ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S COLLEGE OF ENGINEERING KENNEDY ROAD, PUNE – 411 001 TEL.PH. 26057660 & 26058587 EXTN NO. 1105/1106, 26058342, FAX 26058943 M.E. (FIRST YEAR ) ADMISSION 2015 – 2016 Procedure of Reporting and Confirmation of CAP Admission (CAP ROUND) (For All Category Candidates) A ) Payment of Fees : Fees to be paid between 1100h to 1600h only by pay order / demand draft as given below: I) Interim (Tuition) & Other Fees: Sr. Fees Details No. 1 2 3 4 6 7 8 Interim Fees Development Fees University Charges Caution Money Deposit Other University Eligibility Fees Form Fees Total Fees : Open (Pune University) 93546.00 9354.00 500.00 1000.00 550.00 500.00 105450.00 Open (Other than Pune University) 93546.00 9354.00 500.00 1000.00 1050.00 500.00 105950.00 The above fees is to be paid by Pay order / Demand Draft drawn in favour of “ The Principal, AISSMS, COE, PUNE”, payable at Pune. B) Admission form and fees challan : All Candidates should download the admission form given on the College website www.aissmscoe.com under admission head and also they should download fees challan from the above given website. C) Place of Reporting and Submission of Admission Form: All Candidate should report to Student Section Office (Second Floor) alongwith All downloaded filled Forms and fees challan alongwith Original documents and Certified photo copies (Two Sets) of Original documents, Demand Draft/Pay Order, two passport size photograph. * Please note that the interim fee declared by Shikshan Shulka Samiti is subject to change and the final fees shall be declared soon. In case fees are more, the difference will have to be paid by the student. The college shall refund the excess amount, incase the final fees declared is less then the interim fees. Important Note: The last date of reporting and confirmation of Admission of CAP Round will be as per the schedule given by D.T.E. No reporting and confirmation of admission will be done after the last date. This should be noted carefully by all M.E. candidates admitted through the CAP. PUNE No.COE/PN/ /15-16 Date : 17.07.2015 Dr S P Danao Principal Copy to : 1) Main Notice Board, 2) Library Notice Board, 3) Account Section. 4) Stationery Store. ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S COLLEGE OF ENGINEERING KENNEDY ROAD, PUNE – 411 001 TEL.PH. 26057660 & 26058587 EXTN NO. 1105/1106, 26058342, FAX 26058943 M.E. (FIRST YEAR) ADMISSION 2015 – 2016 Documents to be submitted (Two Sets Attested photo copy with Original documents) Please arrange the original documents & one photo copy set as per the following order of Sr. No. Sr. No. Original Documents 1 Allotment Letter 2 GATE Score Card 3 HSC (12th Std) Marksheet 4 SSC (10th Std) Marksheet 5 B.E. Marksheet 6 B.E. Passing Certificate 7 If B.E. appeared then Bonafide Certificate stating appeared for B.E. 8 Transfer Certificate/School Leaving Certificate 9 Candidate Nationality Certificate 10 GAP Certificate (If Applicable) 11 Sponsorship / No objection Certificate (If Applicable) 12 Cast Certificate (If Applicable) 13 Cast Validity Certificate (If Applicable) 14 Non Creamy layer (If applicable) 15 I – Card Form 16 Domicile Certificate (If Applicable) 17 Migration Certificate (If Applicable) 18 Address Proof-Light Bill Or Telephone Bill 19 Photo copy of D.D. or Pay Order PUNE No.COE/PN/ /15-16 Date : 17.07.2015 Dr S P Danao Principal Copy to : 1) Main Notice Board, 2) Library Notice Board, 3) Account Section. No . All India Shri Shivaji Memorial Society’s College of Engineering PHOTO Kennedy Road, Pune 411 001. Affiliated to University of Pune & Recognised by AICTE New Delhi Application for Admission To Post Graduation Course in Engineering (To be filled by candidate in CAPITAL LETTER only) M.E. (FIRST YEAR) ADMISSION - YEAR : - 2015 - 2016. Branch Allotted : - __________________ Category __________ Admission Against __________ Admission Details : 1) Name : 2) Sex : 3) Religion : __________________________________________________________________________ Surname Father’s Name Mother’s Name First Name Male : Female : Date Of Birth : Caste : / Category / : 4) Blood Group : __________________ Mother tong : ____________________ 5) Permanent Address ( Parents) : ____________________________________________________________ ___________________________________________________________________________________________ City : _________________ , State of Domicile : _______________________ Pin Code Mobile No : Email : ____________________ : Res Tel No with STD Code : _________________________ 6) Local Address : __________________________________________________________________________ _________________________________________________________________________________________ Mobile No : Email : _________________________ Res Tel No with STD Code : ______________ 7) Details of qualifying examination passed : Month & Year of Passing Examination Name and address of the Institute Maximum Marks Marks Obtained Percentage of Marks S.S.C. / DIPLOMA H.S.C. / DIPLOMA B.E. / B. TECH. GATE 2015 I hereby Declared that : I have not been debarred from appearing at any examination held by University of Pune, Pune or any statutory examination authority in India. Signature of Parents Signature of Candidate Name :_______________________________ Name : ___________________________ I understand that the admission given to me against quota for reserve category is purely provisional and will be cancelled if my caste certificate is rejected by the Director of School Welfare, Maharashtra State or if I fail to submit caste validity certificate to College Signature of Parents Signature of Candidate Name :_______________________________ Name : ___________________________ Date : / Place : Pune / 2015. Roll No/Admission No Form Fee: 50 ` (For Post Graduate Courses/PH.D/ M.Phill) I wish to apply for the Eligibility for the academic year 1. (for office Use) Application for Eligibility 20 ‐ 20 Name of the Course to which application is sought Year : 1st / 2nd / 3rd /4th / 5th Name in full of the Applicant (in English capital Letters) Name as per last Mark sheet should be mentioned. N.R.I Student should write their name as it appears in their Passport. 3. Mother’s Name 4. Nationality 6. Gender: 5. Type: Maharashtrian / 7. Date of Birth: Male / Female Non‐ Maharashtrian DD MM YYYY OBC SBC 8. Reserved Category * Do you belong to any of the following Reserved Categories? If so attach a certificate of a Competent Authority in support of it (Tick mark √ in applicable box ) Open SC ST DT(A) NT(B) NT(C) NT(D) Do you belong to the creamy layer of NT(C), NT (D) and OBC? Yes / No If you do not belong to the creamy layer, submit a certificate of a Competent Authority in support of it. )# 9. Are you a physically handicap? No / Yes ( If Yes specify type Particulars of the H.S.C. Examination 1. Have you passed Exam from Maharashtra board? Yes / No if No please specify Name of Board 2. Name of the school/Jr. College/College Seat No. Month & Year Of Passing Percentage Class/Grade Please specify Educational gap details if any Last Examination name Seat No. Month & Year Of Passing Percentage Class/Grade 10. Are you Belong to the Minority? No/ Yes (if yes please specify type which has given below) Linguistic: Religious: Signature of Candidate Copies of Following attested certificates are annexed to application form 1. Statement of Marks of the qualifying 4. Domicile Certificate 5. Cast certificate (For reserved category candidates) examination 2. Education Gap certificate 6. Cast validity certificate (For reserved category candidates) 3. Affidavit for change in name 7. Transfer Certificate AISSMS, College of Engineering, Pune 411 001 RECEIPT CUM ACKNOWLEDGEMENT Date : / / 2015 Received following original documents from Mr. / Ms. ________________________________________ ______________ of Class M.E. (First Year) Branch _________________ academic year 2015 – 2016. Please arrange the original documents & one photo copy set as per the following order of Sr. No. 1) Allotment Letter 9) GAP Certificate 2) GATE Score Card 3) 10) Sponsorship / No objection Certificate th 11) Cast Certificate (If Applicable) th HSC (12 Std) Marksheet 4) SSC (10 Std) Marksheet 12) Cast Validity Certificate (If Applicable) 5) B.E. Marksheet 13) Non Creamy layer (If applicable) 6) B.E. Passing Certificate 14) Domicile Certificate (If Applicable) 7) If B.E. appeared then Bonafide Certificate stating appeared for B.E. 15) Migration Certificate (If Applicable) 8) Transfer Certificate/School Leaving Certificate 16) Any other Received _______ Nos Documents Receivers signature __________________________________________________________________________________________ AISSMS, College of Engineering, Pune 411 001 RECEIPT CUM ACKNOWLEDGEMENT Date : / / 2015 Received following original documents from Mr. / Ms. ________________________________________ ______________ of Class M.E. (First Year) Branch _________________ academic year 2015 – 2016. Please arrange the original documents & one photo copy set as per the following order of Sr. No. 1) Allotment Letter 9) GAP Certificate 2) GATE Score Card 10) Sponsorship / No objection Certificate th 3) HSC (12 Std) Marksheet 11) Cast Certificate (If Applicable) 4) SSC (10th Std) Marksheet 12) Cast Validity Certificate (If Applicable) 5) B.E. Marksheet 13) Non Creamy layer (If applicable) 6) B.E. Passing Certificate 14) Domicile Certificate (If Applicable) 7) If B.E. appeared then Bonafide Certificate stating appeared for B.E. 15) Migration Certificate (If Applicable) 8) Transfer Certificate/School Leaving Certificate 16) Any other 1) Allotment Letter 9) GAP Certificate Received ________ Nos Documents Receivers signature All India Shri Shivaji Memorial Society's COLLEGE OF ENGINEERING Kennedy Road, Pune : 411001 "Affiliated to University of Pune" ( IdNo. PU/PN/Engg/093 [1992] Tel: (020) 26058587/ 26058660 Fax : (020) 26058943 Direct : (020) 26058342 E-Mail : contact@aissmscoe.com principal@aissmscoe.com Website : www.aicoep.org (Note : Fill the form in BLOCK LETTERS only) -- Identity Card Form -- PHOTO Name : ____________________________________________________________________________ Local Address :______________________________________________________________________ __________________________________________________________________________________ Ph. No. (Res.) __________________ Mobile No. ___________________________________ Permanent Address _________________________________________________________________ __________________________________________________________________________________ Ph. No. (Res.) __________________ Mobile No. ___________________________________ Class ____________________________________ Branch __________________________________ Roll No._________________________________ Date of Birth _______________________________ Blood Group _____________________________ Student’s Sign ______________________________ Contact Person Name & Phone / Cell No. in case of emergency __ ____________________________ __________________________________________________________________________________ ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S COLLEGE OF ENGINEERING PUNE – 411 001 Anti Ragging Rules & Procedures (As per AICTE regulation on curbing the menace of Ragging in Higher Educational institutions 2009, hereinafter called the “Regulations”) What is Ragging? “Any Conduct whether by words spoken or written or by an act which has the effect of teasing, treating or handling with rudeness any other student, indulging in rowdy or undisciplined activities which causes or is likely to cause annoyance, hardship or psychological harm or to raise fear or apprehension thereof in a fresher or a junior student or asking the students to do any act or perform something which such student will not in the ordinary course and which has the effect of causing or generating a sense of shame or embarrassment so as to adversely affect the physique or psyche of a fresher or junior student.” Ragging is a Social Crime. As per above referred AICTE “Regulations”, Ragging is strictly prohibited in the College Campus as well as outside the College Campus. All students are hereby informed not to indulge in any kind of Ragging activity either directly or indirectly. A strict action as per AICTE “Regulations” will be taken. (A) For Senior Student: The senior student should note that they should not engage themselves in any kind of Ragging activity inside as well as outside of College Campus. Strict action as per above” AICTE “Regulations” will be taken against them if anybody is found indulging in Ragging activity. (B) For all Students & Parents / Guardians: All the students and their Parents/Guardians should carefully read and fully understand the provisions contained in the said AICTE “Regulations” (Copy of the said “Regulations” is attached). All the students and their Parents/Guardian should submit the enclosed Affidavits along with the Admission form at the time of Payment of fees. The student who fails to submit the Affidavit will not be granted admission in the College. (Copy of Student Affidavit and Parent/Guardian Affidavit is enclosed). (C) Anti Ragging Committee and Anti Ragging Squad The following Committee and Squad are formed at College level to effectively look into the ragging cases and to monitor the activities’ of the students inside as well as outside the College Campus. Anti Ragging Committee Sr No 01 Name Post Contact Number Dr S P Danao Principal Chairman 9422517402 02 Shri R K Jitkar Businessmen Civil administration 9823027586 03 Shri Satish Nikam SPI Ex Officio Member 020-26125884 04 Shri Umesh Ghongade Media Member 9881099032 05 Dr (Mrs) S K Upasani Reporter Sakal News Papers Ltd,Pune Associate Professor Member 9422881122 06 07 08 09 Dr D V Nighot Assistant Professor Student : Fresher Student : GS Administration Officer Member Member Ex Officio Member Member 9422339320 --9422083314 Shri A B Bhonsle Designation Anti Ragging Squad Sr.No. Name Designation Post Contact Number 01 Prof U R Awari Assistant Professor Chairman 9763314475 02 03 Prof S R Patil Assistant Professor Assistant Professor Member Member 9422302582 04 05 Prof S H Lavate Shri A B Bhonsle Assistant Professor Administration Officer Member Member 8888949191 9422083314 06 Mrs M M Kondhare Physical Director Member 9881294721 The students can contact the Committee Members at any time on the mobile numbers, if any incident of Ragging is observed by them. (D) For Fresher Student: The fresher student can contact any of the Committee Member or the Principal at any time, if anybody tries to do Ragging with them. The Fresher student should desist from doing anything against their will even if ordered by the seniors. They should immediately contact the Office or any of the Anti Ragging Committee Member and report the incident immediately. The College will take stringent action against the senior student involved in Ragging .The fresher’s should not fear of any action and should not tolerate any kind of atrocities of seniors students. The Fresher students can also contact the General Student Association (GSA) Committee members for participation in various College level Technical, Cultural, Sports & other activities. The Academic Calendar of the various Academic and other activities to be held in the College is enclosed. College Contact Numbers: Office (Direct) - (020) 26058342 (020) 26058587, 26057660 Ext. No. - 1101, 1105, 1103 Fax No. - (020) 26058943 ---------------------------------------------------------------------------------------------- ANNEXURE II AFFIDAVIT BY PARENT/GUARDIAN I,Mr./Mrs./Ms_________________________________________________________________(full name of parent / guardian)father / mother /guardian of,_____________________________________________ ( full name of Student ) have been admitted to AISSMS,COE, Pune 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. 1) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging. 2) I have also, in particular, perused clause 7 and clause 9.1 of the Regulation and am fully aware of the penal and administrative action that is liable to be taken against my ward in case he/she is found guilty of or a betting ragging actively or passively, or being part of a conspiracy to promote ragging. 3) I hereby solemnly aver and undertake that (a) my ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. (b) 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. 4) I hereby affirm that, if found guilty of ragging, I 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. 5) I hereby declare that my ward has not been expelled or debarred from admission in any institution 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. 6) Along with the above mentioned points I do hereby declare that (a) My ward will obey the code of conduct of the Institute and do not indulge in any kind of in-disciplined activity while in and off the institution campus. (b) My ward will solely responsible for any kind accident/mishap caused on account of the above mentioned clause (6.a). Declared this_______________ day of _____________________ Month of _________year. Signature of deponent Name: Address:. Telephone / Mobile No: 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 Pune on this th_______________ day of _____________________ Month of _________year. Signature of deponent ANNEXURE I AFFIDAVIT BY THE STUDENT I, __________________________________________________________, (full name of student) s/o d/o Mr./ Mrs./Ms. _______________________________________________ having been admitted to AISSMS,COE, Pune, 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. 1) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging. 2) I have also, in particular, perused clause 7 and clause 9.1 of the Regulation and am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 3) I hereby solemnly aver and undertake that (a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. (b) I 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. 4) 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 penal law or any law for the time being in force. 5) I hereby declare that I have not been expelled or debarred from admission in any institution 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 cancelled. 6) Along with the above mentioned points I do hereby declare that (a) I will obey the code of conduct of the Institute and do not indulge in any kind of in-disciplined activity while in and off the institution campus. (b) I will solely responsible for any kind accident/mishap caused on account of the above mentioned clause (6.a). Declared this_______________ day of _____________________ Month of _____________year. Signature of deponent Name: 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 Pune on this the______________ day of _____________________ Month of _________year. Signature of deponent