1 4
A.Y. C.Y. B.C.
ROLL NO.
NUMBER
Vidya Pratishthan's
College of Engineering Baramati
Vidyanagari, Bhigwan Road, Baramati, Dist. Pune - 413 133
ADMISSION FORM FOR THE ACADEMIC YEAR 2014-2015
APPLICATION FORM FOR CONTINUING IN THE COLLEGE BY ADMISSION TO
S.E. / T.E. / B.E. / M.E. II YEAR PROGRAMMES.
Year of First Admission to VPCOE:
Admission Type :
First Year
CAP
Transfer
Direct Second Year
Against CAP
Institute Level
NAME : ....................................................................................................................................
As per your mark sheet
(Surname)
(First Name)
Paste
your recent
Color
Photograph
in this
area.
(Middle Name)
FATHER NAME : .......................................................................................................................
(Surname)
(First Name)
MOTHER NAME : ..................................................
(First Name Only)
Date of Birth :
/
/19
(dd/mm/yyyy)
(Middle Name)
Aadhar Card Details
No.: _________________________________
Enrollment No.: ______/________/________
Attach copy of your Aadhar Card / Registration Slip
Category :
OPEN
SC
ST
Scholarship availed last academic year.
Free-ship
Scholarship
II Semester
2
Month &
Year of
Passing
Marks
obtained
NT1
YES
NO
EBC
Minority
FIRST YEAR
I
Semester
1
DT/VJ
NT2
NT3
N.A.
I
Semester
3
TFWS
Inst. level
II
Semester
4
THIRD YEAR
Grand
Total
(3+4)
I
Semester
5
II
Semester
6
Percentage
Passed /
ATKT / Fail
(IF ATKT / Fail No. of subjects)
(Please attach the copies of all the mark-sheet of qualifying examinations)
Parents Address for Contact :
Relation :
Address:
Pin Code:
Email :
STD Code:
Tel. No.:
Mobile No.
Student’s Present Address for Contact :
Address:
Email :
Grand Total
(5+6)
N.A.
N.A.
Marks out of
Name:
SBC
If yes, then:
SECOND YEAR
Grand
Total
(1+2)
OBC
Mobile No.
(Signature of Student)
DECLARATION BY THE STUDENT
I hereby undertake that :
1. I understand that this is a full time course, I shall not pursue any other educational degree program / and not involve
in any form of employment during the tenure of this program, failing which my admission stands cancelled.
2. I will strictly adhere to the rules, regulations and discipline of the Institute and the University.
3. I am aware of using Mobile / Cell phone in the college building is strictly prohibited. The mobile phone of the person
violating this regulation will be confiscated. It would be returned only (a) at the end of the course or (b) After payment
of fine.
4. I will not indulge in any behavior or act that may come under the definition of ragging, I hereby agree that if found
guilty of any aspect of ragging, I may be punished as per the provisions of the AICTE regulations and / or as per the law
in force.
5. I will carry I-card every day to college and shall show the same on demand by Security / Faculty / Official of the
institute.
6. I will pay my fee / dues on or before the prescribed deadline as per payment norms of VPCOE.
7. I will maintain a minimum attendance of 75% in every subject of the semester and each and every semester of the
course I am studying. I undertake that the Principal have every right to prevent me from appearing in the University
examinations for shortage of attendance /for facing suspension etc.
8. I know that, the college will be organizing placement focused skill enhancement programmes other than the
academics for the students and aware that the charges for such programmes are to be borne by the students, if
needed.
9. I will visit institute website www.vpcoe.org and read the notice boards regularly to know rules and responsibilities as
well the updates in the college/department.
10. The Principal reserves the right to modify any of the institute rules as and when necessary so as to maintain the
academic discipline in the college premises. The decision of the Principal in all the matters shall be final.
Place:Baramati
Date:
/ /2014
………………….………………….
(Signature of Student)
Name:_______________________________