SER, iid} Bharati Vidyapeeth (Deemed to be University) \ Pune, India Application for a Certificate of Eligibility for use by Indian Students migrating from the regional University / Board in the State of Maharashtra and outside Maharashtra State. (For the Academic Year 1. Name of applicant in CAPITAL letters (in full) (beginning with Sumame) (Maiden name in bracket for female candidates) Male / Female VIDYASHREE SINGH 2. Postal Address for correspondence Barate empire Karve nagar 3. Name of the City, Town or Village, in which the applicant has a permanent place of residence Senrupraen en - ‘Le eres 4, Date of remitting the fee Father mob.Nos 6391420266 5. Race and Religion (State S.C. / S.T. / elc.)General ~~ Nationality: Indian eres 6 Date of Birth: 11-10-1998 @lace of Births india caregory [Rett 7. Name of the last qualifying examination passed by the | Examination : applicant under another University/Board together with the | University / Board ; BAbU Banarasi das name of the University/Board, the date of passing | gubjocts ; university University/Board, the date of passing the examination and | yao!" * BBA the subjects in whicin examination has been passed foil 2020 8. Name of the College or Institution last attended by the | Name of the Bbdu.|ko applicant under another University/Board and whether the | College applicant was a student of such College or Institution | —— apa undergoing the courses of instruction for the examination | C'#8sBba____| Period of attendance qualifying for admission to this University. The period of | Year 2920 From 2017 to. attendance at such a College must, however, be specified. 2020 Course, College SSS 9. Courseis if any, joined by the applicant after the qualifying | / Instt./ University / Exam. with details Board Exam. Year Result 10. Class to which admission Is sought Mba 11. College to which admission is sought In the university "MEO. BHARATI ViOWAPEETH 412, Reason or reasons for seeking admission to this University — To nunc ry tnowiedge ond Joc betise oouortu 19, Declaration and Undertaking : \ hereby declare that | have noted the last date of receiving the Eligibilty forms by the University. | further declare that | have carefully read this application form of eligibility and the instructions/requirements given herein. | have also carefully noted the rules of eligibility laid down by the University and I agree to abide by them, | understand and declare that | shall be responsible for discrepancies, error, wrong or incorrect information supplied by me in this application form and cancellation of admission therefore o otherwise found ineligible. | undertake to furnish the necessary certiicates/papers in original along with a true copy of each of them which are not furnished along with this form before the end of the first term, failing which | understand that my eligibility stamps automatically cancelled and that the University is not responsible for the same. ‘hereby declare that the information given in this form is true and correct to the best of my knowledge gg belief. ase 11-01-2021 . iat Sianature of sealingNB. 14, +1) The application must be accompanied by the prescribed am of Mis @N* ip ensh and the available certificate in original and a typed copy of each. Applications without the passing certificate with a typed copy and fee will not be attended to. 2) The Certificate of Eligibility will be issued only on production of the certificates mentioned under item 14 below. 3) The Final Eligibility Certificate should be obtained before the end of the first term. 4) The eligibility fee once paid shall not be refunded under any cit Certificates (IN ORIGINALS) to be attached together with a copy of each certificate : (The original Certificates will be returned with the final eligibility certificate.) The original certificates will not be returned if their copies are not attached. sumstances. 1) Migration Certificate : Certificate from the Registrar of the Univ. under which the applicant passed the examination named above permitting him to prosecute his studies in the Bharati Vidyapeeth Deemed University, Pune - 4411 030. (Original Certificate will not be retumed.) 2) Attendance Certificate : Certificate from the Principal of the College or institution last attended by the applicant stating that he has passed the exemination referred to above after completion of the prescribed course of instruction at such college and mentioning the period of attendance of the applicant since his passing the last preceding University Examination, The percentage of attendance in such subject will not serve the purpose. 3) Passing Certificate : Certificate signed by the Registrar or the Principal of the College concemed stating the examination and the subjects in which the examination was passed. A certificate of marks obtained by the applicant at the examination will not be accepted in lew of the Passing Certificate, 4) Character Certificate : Certificate of good moral character from the Head of the Instruction last attended by the applicant or from a raspectablo person 5) Statement of marks of last qualifying examination 6) Degree Certiticate obtained at the convocation 7) Gap Certificate (Educational Gap). 8) Change in Name (Affidavit, Gazette Copy, Marriage Certificate original with a copy). 15. Certificate from the Principal of the College/Head of the University Department / Director of the Recognised Institute. (Certificate to be signed by the Principal of the College/Head of the University Department / Director of the Recognised Institute at which the student is admitted.) hereby certify as under : a) That the above named candidate is admitted as a regular student of this College/Department / Institute iin the academic year es b) That the last date of receiving eligibility forms by the University is notified to the students. ©) That | have scrutinised this form and that | have admitted him/her after verifying his/her eligibility and that he/she is eligible for the course appliad for, as per the rules of eligibility prescribed by the Univesity. d) That | understand and declare that the Univesity will not be responsible for any discrepancy error, wrong (or incomplete information in this form and that | undertake to abide by the decision of the Univesity in this regard, Seal of the College Pte te hierar DOOM Signature of the Princip