PRAGNYA GROUP OF IN UTES Academic Year of Batch Application No. : Courses Applied For : BCom [_] PGDBM (2 yrs Part time) Co BBA PGDMM (1 yr Parttime) Co ‘8A(CA) ‘th Science Arts (Commerce [] asecs J {2h dene Ars Commerce] Name of Applicant (in capital letters only): as per birth certificate / Marks card of standard X exam) (Sumame) (First Name) (Middle Name) Date of Birth: J J Categoy: += SCL] sti] ors nts oc] opent_] Father's / Husband's Name Professional Background of parents / guardian: ‘Address for correspondence (do not repeat name): City. Sate: Pin Code: Tel. No. (Std Code}: Email: Permanent Address: city. Sate: Pin Code: Tel. No. (Std Code}: Res. Off, Mob. Nationality: Residing in India since (If Not Indian): Passport No: Visa No: Expiry date for visa Entrance test score: UGAT. PGI Aptitude Test Computer literacy (Languages & Operating System): Sports / Extra curricular activites: Career Goal & Objectives:www.pragnyacollege.com Educational Qualifications: Exam Name | School / College | Board / University | Year of Passing | Major Subject | Percentage of Marks ssc HSC | Graduation Post Graduation| (Other Courses ‘About Healt Height: Weight: Blood Group: Major Health Problem: (In last tyr.) Do You want accommodation assistance from College authority? Cres [No Do You want avail transport facility provided by the college? Ces [Jno hereby confirm that all the particulars stated above true to the best of my knowledge and belief. | understand that my admission is liable to be cancelled if suppress or distort any information furnished in the application Date: Place: Signature of the applicant Signature of the Parent / Guardian ' PRAGNYA a GROUP OF INSTITUTES College Campus Survey No, 26/1/1, Vilage -Handewadi Autade, Behind Mayur Mangal Karyolay, Off Katraj- Saswad Road, Taluka - Haveli, Pune 411028 | Tet: 020 -020 64012097 Cily Office Pragnya College, 3rd Floor, Anand Apartment, Behind Sheetal Hotel, Dnyneshwar Paduka Chowk, FC Road, Pune - 411005. PHONE : 0 93 71 000 551/095 03 030 551. Website : www.pragnyacollege.com | E-mail: pragnya.college@gmail.com