Registration Form

Previous Qualification Marks

		Rayat Shikshan Sanstha's S.M.JOSHI COLLEGE,HADAPSAR . Affiliated to Savitribai Phule Pune University, Pune Re-Accredited by NAAC with 'A' Grade with CGPA Of 3.09 Website : http://smjoshicollege.com \| Email : rayatsmjoshicollege@rediffmail.com \| Phone : 020-26999001 Academic Year :2024-2025
Admission Form - -
Form No.:						PRN No.:
Course:						Year:
Student Name:						DOB: 01-Jan-1970
Aadhar No.:						Nationality:
Category:						Fees Category:		Gender:
Religion:						Caste:
Address:
Student Mobile No.:						Email ID:
Father's/Guardain's Name:						Mother Name:
Total Marks Sem I			Total Marks Sem II			SGPA Sem I		Total Credit Sem I
Out of Marks Sem I			Out of Marks Sem II			SGPA Sem II		Total Credit Sem II
Percentage Sem I			Percentage Sem II			CGPA

Student Undertaking
ASSURANCE LETTER REGARDING ATTENDANCE I, . would like to seek admission in . class in your college for the academic year . I assure you that I will maintain my 80% attendance in both terms. I am also aware that if I will not be able to attend the required days of the college, I will be disqualified to appear College / University examination or my name will be removed from attendance catalogue. Also my admission will be cancelled and I will not have any complaint against any action taken by the college in this regard.
(Signature of the student) Name: Date: 01-01-1970

For Office Use
ANTI RAGGING AFFIDAVIT BY THE STUDENT 1. I, having been admitted to 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. 2. I have ,in particular ,perused clause 3 of the Regulations and am aware a to what constitutes ragging. 3. I have also, in particular ,perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty for abetting ragging ,actively or passively, or being part of a conspiracy to promote ragging. 4. I hereby solemnly aver and undertake that I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. I will not participate in or abet or propagate through any act of the commission or omission that may be constituted as ragging under clause 3 of the Regulations. 5. 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. I hereby declare that I have not been expelled or debarred from admission in any institution in the country 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.
National Anti-ragging Helpline 1800-180-5522 (24*7 Toll Free) or Email the Anti-Ragging Helpline at helpline@antiragging.in (D.O. No- I -15/2009(ARC) pt.III dated -23 rd December, 2021) For any other information regarding ragging, please visit the UGC website i.e. www.ugc.ac.in And www.antiragging.in contact UGC monitoring agency i.e. Aman Satyakachroo Trust on mobile no. 09871170303.09818400116 (only in case of emergency) UGC has notified 3 rd Amendment in UGC Regulations on 29 th June, 2016 to expand the definition of ragging by including the following: …. 3 (i) Any act of physical or mental abuse (including bullying and exclusion) targeted at another student (fresher or otherwise) on the ground of colour, race, religion, caste, ethnicity gender (including transgender), sexual orientation, appearance nationality, regional origins,linguistic identity, place of birth , place of residence or economic background’. Anti- Ragging Undertaking Reference No: ________________________ As per the guidelines given by University Grants Commission (UGC) with regard to revised procedure for students to file online anti-ragging affidavit (D.O. No. F. 3-2/2021(ARC) dated 27 th October, 2021. It is mandatory for all the students to fill the online anti-ragging affidavit form available on www.antiragging.in / www.amanmovement.org and submit the anti-ragging undertaking reference number (generated after the successful submission of affidavit) to the college office.
(Signature of the student) Name:					(Signature of the parent)
Assurance / Undertaking for availing Scholarship / Freeship by Student I, ,taking admission in Class for academic year . I belongs to and taking admission as a Scholarship / Free ship student. As I had mentioned / whitened my category as in my admission form.I hereby assure / promise you to fill the scholarship from in time with all the required documents. (Caste –certificate, Income certificate, cast-validity certificate etc. whatever required If I fails to fill the scholarship form in time, I know that my scholarship / freeship will not get the sectioned and in such case I hereby give the written assurance to pay the full fees of the class form my side as a paying student.
Date: 01-01-1970 Place:					(Signature of the student)
Remark						Verified by(Sign & Seal)
Remark