Pune Vidyarthi Griha's

COLLEGE OF ENGINEERING AND TECHNOLOGY AND G. K. PATE (WANI)

INSTITUTE OF MANAGEMENT, PUNE
'VIDYANAGARI' S.NO.44, PARVATI, PUNE 411 009 411030 02024228258 02024226858

Affiliated to the Savitribai Phule Pune University P/PN/066/Engg/1985

APPLICATION FORM FOR CONTINUING IN THE COLLEGE BY ADMISSION TO SE / TE / BE / ME COURSE IN

ENGINEERING DURING YEAR 2021-22
College PRN No. 20114111 Roll No. 0111 Year of Admission in COET(FE / Direct SE) 2020-21
Fees Paid Rs. 1400 Demand Draft/Check No. Demand
Draft/Check No.
Drawn On Receipt No. Student's A/c No. 60191320434
Date
Class of TE Gender Male Hostel No Freeship No
Admission
Branch Mechanical Adm. Category CAP Fee Category SC Scholarship No

Religion Hindu Caste MAHAR Sub Caste MAHAR Caste Category SC

State MS OM State Email Id adityasonawane80@gmail.com
Date of Birth 26-Jan-2001 Place of Birth WAGHAPUR Birth District PUNE Nationality INDIAN
Blood Group B+ Physically Handicap NA Permanent Residence in Rural
Name of the Candidate in full as expected on University Certificate/Marklist in Capital letters
Surname First Name Father's Name Mother's Name
SONAWANE ADITYA KISAN SANGITA
Mobile and Residential No. 7709190761 9960595776 9960595776
Parent's Name and Address Student's Local Address Local guardian's Name and Local Guardian's Mobile and
Address Phone No.
KISAN KISAN SONAWANE AT BHARATGAON POST
AT BHARATGAON POST KASURDI
Family Annual Income (Rs)
KASURDI 38500/-
India,Maharashtra,Pune,DAUND,B
India,Maharashtra,Pune,DAUND,B HARATGAON,412214
Details of previous Examination passed :
HARATGAON,412214
Course Name of Exam Passed Exam Seat Month Marks Result( Pass/ Percentage Class/SGPA If YD in TE and
Year No. and year Obtained / ATKT/Fail) % BE ,give reason
FE 1st Semester /
of Out of /Earned Credit for YD year
FE 2nd Semester Passing /
2020 SE 1st Semester S190070938 MAY 2021 / 22
2020 SE 2nd Semester S190070938 AUG 2021 / 22 8.93
TE 1st Semester /
TE 2nd Semester /
BE 1st Semester /
BE 2nd Semester /

Document List:
Sr.No. Document Name
1 Copy OF SE Exam Mark Sheet
2 Seat Acceptance Letter given by DTE/CET Cell(Allotment Letter)
3 Nationality Certificate
4 Leaving /TransferCertificate (For last Attended Institute)
5 Diploma Certifacate(Final Year Marksheet)
6 Domicile Certificate
7 S.S.C./10th Marks Sheet
8 Caste Certificate(for Reserved Category Students Only)
9 Caste Validity Certificate
10 Income Certificate (For students claming fees concession)
 11 Aadhar Card

According to the result of SE in Mechanical branch. I request you to admit me to TE in Mechanical branch for the academic year 2021-22
(Attach photo-copy of the statement of marks of previous examination.)

Signature of the Parent / Local Guardian Signature of the Candidate

Date : Principal

Place : P.V.G.'s C.O.E.T. Pune

BE / ME COURSE IN

2020-21

60191320434
No

No

SC
om
INDIAN
Rural

s Name
A
776
uardian's Mobile and
No.

If YD in TE and
BE ,give reason
for YD year

Submit
c year 2021-22

e of the Candidate

C.O.E.T. Pune