J. T. S. S. P. Mandal

Shri Shiv Chhatrapati College,Junnar

Bodkenagar, Junnar-410502

021**-******, Email ID : adswad@r.postjobfree.com

Admission Form Details (Academic Year : 2022-2023)

Form Verification (For Office Use Only) Fill Date : 01/10/2022 12:38 PM - Print Date : 01/10/2022 12:38 PM

Sign. Sign.

Div & Subject Alot. Auth Division Roll No. Rcpt. Made By Rcpt. No. Amount Date

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Form Checked By Scholarship Verification Fee Category Caste Category Caste Member ID

Registration Information

Admission Form Number : 1713984

Registration Number : 200*******

Admission Type : Section : Class :

Provisional U.G. T.Y.B.SC.(CREDIT)

Division : Fee Category : Caste Category :

NON-GRANT PAYING OPEN

Form No. (Merit/Adm.) : Uni./Board Registration No. : Eligibility No.(UG & PG) :

N.A. N.A. N.A.

CAP Application Kit No. : Adhaar Card No. : Pan Card No. :

N.A. 321********* N.A.

Voter ID :

N.A.

Student's Information

Student's Name :

KABADI VAISHNAVI SANTOSH

Father's Name : Mother's Name :

KABADI SANTOSH NAVNATH KAVITA

Local Address :

At. Kabadwadi, Post-Junnar

N.A.

Location : Taluka : District :

Junnar Junnar Pune

State : Country : Pin Code :

Maharashtra INDIA 410502

Permanent Address :

At. Kabadwadi, Post-Junnar

N.A.

Location Type: Location : Taluka :

N.A. Junnar Junnar

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District : Email ID :

Pune adswad@r.postjobfree.com

Mobile No. : Parent's Email :

904-***-**** N.A.

Father's Mobile No. : Phone No 1 : Phone No 2 :

879-***-**** N.A. N.A.

Fax No : Gender : Birth Date :

N.A. Female 14/12/2002

Birth Place : Birth Place Taluka : Birth Place District :

OTUR N.A. N.A.

Birth Place State : Birth Place Country : Delivery Place :

N.A. N.A. N.A.

Nationality : Mother Tongue : Marital Status :

INDIAN Marathi N.A.

Occupational Status: Blood Group : Handicap :

N.A. N.A. No

Is Organ Donor : Conveyance Use : Religion :

N.A. N.A. HINDU

Caste : Sub Caste : Caste Validity No.:

MARATHA N.A. N.A.

Is Minority : Ration Card Type :

No N.A.

Last Year's Details with (TC/LC)/Migration/Eligibility Information

Last Attended Institute Name :

SHRI SHIV CHHATRAPATI COLLEGE OF ARTS, COMMERCE AND SCIENCE JUNNAR

Last Attended Examining Body (Board/University) :

SAVITRIBAI PHULE PUNE UNIVERSITY

Last Attended Class : Last Attended College/School UDISE Code :

S.Y.B.SC. N.A.

Eligibility : State of Residence : Last Qualified Exam :

N.A. M.S. S.Y.B.SC.

Passing Month : Passing Year : Percentage :

Sep 2022 75.05

Result : Attempt : Exam Center :

Distinction 1st 0076

Seat No. : T.C./L.C. No. : T.C./L.C. Date :

7180 N.A. N.A.

Migration Cert. No. : Migration Cert. Issue Date : Gap :

N.A. N.A. N.A.

Consession Information

Applicable Fees Consession : Bank IFSC Code : Bank Account No :

N.A. N.A. N.A.

Residence Type : Parent's Annual Income : Is Creamy Layer :

N.A. N.A. N.A.

Subject's Information

Medium : English

Subject Name Subject Code Subject Group

1) ZO-351 Pest Management (ZO 351) ZO 351 Optional Subject - A2

2) ZO-3510 Aquarium Management (ZO 3510) ZO 3510 Optional Subject - A2

3) ZO-3511 poultry Management (ZO 3511) ZO 3511 Optional Subject - A2

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4) ZO-352 Histology (ZO 352) ZO 352 Optional Subject - A2

5) ZO-353 Biological Chemistry (ZO 353) ZO 353 Optional Subject - A2

6) ZO-354 Genetics (ZO 354) ZO 354 Optional Subject - A2

7) ZO-355 Developmental Biology (ZO 355) ZO 355 Optional Subject - A2

8) ZO-356 Parasitology (ZO 356) ZO 356 Optional Subject - A2

9) ZO-357 Zoology Practical Paper-I (ZO 357) ZO 357 Optional Subject - A2

10) ZO-358 Zoology Practical Paper-II (ZO 358) ZO 358 Optional Subject - A2

11) ZO-359 Zoology Practical Paper-III (ZO 359) ZO 359 Optional Subject - A2

12) ZO-361 Medical 7 Forensic Zoology (ZO 361) ZO 361 Optional Subject - A2

13) ZO-3610 Environmental Impact Assessment (ZO ZO 3610 Optional Subject - A2

3610)

14) ZO-3611 Project (ZO 3611) ZO 3611 Optional Subject - A2

15) ZO-362 Animal Physiology (ZO 362) ZO 362 Optional Subject - A2

16) ZO-363 Molecular Biology (ZO 363) ZO 363 Optional Subject - A2

17) ZO-364 Entomology (ZO 364) ZO 364 Optional Subject - A2

18) ZO-365 Techniques in Biology (ZO 365) ZO 365 Optional Subject - A2

19) ZO-366 Evolutionary Biology (ZO 366) ZO 366 Optional Subject - A2

20) ZO-367 Zoology Practical Paper I (ZO 367) ZO 367 Optional Subject - A2

21) ZO-368 Zoology Practical Paper II (ZO 368) ZO 368 Optional Subject - A2

22) ZO-369 Zoology Practical Paper III (ZO 369) ZO 369 Optional Subject - A2

Previous Educational Qualification Details :

1) Institute Name : SHRI SHIV CHHATRAPATI COLLEGE OF ARTS, COMMERCE AND SCIENCE JUNNAR

Board / Uniersity Name : SAVITRIBAI PHULE PUNE UNIVERSITY

Qualified Course : S.Y.B.Sc. Obt. Marks : 435 Max. Marks : 600 Percentage : 72.50

Grade : Distinction Attempt : 1st Month/Year : Sep/2022

KABADI VAISHNAVI SANTOSH KABADI VAISHNAVI SANTOSH

Scanned Signature Student's Signature

Undertaking

We hereby certify that the information provided in this application form is correct. We undertake to

abide by the rules and regulations of the college and the orders issued by the competent authorities from time

to time. We are agree that decision of the principal in respect of the students admission will be binding upon

us.

Parent's Signature Student's Signature

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Admission Admission Not

Principal's/Vice Principal's/Authority Signature Confirmed Confirmed

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ANTI RAGGING AFFIDAVIT BY THE STUDENT

Class : T.Y.B.SC.(CREDIT) -- Academic Year : 2022

Registration No. :200******* Date : 01/10/2022 12:38 PM

1. I, KABADI VAISHNAVI SANTOSH S/O or D/O Mr./Mrs./Ms. KABADI SANTOSH NAVNATH having

been admitted to J. T. S. S. P. Mandal Shri Shiv Chhatrapati College,Junnar 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 as 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 beconstituted

as ragging under clause 3 of the Regulations.I will not participate in or abet or propagatethrough any act of

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 penallaw or

any law for the time being in force.I hereby declare that I have not been expelled or debarred fromadmission 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 canceled.

Declared on

Signature of Student

Name : KABADI VAISHNAVI SANTOSH

Adress : At. Kabadwadi, Post-Junnar, Junnar, Junnar, Pune,, Maharashtra, INDIA, 410502

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 on

Signature of Student

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary

or an oath Commissioner.)

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AFFIDAVIT BY PARENT/GUARDIAN

Class : T.Y.B.SC.(CREDIT) -- Academic Year : 2022

Registration No. :200******* Date : 01/10/2022 12:38 PM

1. I Mr./Mrs./Ms., KABADI SANTOSH NAVNATH father/mother/guardian of KABADI VAISHNAVI

SANTOSH having been admitted to J. T. S. S. P. Mandal Shri Shiv Chhatrapati College,Junnar 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 as 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

penaland administrative action that is liable to be taken against my ward in case he/she is found guilty of or

abetting ragging, actively or pasively, or being part of a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that My ward will not indulge in any behaviour or act that may be

constituted as ragging under clause 3 of the Regulations. 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.

5. I hereby affirm that, if found guilty of ragging, 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.

6. I hereby declare that my ward has 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, the admission of my ward is liable to be

cancelled.

Declared on

Signature of Parent/Guardian

Name : KABADI SANTOSH NAVNATH

Adress : At. Kabadwadi, Post-Junnar, Junnar, Junnar, Pune,, Maharashtra, INDIA, 410502

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 on

Signature of Parent/Guardian

(NOTE: There is no need to get your affidavits printed on any stamp paper or get it signed by an Notary

or an oath Commissioner.)

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