FR NO: ______

DIVISION: ______

ROLL NO: ______ STANDARD:

XII

Modern Education Societys

NESS WADIA COLLEGE OF COMMERCE, PUNE-1
19, Late Prin. V. K. Joag Path, Pune 411001, Maharashtra State (India),
Ph No.:020-26167024, Fax No.:020-26163149 E-mail:nesswadiacollege@gmail.com
Website: www.nesswadiacollege.edu.in

PHOTO OF
THE
STUDENT

ADMISSION FORM (ONLY for NESS WADIA Students promoted to STD XII)
(Please fill all the information in BLOCK letters, except Email- id )
FOREIGN
STUDENT

PASSPORT NO: _________________

VISA NO: ______________________

HOSTEL YES/NO
VALID TILL ___________________

(The information must be correct, If it is incorrect, admission will be summarily cancelled and the consequence will be entirely borne by
the student alone)

Academic Year:
Surname:

FOR OFFICE USE ONLY

FORM NO: ________________

First Name:

STREAM: S. Y. J. C. (Commerce)

Fathers/Husbands Name

MEDIUM: English/ Marathi

Mothers Name:
Birth Date:

Birth Place:

Nationality:

Mother Tongue:

Gender:

Religion:

Caste:

Caste Category:

Marital Status:

Telephone No (Res)
(std code)

Mobile No:

( phone no.)

Email Id
If the student belongs to Minor Community, Please give the details ____________________________________
Permanent Address/ in case of foreign student (Address of country) (Along with residential phone number):

Local Address (Along with residential phone number):

Parents Details:
PARTICULARS
Name:

FATHER
______________________________

MOTHER
____________________________

Mobile no:

|__|__|__|__|__|__|__|__|__|__|

|__|__|__|__|__|__|__|__|__|__|

Email Id:

_ ____________________________

____________________________

Profession:

______________________________

____________________________

Annual income (in fig.) _____________________________

____________________________

Designation:

____________________________

_____________________________

Address of work place: ______________________________

_____________________________________

____________________________
___________________________________

Whether parents were a past student of this college: YES/NO If yes, month & year of passing: _________________

Academic Details:
Previous Institute Attended: _______________________

XI Roll No: ____________________________

(Name & Code)

Total Marks obtained: ____________________________

Total Marks Out of_____________________

Percentage: ____________________________________
Subjects offered at previous academic year (STD XI):
1.
2.
3.
4.
5.
6.
7.
8.
Subject offered for admission at CURRENT year (STD XII):
Compulsory Subjects:
1. ENGLISH
2. ENVIRONMENTAL EDUCATION
3. ECONOMICS
4. BOOK KEEPING & ACCOUNTANCY
5. ORGANISATION OF COMMERCE & MANAGEMENT
Elective Subjects:
1.
2.
Above information is true and correct. If it is found incorrect, I will be responsible for the consequences thereof.

-------------------------------------------------------------------------------------------------------------------------------------------------------For office use only

Admit:
Date: ____________
Principal/ Vice-Principal

To,
The Principal,
NESS WADIA COLLEGE OF COMMERCE
PUNE 411001.
Sir,
As per my parents desire, I would like to apply for the admission to STD XII in the year___________________. I
request you to grant me the admission.
I enclose the following documents:
1) ______________________________ 2) ________________________________
3) ______________________________ 4) ________________________________
FEES:
I am paying/ have paid Rs. ___________ as requisite fees in cash. I am eligible for EBC/BC/PST/SP/FF/Physically
Handicapped/ Scholarship/ Freeship by Government.
I shall be responsible to see the college notice board regarding filling of these forms and shall submit the form duly
filled in with the necessary documents in TIME. If the scholarship/ Freeship is rejected, I shall pay the full fees.
SOLEMN PLEDGE:
1.
I solemnly declare that I have read all the rules and regulations at present in force and hereby agree if
admitted, conform to them and to such other rules and may hereafter be made for the orderly government of
the college.
2.
I promise that, while I am student of the College, I shall do nothing to obstruct or interfere in any way with
its orderly government of discipline, and that I shall devote my entire attention to the furtherance of my
studies. I have read all the discipline rules given-in the college prospectus and I promise to abide by them.
3.
I also promise that I shall inform the Principal in writing in case I decide to discontinue my education ar
change the college in the middle of the year. I shall pay all the dues from me. I state that the information given
by me is correct to the best of my knowledge and belief and is in consultation with my guardian.
4.
I will be regular in attendance in my classes throughout the year . I know that according to the Govt. rules I
shall not be eligible to appear for the examination unless I put in minimum 80% of attendance in the class.
Yours obediently,
Date: __________
Place: __________
Students Signature______________________
PROHIBITION OF RAGGING:
I am fully aware that as per Maharashtra Prohibition of Ragging Act No. XXXIII of the 1999 and subsequent
amendments as per the Directions of Honorable Supreme Court, ragging in any form within or outside the college
campus is prohibited. I am also aware that if found involved in ragging, my admission will be summarily cancelled.

Parents Signature

Students Signature

ENDORSEMENT BY PARENT/GUARDIAN
The applicant is my son/daughter/ward and is seeking admission to your college with my consent..
I solemnly confirm the correctness of all the entries made by him/her in his/her application.
I have read the college rules and I undertake to assist the Principal /Vice Principal in implementing the rules
of the college and in insisting on their observation in respect of the student.
4.
I undertake to pay his/her fees in full and in time.

1.
2.
3.

Date: __________

Parent/Guardians Signature______________________