pS. M.
BATHA JUNIOR COLLEGE
Plot no. 512-515 Panchgani Mahabaleshwar Road,
Panchgani - 412805, District. Satara
Tel. No. (02168) 241241 & 299158/299231 E-mail: smbathacollege@gmail.com
Registration form No: ________
To,
The Principal
S. M. BATHA JUNIOR COLLEGE
512, Panchgani - Mahabaleshwar Road,
Tal: Mahabaleshwar.
District: Satara.
Panchgani- 412 805
Respected Madam/ Sir,
I, _____________________________ Father/Mother/Guardian request you to grant
my daughter / son _____________________________________ admission in Std.
XI / XII SCIENCE / COMMERCE at S. M. Batha Junior College for the academic
year 2025-2026.
I hereby declare that the information given below is correct.
1. Name in full : ________________ _________________
(In Capital Letters) Surname First Name
___________________ _________________
Father’s Name Mother’s Name
2. School/Junior College last attended
_______________________________________
3. Medium of instruction in the last School /Junior College:_________________
4. Adhaar card No.(Self) _______________________ (Copy attached)
Yours sincerely,
Signature of the Parent/Guardian of the student _________________
Date: ___________