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0% found this document useful (0 votes)
26 views7 pages

Sy Add Form

Uploaded by

Jay Ware
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BPHE Society's Ahmednagar College, Ahmednagar

Near Chandani Chowk, Station Road, Ahmednagar


0241-2359571, Email ID : ahmednagarcollege1947@gmail.com
Admission Form Details (Academic Year : 2024-2025)

Form Verification (For Office Use Only) Fill Date : 28/05/2024 03:09 PM - Print Date : 28/05/2024 03:09 PM

Sign. Sign.
Div & Subject Alot. Auth Division Roll No. Rcpt. Made By Rcpt. No. Amount Date

Sign. Sign.
Form Checked By Scholarship Verification Fee Category Caste Category Caste Member ID
INDIAN Maharashtra VJNT No
Nationality State of Resident Caste Category Is Handicapped

Registration Information

Admission Form Number : 2092570

Registration Number : 2300070365

Admission Type : Section : Class :


Provisional U.G. S.Y.BSC.COMP.
Division : Fee Category : Caste Category :
NON-GRANT PAYING VJNT
Form No. (Merit/Adm.) : Uni./Board Registration No. : Eligibility No.(UG & PG) :
N.A. 1102303999 12023223262
CAP Application Kit No. : Adhaar Card No. : Pan Card No. :
N.A. 391710015401 AJFPW4226L

Student's Information

Student's Name :
WARE JAY SUNDER
Father's Name : Mother's Name :
WARE SUNDER GANGABHISHAN WARE MANISHA SUNDER
Local Address :
S/O Sunder Ware , Riporter Ganesh Nagar , Bid,Beed, 431122
Against Of New Tahashil,Eknath Nagar,Shevgaon - 414502
Location : Taluka : District :
Beed Beed Beed
State : Country : Pin Code :
Maharashtra INDIA 431122
Permanent Address :
S/O Sunder Ware , Riporter Ganesh Nagar , Bid,Beed, 431122
Against Of New Tahashil,Eknath Nagar,Shevgaon - 414502

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 1
support@vriddhisoftware.com.(Form No.:2092570)
Location Type: Location : Taluka :
N.A. Beed Beed
District : State : Country :
Beed Maharashtra INDIA
Pin Code : Email ID :
431122 warejay003@gmail.com
Mobile No. : Parent's Email :
9850240096 jayware003@gmail.com
Father's Mobile No. : Is Parent Alumni? : Father's Profession :
8080393637 No. N.A.
Father's Occupation : Phone No 1 : Gender :
Other N.A. Male
Birth Date : Birth Place : Birth Place Taluka :
17/02/2004 NITYASEVA HOSPITAL SHEVGAON
Birth Place District : Birth Place State : Birth Place Country :
A.NAGAR MAHARASHTRA INDIA
Nationality : Mother Tongue : Marital Status :
INDIAN Marathi Single
Blood Group : Handicap : Religion :
B+ No HINDUISM
Caste : Interest :
VANJARI N.A.

Guardian's Information

Last Year's Details with (TC/LC)/Migration/Eligibility Information

Last Attended Institute Name :


B.P.H.E. SOCIETY'S AHMEDNAGAR COLLEGE , AHMEDNAGAR
Last Attended Examining Body (Board/University) :
SAVITRIBAI PHULE PUNE UNIVERSITY
Last Attended Class : Eligibility : State of Residence :
FYBSC (COMPUTER SCIENCE) Same Institute/College M.S.
Last Qualified Exam : Passing Month : Passing Year :
FYBSC(COMPUTER SCIENCE) May 2024
Percentage : Result : Exam Center :
77.05 A Grade 0018
Seat No. : T.C./L.C. No. : T.C./L.C. Date :
50240 198 22/06/2022
Gap :
No

Current Year's Information

Other Activity :
(None)
Short Term Course Offered by Inst. : Preparing for Competitive Exam :
N.A. N.A.
Availed Earn & Learn Scheme :
N.A.

Concession Information

Applicable Fees Concession : Bank Account No : Bank IFSC Code :


N.A. 51032310024862 CNRB0015103
Residence Type : Is Using Cycle Bank : Distance from College (KM) :
N.A. N.A. N.A.

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 2
support@vriddhisoftware.com.(Form No.:2092570)
Parent's Annual Income : Is Creamy Layer : No. of Family Members :
N.A. N.A. N.A.
Is BPL : Social Reservation :
N.A. N.A.

Passport Information

Subject's Information

Subject Name Subject Code Subject Group


1) DATA STRUCTURE USING C (21121) 21121 Subject Group - A
2) RELATIONAL DATABASE MANAGEMENT 21122 Subject Group - A
SYSTEMS (RDBMS) (21122)
3) APPLIED ALGEBRA (21221) 21221 Subject Group - A
4) NUMERICAL ANALYSIS (21222) 21222 Subject Group - A
5) DIGITAL SYSTEM HARDWARE (21321) 21321 Subject Group - A
6) ANALOG SYSTEMS (21322) 21322 Subject Group - A
7) ENGLISH (21521) 21521 Subject Group - A
8) OBJECT ORIENTED CONCEPTS USING C++ 22121 Subject Group - A
(22121)
9) SOFTWARE ENGINEERING (22122) 22122 Subject Group - A
10) DATA STRUCTURES PRACTICAL & C++ 22123 Subject Group - A
PRACTICALS (22123)
11) DATABASE PRACTICALS & MINI PROJECT 22124 Subject Group - A
USING SOF. ENG. (22124)
12) COMPUTATIONAL GEOMETRY (22221) 22221 Subject Group - A
13) OPERATIONS RESEARCH (22222) 22222 Subject Group - A
14) PRACTICAL MATHEMATICS (22223) 22223 Subject Group - A
15) ARCHITECTURE, INTERFACING & 22321 Subject Group - A
PROGRAMMING (22321)
16) COMMUNICATION PRINCIPALES (22322) 22322 Subject Group - A
17) PRACTICAL (ELECTRONICS) (22323) 22323 Subject Group - A
18) ENGLISH (22521) 22521 Subject Group - A
19) A COURSE IN ENVIRONMENTAL AWARENESS 22727 Subject Group - A
(22727)

Previous Educational Qualification Details :

1) Institute Name : B.P.H.E. SOCIETY'S AHMEDNAGAR COLLEGE , AHMEDNAGAR


Board / Uniersity Name : SAVI
Qualified Course : F.Y.B.Sc. (Comp. Science) Obt. Marks : 339 Max. Marks : 440 Percentage : 77.05

Grade : A Grade Attempt : 1st Month/Year : May/2024

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 3
support@vriddhisoftware.com.(Form No.:2092570)
WARE JAY SUNDER WARE JAY SUNDER
Scanned Signature Student's Signature

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 4
support@vriddhisoftware.com.(Form No.:2092570)
ANTI RAGGING AFFIDAVIT BY THE STUDENT
Class : S.Y.BSC.COMP. -- Academic Year : 2024

Registration No. :2300070365 Date : 28/05/2024 03:09 PM

1. I, WARE JAY SUNDER S/O or D/O Mr./Mrs./Ms. WARE SUNDER GANGABHISHAN having been
admitted to BPHE Society's Ahmednagar College, Ahmednagar 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.
2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty for abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
4. I hereby solemnly aver and undertake that I will not indulge in any behaviour or act that may beconstituted
as ragging under clause 3 of the Regulations.I will not participate in or abet or propagatethrough any act of
commission or omission that may be constituted as ragging under clause 3 of the Regulations.
5. 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 penallaw or
any law for the time being in force.I hereby declare that I have not been expelled or debarred fromadmission in
any institution in the country 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 canceled.

Declared on ______________________

__________________________________
Signature of Student
Name : WARE JAY SUNDER
Adress : S/O Sunder Ware , Riporter Ganesh Nagar , Bid,Beed, 431122, Beed, Beed, Beed, ,
Maharashtra, INDIA, 431122

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 _________________________________ on _________________________________

Signature of Student

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 5
support@vriddhisoftware.com.(Form No.:2092570)
AFFIDAVIT BY PARENT/GUARDIAN
Class : S.Y.BSC.COMP. -- Academic Year : 2024

Registration No. :2300070365 Date : 28/05/2024 03:09 PM

1. I Mr./Mrs./Ms., WARE SUNDER GANGABHISHAN father/mother/guardian of WARE JAY SUNDER


having been admitted to BPHE Society's Ahmednagar College, Ahmednagar 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.
2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penaland administrative action that is liable to be taken against my ward in case he/she is found guilty of or
abetting ragging, actively or pasively, or being part of a conspiracy to promote ragging.
4. I hereby solemnly aver and undertake that My ward will not indulge in any behaviour or act that may be
constituted as ragging under clause 3 of the Regulations. 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.
5. I hereby affirm that, if found guilty of ragging, 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.
6. I hereby declare that my ward has not been expelled or debarred from admission in any institution in the
country 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.
Declared on ______________________

__________________________________
Signature of Parent/Guardian
Name : WARE SUNDER GANGABHISHAN
Adress : S/O Sunder Ware , Riporter Ganesh Nagar , Bid,Beed, 431122, Beed, Beed, Beed, ,
Maharashtra, INDIA, 431122

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 _________________________________ on _________________________________

Signature of Parent/Guardian

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary
or an oath Commissioner.)

Layout, design & style of this form is copyright of Vriddhi Software Solutions Pvt Ltd., Page 6
support@vriddhisoftware.com.(Form No.:2092570)
BPHE Society’s
Ahmednagar College, Ahmednagar
(2022-23)
__________________________________________________________

UNDERTAKING

I, the undersigned, __________________________________,


of Class _______ hereby wish to take provisional admission in
the class _______.

I have given the exam of the class _____, whose results are
yet to be announced.

I'm fully aware that my admission will be confirmed only


after I pass my class _____.

Name & Signature

Enclose : Attested Xerox copy of last year mark-sheet.

Reference: (1)उपक्रम/संकीर्ण/२०२२/५४०६ दिन ंक २९ ऑगस्ट २०२२ (2)


स वित्रीब ई फु ले पुर्े विद्य पीठ य ंचे पररपत्रक क्रम ंक २३०/२०२२

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