Submitted On: 17/05/2025 09:46 FormNo:19807
Sheth T.J. Education Society`s
Sheth N.K.T.T. College of Commerce
and Sheth J.T.T. College of Arts.
(Autonomous)
ADMISSION FORM
SYBA NEP 2020 (2025-2026)
The Principal,
Sheth N.K.T.T. College of Commerce
and Sheth J.T.T. College of Arts. (Autonomous)
Behind Collector Office, Kharkar Alley, Thane, Maharashtra - 400601
I wish to apply for admission to the SYBA NEP 2020 Class. I give below the necessary particulars.
Student Name PAWAR ANAYA ATUL
Mother`s Name ANUSHKA
PRN/ERN MU0341120240201996 Aadhar Card 379875453856
Academic Bank of Credits 671055729489 Digital Locker Id ----
Gender/Sex Female Marital Status Unmarried
Blood Group O+ Date Of Birth(As per LC) 10/05/2006
Place Of Birth (Village/City) RATNAGIRI Place Of Birth (Taluka) ----
Place Of Birth (District) RATNAGIRI Place Of Birth (State) Maharashtra
Place Of Birth (Country) INDIA Nationality Indian
Mother Tongue Marathi Religion Hindu
Category OPEN Caste : HINDU
SubCaste MARATHA Physically Challenged N/A
Percent Of Physical Disability 0
Correspondence Address 223/8720 1 ST FLOOR KANNMWAR NAGAR 1 VIKHROLI E MUMBAI
(Actual Place Of Stay)
Correspondence Pin Code 400083
Permanent Address 223/8720 1 ST FLOOR KANNMWAR NAGAR 1 VIKHROLI E MUMBAI
Native State Maharashtra Rural/Urban(Native) Urban
Telephone No.(Resi.) ---- Student Mobile No 9321798775
Student Email ID pawaranaya1028@gmail.com Guardian Mobile No 8082330185
Guardian Email ID ---- Avail Railway Concession: Yes
From Station Dombivli Enrolled in Voter`s List? No
Examination Name of the Board / Mon. & Year Name of the College Seat No Total Marks Attempt Out of /
University of Passing /SGPA Grade
I University of Mumbai 2024-10 NKT College 21023 212 0 F
II University of Mumbai 2025-03 NKT College 22024 267 0 F
PARENT / GUARDIAN DETAILS
Parents/Guardian Name Anushka Atul Pawar Parents/Guardian Relationship Mother
Parents/Guardian Occupation Nurse Parents/Guardian Office Add. Suraksha soc , Bldg no.4,Vashi
Naka ,Chembur
Annual Income (In Figures) 70000.00 Earning Family Members 1
Non-Earning Family Members 1
DECLARATION BY STUDENT
1. I hereby declare and undertake that my admission to next program for the AY 2025-26 is provisional subject to approval of eligibility condition decided by the
University of Mumbai from time to time.
2. I hereby declare and undertake that, If my admission is not granted by University of Mumbai for any reason (eligibility criteria or extra admissions) I shall accept it
and take back my fees paid. I will not held the college responsible for that and my admission taken will stand cancelled with immediate effect
3. I hereby declare that I have read all the rules and regulations framed by the college authorities as given in the college prospectus, which are presently in force.
FormNo:19807
4. I hereby declare and undertake to abide by all the mentioned rules and regulations and hereby agree, if admitted, to confirm to them and to such other rules as may
hereafter be made for the smooth functioning of the college.
5. I hereby declare that I will visit the college website www.nktdegreecollege.org for regular update and notices.
6. I may not be granted terms or allowed to appear for the College / University Examination if my attendance in lectures and tutorials / practicals falls short of 75%.
7. I may not be granted any concession in any matter, if I take up any employment during the course of my studies.
8. I hereby declare that I shall show satisfactory progress and maintain good conduct.
9. I hereby declare that I have not registered my name at any other institution for any other full time course.
10. I hereby declare that the information filled in by me in this form is accurate and true to the best of my knowledge I will be responsible for any discrepancy, arising
out of the form signed by me and I undertake that, in absence of any document the final admission will not be granted and / or admission will stand cancelled.
11. I WILL DISPLAY MY IDENTITY CARD PROMINENTLY IN THE COLLEGE PREMISES.
12. I have given my and my parents most recent contact details (phone, email). In case of any change I undertake to inform college accordingly.
13. I hereby give my consent for use of my contact details for educational communication.
14. I am aware that as per University Circular No. SW/42 of 2015 dtd. 29th Oct. 2015, I am compulsorily required to give an undertaking on www.antiragging.in & www.
amanmovement.org.
15. I will get myself enrolled for Voter ID Card when I would turn 18 Years of age.
16. I am aware that if eligible for Scholarship / Freeship scheme of Social Welfare Department then I must complete all formalities in time. If I fail to do so then I
undertake to pay full fees of course by end of October of the Current Academic year.
(Signature of the Student) (Name & Signature of the Parent / Guardian)
UPLOADED DOCUMENT INFORMATION
Following Documents are uploaded:
1. Aadhar Photo 2. Academic Bank Credit Photo
FEES PAYMENT INFORMATION
Order No: 10446320025 Amount: 9366.00 Status: SUCCESS
Bank reference No: 10446320025 PG Tracking No: 250517228734415
Payment Success Date : 17/05/2025 09:56:00
1. Declaration by Parent / Guardian :‐
a) I have permitted my son / daughter / ward to join your college. The information
supplied by him / her is correct to the best of my knowledge. I have acquainted
myself with the rules and fees, dues of my son / daughter / ward and to see that he /
she observes, the said rules in totality. I, hereby give my consent for use of my
contact details for educational communication.
मी मा ा मु ा ा / मु ी ा / पा ् या ा तुम ा महािव ा यात वे घे ाची परवानगी िद ी
आहे . ाने / ितने िद े ी मािहती मा ा मािहतीनुसार बरोबर आहे . मी मा ा मु ा ा /
मु ी ा / पा ् याचे िनयम आिण फी, दे णी यां ची तः ा ओळख क न घेत ी आहे आिण तो /
ती सदर िनयमां चे सं पूणपणे पा न करतो की नाही हे पाह ासाठी मी तः ा प रिचत के े
आहे . मी, या ारे ै िणक सं पकासाठी मा ा सं पक तप ी ां चा वापर कर ास माझी सं मती
दे तो.
b) I am aware that if my child/children's attendance in the said class is not at the
prescribed rate i.e. 75% of the total work, he/she will be disqualified from appearing
in the college/university examination, and if this happens, I will have no complaint in
that regard.
मा ा मु ाची / मु ाची / पा ् याची सदर वगाती उप थती ठरवू न िद े ् या णजे च एकूण कामकाजा ा
७५% माणात भर ी नाही, तर महािव ा य / िव ापीठ परी ेस बस ास ा ा / ित ा अपा ठरिव े
जाई याची म ा मािहती असू न, असे घड ् यास ा सं दभात माझी कोणतीही त ार असणार नाही.
c) I will register my son/daughter/child's name in the electoral roll as soon as he/she
completes 18 years of age.
मी मा ा मु ाची / मु ीची / पा ् याची १८ वष पूण झा ् याबरोबर मी ाचे / ितचे नाव मतदार यादीत
नोंदवून घेणार आहे .
िव ाथ्यार्चे नाव :-___________________________ पालकांचे नाव :- ____________________________
Name of the Student Name of the Parent / Guardian
िव ाथ्यार्ची सही :-__________________________ पालकांची सही:- ____________________________
Signature of the Student Signature of the Parent / Guardian
