN SCOE) Punyashlok
Ahilyadevi
9 Off. Solapur University, Solapur Pune Highway, Kegaon, Solapur-413255 Holkar Solapur
0217-2500595/610 [email protected] University
SKN Sinhgad College of Engineering (SKN SCOE) Punyashlok
Ahilyadevi
10 A/P Korti, Pandharpur, Solapur-413304 Holkar Solapur
02186-250103/ 146 [email protected] University

All above Institutes (Sr. 1 to 10) are approved by AICTE and recognized by Govt. of Maharashtra
Note: The candidate is required to give minimum 3 (Three) preferences to validate the form.
Applicant Personal Information:

1. Full Name of the Candidate:


(Name as per 10thMark sheet)

In Devnagri Script
Gender: Male / Female /Transgender Mother’s Name:__________________________________________________
Father’s Name: _______________________________________ Father’s Occupation : ___________________________________________
Father’s Mobile Nos.: _________________________________ Landline nos. (with STD code) __________________________________
2. Correspondence Address: ___________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________

District:_____________________________State :__________________________________________ Pin Code: ____________________________

Candidate’s Mobile : __________________________________ E-mail Id: _________________________________________________________

3. Permanent Address: _________________________________________________________________________________________________________


_________________________________________________________________________________________________________________________________

District:_____________________________State :__________________________________________ Pin Code: ____________________________

4. Aadhaar Nos. __________________________________________ Pan Card Nos. : ____________________________________________________

5. Date of Birth (DD/MM/YY): ______________________________________

Birth Place: Taluka : State : __________________________________________________

6. Religion:
7. Caste Category: Open / SC/ST/VJ/DT/NT-A/NT-B/NT-C/NT-D/OBC/SEBC/EWS (if any other please specify)
8. Mother Tongue: _________________________________ Blood Group: __________________________________________________________

9. (a) Name of Guardian & Contact Nos.: ______________________________________________________________________________________

(b) Relationship of Guardian with the Candidate: _________________________________________________________________________

(c) Father’s / Guardian’s Annual income including income from all sources: __________________________________________

9. Do you require Hostel Accommodation: Yes / No: ________________________________________

10. Admission Form Fee : Rs. 1050/-


Demand Draft (DD) No. ______________________________________ Dated: _____________________________________________________

Bank Name: ___________________________________________________ Branch: ___________________________________________________


(DD to be drawn in favour of “Sinhgad Technical Education Society” payable at Pune)

11. Academic Qualification:


Sr. Board Name / Month & Year Percentage &
Examination Total Marks
No College Name of Passing Class Obtained
S.S.C (10th) or its
1 ________ out of _________
equivalent
H.S.C (12th) or its
2 ________ out of _________
equivalent
3 Any other ________ out of _________

Specify Entrance Exam Appeared for: MH-CET/ JEE (MAIN)/AIEEE (please tick) Enrl. No.:_________________________
Composite Score: _____________________________ Percentile: _____________________ Month / Year: ____________________________
DECLARATION TO BE SIGNED BY THE CANDIDATE

I hereby declare that,

1. I have read all the rules of Admission and I have consulted my parents / guardian and after understanding these rules, I
have filled in the application for admission to the First Year Degree Course at Sinhgad Engineering Institutes.
2. The information given by me in the application is true to the best of my knowledge and belief.
3. I have not been debarred from appearing for any examination held by any Government constituted or Statutory
Authority in India or abroad.
4. I fully understand that admission once granted in particular category, will be final & I will not be entitled to have
admission in any other category. Depending on my inter-se merit and availability of a seat my admission is subject to
verification of my original testimonials for obtaining the eligibility.
5. I hold myself responsible for full payment of the fees at the time of the admission. In case any dues are not cleared within
the stipulated time declared/notified by the head of the institution, the college can take the necessary action against me.
I have noted that the fees may be refundable as per rules in case of cancellation.
6. I understand that no other document, other than those attached to the application form will be entertained for the
purpose of claims/ concessions/weightages etc. in connection with my admission.
7. I hereby declare that I have read and understood all the clauses in AICTE Regulation dated 01-07-2009 on curbing the
Menace of Ragging and I also hereby give my consent for the same.
8. I hereby agree to abide by all rules, Acts and Laws in force by Government / University/ Institute/ Society and hereby
undertake that so long as I am a student of the Institute I will do nothing either inside or outside the Institute which may
result in disciplinary action against me under the rules, Acts and Laws.
9. The Institute will initiate strict disciplinary action students who organise, assist or lead in strikes or in any way found
guilty of serious breach of discipline in or outside the college campus.
10. I fully understand that the Director/Principal of the Institute where I would be admitted has the full authority to expel
me from the Institute for any infringement of the rules of conduct and discipline by me, which also includes lack of
stipulated attendance, any false information given above or involvement in any illegal activities.
11. I undertake to attain full attendance as per the University and Institute Rules, failing which I am aware that my terms
will not be granted.
12. I hereby agree that I have no objection to use of my pictures in soft copy and hard print form during promotions of
events & advertisements and institute related activities.
13. I hereby agree that I have no objection to use of my academic records for academic and non- academic activities.
14. All disputes subject to Pune Jurisdiction only.

Date:_______________ ______________________________________________
Name & Signature of the Candidate
Place: ______________ Mr. /Ms. ____________________________________

INSTRUCTIONS FOR FILLING THIS APPLICATION FORM

For Admission to First Year Full Time Engineering Course

1. The form shall be filled online / manually by the candidate on himself/ herself of their own.
2. Incomplete applications and those without necessary attested copies of certificates will not be considered.
3. A candidate who furnishes false information or suppresses material information will be dismissed and his/her fees will
be forfeited.
4. The candidate will have to produce the original certificates and statements of marks at the time of scrutiny of
candidature when called for the purpose.
5. Those candidates who have passed qualifying degree from other than Savitribai Phule Pune University should furnish
Migration Certificate within one month after seeking the admission.
6. Student must furnish Transfer certificate (T.C.) from Institute / College last attended at the time of admission.
7. The admission being granted is purely provisional and is subject to the total compliance with the eligibility criteria and
the submission of all the certificates/ documents and is also subject to confirmation by the Savitribai Phule Pune
University / Punyashlok Ahilyadevi Holkar Solapur University.
Undertaking in respect of Fees

I, Mr/Mrs.___________________________________________________________________ (Parent/Legal Guardian) of


Mr./Ms________________________________________________________________ hereby agree to pay the adhoc fees prescribed by the
Fees Regulating Authority / Competent Authority. I undertake to pay the difference in fees (if any) after the fixation of
final fees for the course by the Fee Regulating Authority / Competent Authority.

Name & Signature of Parent / Guardian Name & Signature of the Candidate

(_________________________________________________) (___________________________________________)
For Office Use

Date Particular Remark Name, Designation & Signature


with Stamp

Aspirant can directly submit admission form to the respective Institute(s) mentioned or can process through Centralized
Admission.

Dy. Registrar (Admissions)


Sinhgad Institutes
19/15 Smt. Khilare Marg., Off Karve Road
Erandawane, Pune 411004
Maharashtra, India
Phone: +91 20 25431001, Fax: 020 25458520
Email: [email protected]
Visit us: www.sinhgad.edu

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