Admission Form 2023-24

Personal Details

Course Name

Class

Provisional

Name of Applicant

Surname First Name Father's Name

Mother Name

Date of Birth

(Click on calender for date selection)

Birth Place

Blood Group

Gender

Marital Status

Nationality

Category

Caste

Caste Validity No.

Religion

Religious Minority

Mobile No.

Email Id

Father's Annual Income

Aadhar Card No.

PAN No.

Mother Tongue

Uni. Pune PRN No.

Uni. Pune Eligibility No.

Residence Details

Address

Parent Full Name

(Surname First Name Father's Name )

Parent Mobile No.

Parent Permanent Address

Parent Occupation

Educational Details

Name of Examination

Board /University

Seat No.

Percentage

Year of Passing

XII

Graduation

Last Exam

Bank Details

Bank A/C No. (Nationalize)

Bank Name

Branch Name

IFSC Code

MICR Code

General Details

Language Known

Hostel facility needed

Domicile

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