Application form for Admission to Arts Programme.
App. No 1540012432
N.B. 1) Fill all the columns carefully. Incomplete form will not be accepted. 2) Wrong / False information, If provided,
will lead to cancellation of admission.
Admission sought in
during the academic year
Name : Mr./Ms ((IN BLOCK LETTERS) (As appeared in HSC Certificate)
Native Place Address : (For Long Journey Concession)
Student Contact No
Parent Contact No
Date of Birth
Place of Birth
Adhar Card No
If Yes, submit documentary proof for the same
Do you belong to SC/ST/DT/NT/VJ NT/ OBC/ SBC
(If Yes, submit documentary proof for the same for getting freeship/scholarship)
Do you belong to Muslim / Sikh / Boudh/ Christian/ Parsi/ Jain/ Maratha Community?
Semester - 1
1. Core Arts Courses: (Choose one course from each of the three groups) i) Marathi Literature/Sociology ii) Economics/ History iii)Political Science/ English Literature 2.Language Course: Hindi 3. Foundation Course 4. Skill based Course: Communication Skills (English)
Semester - II
1. Core Arts Courses: Same three core courses as chosen at FYBA 2. Foundation Course 3. Applied Component Course: (Choose any on e course) i) Elementary Quantitative Techniques ii) Travel and Tourism
Semester - III
6-Units: any one of the following core courses as opted at FY & SY level: i) Economics ii) Political Science 3-Units any two of the following core courses as opted at FY & SY level: i) Marathi Literature ii) Sociology iii) Economics iv) History v) Political Science vi) English Literature
Academic Record (Attach xerox copies of Marksheet)
Board / University
Month & Year
Class/ Grade Obtained
F.Y.B.A. Sem I & Sem II
S.Y.B.A Sem III
Partiulars of Parent / Guardian)
b. Relationship with the student (in case of guardian)
d. Office Address
e. Office Phone No.
f. Adhar Card & Pan Card No.
g. Total annual income from all sources
h. Total no. of dependents
DECLARATION BY THE APPLICANT
The Principal, N.E.S. Ratnam College of Arts, Science & Commerce Bhandup (West), Mumbai - 400078. Madam,
seek admission in
class of your college with the consent of my Parent / Guardian Mr. /Mrs.
a. I undertake to abide by all the rules and regulations of the college, particularly those relating to to conduct and discipline, which are in force at present and which may be enforced in future. b. I undertake that i will not damage or destroy the college property / mutilate or damage any book issued to me from the college library. c. I understand that I shall not be granted by any term, if my attendance at lectures, tutorials and practicals fall short of
the minimum prescribed by the university.
d. I shall not indulge in any kind of activities which will mar the academic atmosphere and prestige of the college. e. I know smoking is strictly prohibited in the college premises including canteen. f. I know that use of mobile phone in the college premise is punishable as per University guidelines. g. I understand that violation of any Discipline Rule's Will result in removal of my name from the college record and I agree to it.
Yours faithfully, (Applicant'signature) Date :
DECLARATION BY THE PARENT / GUARDIAN
on my part agree to the conditions's rules stated above.
2. I, assure you that my ward Mr. / Ms
if admitted, will be regular in attendance at Lectures / Tutorials / Practicals/ Tests / Examinations. 3.In case the attendance / Performance of my ward is / are not satisfactory, he / she may not be granted terms
and he / she may also not be sent for the College / University Exam.
4.I am aware that violation of any of the Discipline Rule's by my ward will result in his/her removal from the college & I agree to it.
(Signature of Parent / Guardian) Date :
FOR OFFICE USE ONLY
Document required to be attached Please Tick the documents received 1.Original Marksheet of H.S.C. and 2 attested xerox copies of the same. (only for F.Y.B.A.) 2.Original Leaving Certificate and 2 attested xerox copies of the same. (only for F.Y.B.A.) 3.1 attested xerox copy of S.S.C. Marksheet. (only for F.Y.B.A.) 4.Original Marksheets of lower Examinations (F.Y. / T.Y.B.A.) for verification (for S.Y. / T.Y.B.A) 5.1 attested xerox copy of marksheet of the lower examinations. (for S.Y. / T.Y.B.A) 6.Caste certifacate and 1 attested xerox copy (only for students belonging to SC/ST/DT/NT/VJNT/OBC/SBC) 7.AFfidavit (where there is a break in studies) 8. Students passing the qualifying examination from Board / University other than Maharashtra State Board / Mumbai University shall be required to attach the following additional certificates along with above mentioned certificates. a) Original Migration Certificate and 2 attested xerox copies. b) Original Transference Certificate and 2 attested xerox copies. 9. NOC / TC in case of students from other Colleges affiliated to University of Mumbai.
REMARKS OF THE ADMISSION COMMITTEE
Signature of Staff Admission Committee Date :