Basic Details (ધોરણ-12 ની માર્કસીટ પ્રમાણે નામ લખવું)
ABC ID : *

Surname : *
Student's First Name : *
Father's Name : *
Mother's Name : *
Full Name :
Father's Full Name : *
Father's Mobile : *
Father's Occupation : *
Yearly Income : *
Gender : *
Marital Status : *
Do you Required Hostel Admission? : *
Catagory : *
Subcast : *
Category Certificate No With date of issue of certificate.
Handicap : *
Birth Place : *
Birthdate : *
Minority *
Non Creamy Layer Certificate (After 01/04/2019 OR Three year valid) With Date
Contact Details
Permanent Address Line 1 : *
Temporary Address Line 2 : *
City/Village : *
Taluka : *
Dist. : *
Pincode : *
State. : *
Nationality : *
Mobile No. : *
Phone No. :
Student's Email : *
Adhar Card No. : *
Educational Details
Last School Name *
Last School Joining Date *
Last School Leaving Date *
HSC Exam Center *
Hsc Exam Board *
HSC Exam Center Code *
Exam Name Pass Year Pass Month Seat No. Total Marks Obtained Marks Result
Trial
Class : *
Semester : *
વેક્સીન લીધેલ છે? હા/ ના
Yes No
કઈ વેક્સીન લીધી છે?
covishield covaxin
પ્રથમ ડોઝ તા.
બીજો ડોઝ તા.
Certificate No.
Admission Year : *
Blood Group બ્લડ ગ્રુપ
Bank Details
Bank Name :
Bank A/C No. :
Bank IFSC :
Account Holder Name
Upload Document
Photo upload : *
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Signature Upload : *
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Marksheet upload Sem6 OR Year 3 :
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Marksheet upload Sem5 OR Year 2 :
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Upload Aadhar card
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SC / ST / BAXI / PH Cast Certificate :
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Other university students Provisonal Certificate :
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Upload Non Creamy Layer Certificate (After 01/04/2019 OR Three year valid)
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Upload EWS Certificate
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Certificate of Cultural Activity or sports activity if participated in National Or state lavel :
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Cultural Activity or sports activity Name if participated in National Or state lavel
અભ્યાસ તૂટ અંગેનું ૨૦ /- ના સ્ટેમ્પ પર સોગંધનામુ
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નોધ : પ્રવેશફોર્મ સાથે નીચે પ્રમાણે ક્રમસર રીતે જોડવાની જરૂરી નકલો :

૧. ધોરણ-૧૨ની પાસ / નાપાસ થયાની તમામ માર્કશીટની ઝેરોક્ષ.

૨. ધોરણ-૧૨ પછી અન્ય કોઇ અભ્યાસ કરેલ હોય તો તેની તમામ પાસ–નાપાસની તમામ માર્કશીટની ઝેરોક્ષ.

૩. ઍલ.સી. (શાળા છોડ્યાનું પ્રમાણપત્ર)ની ઝેરોક્ષ.

૪. ટ્રાયલ સર્ટીફિકેટની ઝેરોક્ષ.

૫. જાતિના દાખલાની (જો લાગુ પડતો હોય તો જ)ની ઝેરોક્ષ.

૬. આધારકાર્ડની ઝેરોક્ષ.

૭. ધોરણ-૧૨ પછી જો અભ્યાસમાં કોઇ ગેપ (બ્રેક) હોય તો તે અંગેના અસલ સોગંદનામાની ઝેરોક્ષ.

૮. વિદ્યાર્થીના પોતાનો તાજેતરના પાસપોર્ટ સાઇઝના ૨ - ફોટા.


Undertaking: We hereby undertake the following:

1. I hereby apply to seek admission to the above mentioned course. I abide to obey all the rules and regulations of college and University. I know that if I do not join the college within the stipulated time, my admission shall stand cancelled and also my caution money and other fees will be deducted / refunded as per policy. I have read all the rules of admission cancellation of the college and University and the rules mentioned in the information.

2. We abide to pay all the fees decided by the college from time to time.

3. We shall submit undertaking stating maintenance of at least 80% attendance. I/My ward shall not hold any job during college hours and co-operate the college in all respects.

4. I undertake as a parent/guardian that I will come to the college in person as and when called by the college in connection with the issues related to attendance, study, behavior etc. of my ward.

5. We know that bringing mobile in the campus is strictly prohibited and we will not have any objection if it is seized in case of its use in the campus.

6. I have to return my library books issued at correct time and if not returned I have to pay a fine as per institute/library rules. New books will be issued only when the previous book are returned.

7. I know that Ragging is strictly prohibited in the campus and if I am engaged in ragging I will be immediately suspended / rusticated from the college.

8. We are aware that the college campus is a “No Tobacco Zone” as per rules of District Tobacco Control (DTC) Cell of Government of Gujarat.

9. I, hereby undertake that, I will neither indulge in any coercive activity for the purpose of forcing the authorities of the Institute to solve any problem nor I will participate in any activity which has a tendency to disturb the peace and tranquility of the institute campus and/or its Hostel premises.