Application For Admission

    Affilited To S.N.D.T Women’s University Mumbai

    Umang Geetai College of Women’s Education

    College Code

    0425

    For College
    Use Only

    Kindly Read Important Notes Before Filling-in-Form

    • Fll the form carefully
    • Fll all fields
    • Strike off Which is Not Applicable

    Medium : MarathiHindiEnglish
    Admitted against which Category :OpenReserved

    1 Personal Information Section

    Name of Students
    Name of the students as printed on STD.X Passing Certificate
    Father’s/Husband Name
    Mother’s Name
    Previous Name of the students (In case of change Name)
    Reason For Change Name :WillinglyAfter Marriage             Martial Status :UnmarriedMarriedDivorceWidow
    Student’s Location Category : RuralUrbanTribal
    Address for Correspondence
    CityTownVillage
    Permanent Address (Write only if different than ” Correspondence Address”)
    CityTownVillage
    Contact Detalis
    Category : OpenReserved
    If Reserved : SCST(A)NT(B)NT(C)NT(D)WJSBCOBC
    If Physically Challenged : Visually ImpairedSpeech and or Hearing ImpairedOrthopedically ImpairedLearning Disabled
    Ex-Serviceman / Ward of Ex-ServicemanActive-Serviceman / Ward of Active-ServicemanFreedom Fighter / Ward of Freedom FighterWard of Primary School TeacherWard of Secondary School TeacherDeserted / Divorced / Widowed Women

    4 Guardian Information Section

    ServiceBusinessProfessionFarmerLaborPrivate

    5(A) Educational Details Section : Last Qualifying Exam Details : (In case of Degree Mention Major & Subsidiary Subject)

    Name of Last Qualifying Examination :

    5(B) Scholarship Details Section :

    Student Username :
    Student Password :

    6 Select Subjects : Please attach seprate sheet giving subjects option form

    7 Attach Documents and Certificate Section :

    Sr.No. Name of Documents & Certificates Original/Attested True Copy Attached (Yes/No)
    1 Passing Certificate of STD. X, XII Original(Mandatory)
    2 Passing Certificate of Last Qualifying Exam Attested True Copy
    3 Leaving Certificate Original
    4 Certificate of Caste with Category (If Applicable) Original True Copy
    5 Non Creamy Layer Certificate (If Applicable) Original True Copy
    6 Affidavit of Changed Name/Marriage Certificate/ Govt. Gazatte (If Applicable) Original True Copy
    7 Domicile Certificate, Bank account No. (If Applicable) Original True Copy
    8 Income Certificate Original True Copy
    9 Aadhar Card Original True Copy
    10 Colored Passport Size Photo Original True Copy
    10 Signature Original True Copy

    8 Other Information Section

    Employee Status : EmployedUnemployed
    Do you wish to join NCC/NSS : YesNo
    Would you like to apply for hostel : YesNo
    Bus Facility : YesNo
    Game & sports Participation :
    Personal Identification Marks:

    9 Declaration by Student :

    I have declare that, I have read rules releated to admission and the information filled by me in this form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy arising out of the form signed by me and I undertake that, in absence of any document, the final admission will not be granted and/or admission will stand cancelled. I am aware of Maharashtra Prohibition of Ragging Act 1999, and I State that I will abide by all the rules and regulations of the said Act.

    10 Declaration by Guardian :

    I have permitted by daughter/son/ward to join your college. The Inforamation Supplied by her/him is correct to the best of my knowledge. I have acquainted myself with the fees, dues and rules applicable to my daughter/son/ward and to see that she/he observers them.

    A/C Name:- UMANG GEETAI COLLEGE OF WOMEN’S EDUCATION

    Bank Name:- Punjab National Bank

    A/C No:- 08971131000806

    IFSC Code:- PUNB0089710

    Branch:- WCL JARIPATKA, NAGPUR