sq gS SYMBIOSIS INTERNATIONAL (DEEMED UNIVERSITY) (Established under Section $f the UGC At, 1956) Re-accredited by NAAC with A grade (3.58/4) | Awarded Category -I by UGC Founder: Prof. Dr.S. B. Mujumdar, M.Sc..Ph.D. (Awarded Padma Bhushan and Padma Shri by President of India) ‘SET ID : 200601985 Paste recent PIWAT ID: photograph to be cross signed inn Category: Open by the student ae available To, The Director, ‘Symbiosis Institute of Technology, Pune ‘Symbiosis Knowledge Village, Gram Lavale, Tal Mulshi, Sir / Madam |, the undersigned have been offered provisional admission for (Bachelor of Technology (Mechanical Engineering)) programme/s of Symbiosis Institute of Technology, Pune (2020) Ihave read ANTI-RAGGING DECLARATION BY STUDENT & PARENTS. Ihave read ANNEXURE-1A (UGC Notification for obtaining above declarations) Declaration and Undertaking 1, |_UNDERSTAND THAT, MY ADMISSION 1S PROVISIONAL AND SUBJECT TO FULFILLMENT OF ALL THE ELIGIBILITY CONDITIONS, AS LAID DOWN IN THE ELIGIBILITY RULES OF THE SYMBIOSIS INTERNATIONAL (DEEMED UNIVERSITY) (SIU) FOR THE PROGRAMME TO WHICH | HAVE BEEN PROVISIONALLY ADMITTED. | ALSO UNDERSTAND THAT NO CAPITATION FEE | DONATION |S CHARGED FOR ADMISSION TO ANY PROGRAMME AT ANY CONSTITUENT OF SYMBIOSIS INTERNATIONAL (DEEMED UNIVERSITY), | UNDERTAKE. ‘TO PAY ALL MY FEES TO SYMBIOSIS THROUGH BANKING CHANNELS AND NOT IN CASH, 2. have carefully read and understood the details given in the prospectus of Under Graduate Studies (2020-21) and Noted the rules, the process of admission and the rules pertaining to refund of fees as given in the prospectus and shall in matter of interpretation accept the decision given by the Registrar of SIU / Director of the Constituent in every respect as final and binding. | am well aware of the Non Refundable component of fees. If | cancel my admission, | will give notice to Institute well in advance and abide by the process laid down by SIU. 3. | understand that the admission is being offered to me on the basis of information furnished and documents submitted by me. In case of any information or particulars found wrong! false or any fact concealed, the University may cancel my admission and | shall have no claim what-so-ever with respect to my admission at any point of time. | understand the constituent may change or reverse any other decision made on the basis of incorrect or incomplete information submitted by me. 4, Lundertake to accept the decision of SIU to cancel my admission at any stage/ time, if itis revealed that admission has been secured by using fraudulent means. Page 1 of 310. 11 12, 18. 14. 16. 16, 17. 18. 19. Lam aware that, | have to submit all required documents for confirmation of eligibility on the date of reporting! induction of the institute. | declare that | fulfil the Eligibility criteria set by the institute for the programme that | have applied for. | agree to inform the Institute immediately if there is any change in the information | have submitted understand that statements of Marks and Passing certificate of qualifying examination, Migration Cartiicate, Castel Category Certificate (if applicable), AIU equivalence (if applicable) may be verified independently by the University. Understand that, SIU/ Symbiosis Institute of Technology, Pune may obtain oficial records from any educational institutions | have previously attended or from any other body/ statutory authority. | understand that only upon verification of the same, my admission and eligibility be confirmed, | am aware of the rules, procedures and requirements of the eligibility process and agree to abide by the decision related to my eligibility. | shall fulfil the Eligibility criteria set by the University/ Institute for the programme that | have applied for. I shall take note of all communication sent to me by post! courier! email! uploaded on the website of the University! Institute and / or affixed on the Notice Board of the Institute/ Hostel [as applicable from time to time] and follow the same and act accordingly. understand SIU / Symbiosis Institute of Technology, Pune will not be responsible for delays of any kind due to reasons beyond its control | agree to pay the fees regularly as per the schedule informed to me. | agree that a fine of Rs 100/- per day will be applicable after the due date of payment of fees. | shall accept any decision / action taken by the University in case of non-payment of fees by the due date. | declare that | have read the Hostel rules and undertake to abide by the same {In case | avail hostel accommodation] If fail to do so, the University! Institute has the right to take action as per rules and regulations and cade of conduct of SIU/Symbiosis Institute of Technology, Pune. understand that up to a maximum of 25% leave of absence (on medical grounds, Institute related work, personal leave requirements or any emergencies) from lectures is permissible with or without prior sanction of the Director. | also Understand that if my attendance is less than 75%, | will be given a TNG (Term Not Granted) or CNG (Course Not Granted) as the case may be. | shall attend all the lectures and also know that I need minimum 90% aggregate attendance of all semesters and 100% of seminar, conference & guest lectures for being considered for summer/ final placement. | understand that any shortcoming in the prescribed attendance will debar me from participating in summer/ final placement. Ihave noted and accepted that all orientation programmes! camps! seminars/ meets/ workshops! gym ete. are compulsory and it is obligatory on my part to attend the same as per schedule given. | shall take note of all ‘communication sent to me from SIU/ Symbiosis Institute of Technology, Pune and follow the same from time to time. | undertake that | will not indulge in any action using technology andi or social media causing disrepute to institution! students, hurting sentiments of other students, abusive in nature, amounting to racial discrimination or moral turpitude or which is prohibited under any law in India and if found indulging in such acts, | will be liable for strict disciplinary action which may lead to termination of my admission. | further undertake that | will not indulge In any act of indiscipline; and if | found to be involved in any act of indiscipline ‘or misconduct, | shall face the consequences for the same. will not involve myself directly or indirectly in any kind of RAGGING activities inside or outside Symbiosis Institute of Technology, Pune. | am fully aware that | willbe liable for action under relevant penal law! raging law in case | am found to be a part of any ragging activity. (Please refer anti ragging link in Annexure — 1.a and Annexure 1.b) have not taken admission for any other full ime programme in SIU or any other University. Page 2 of 320. | undertake that, during the course of my studentship at Symbiosis, | would not carry/ possess/ consume alcohol or any drug that is banned! prohibited or directly or indirectly, aid & abet consumption or possession or delivery of such alcohol or drug on campus. So also, | would not enter Symbiosis Campus under influence of alcohol or any prohibited substance, 24. I hereby submit to the disciplinary jurisdiction of Symbiosis International (Deemed University)! Symbiosis Institute of ‘Technology, Pune and | undertake that | shall observe and abide by the rules and regulations prescribed by Symbiosis International (Deemed University)! Symbiosis Institute of Technology, Pune. 22, lam aware of rules, that SIU / (Institute Name) has got the right to cancel my admission in case of situations like, Non- Payment of fees for more than 1 semester and / or Non — reporting to the institute for more than 30 days, without prior intimation in writing to the concern authority 23, [ACCEPT THAT, ALL THE DISPUTES WILL BE SUBJECT TO EXCLUSIVE JURISDICTION OF PUNE, ONLY. ‘Signature of the Candidate Date: 10-Oct-2020 Place: Parents Signature: Father Mother Parents Mobile No: Father Mother Parents Email ID: Father Mother ‘The following documents are attached below with the Provisional Admission Form: Indemnification undertaking by Candidate Indemnification undertaking by Parents ‘Anti-Ragging Declaration by Candidate (Available on link provided at Annexure 1a) ‘Anti-Ragging Declaration by Parents (Available on link provided at Annexure 1a) Medical Undertaking Page 3 of 3