h~.

~~,
u,
SOMAIYA
lo VlDYAVIHAR UNIVERSITY
Q

w~,-
~ci).. .fb-S'-
¾ SK Somaiya College rT AU S T

Annexure-111

INSTRUCTION : The candidate is required to band write the contents of this annexure on a
plain paper and fill required information. The duly signed and scanned copy of this document needs to
be uploaded through the candidate's registered account on Somaiya admission portal
(bttps://admissions.somaiya.edul)

DECLARATION FOR DOCUMENTS UPLOADED FOR ADMISSION

To,
Director
S K Somaiya College
Somaiya Vidyavihar University
Vidyavihar (E}, Mumbai 400 077

I {!i h<>..vf Po..r\Ol f ,Son/Bwghte, ~f Ni ,Q_t.S PC>..r\.C>l o... , Resident of

V\.'W\d bl ho.~hereby d;are that interim/provisional admission for academic year 2024-25 is / will be
allotted to me on the basis of documents uploaded by me _on Somaiya admission portal.
I understand and agree that during physical verification of documents at S K Somaiya College, in case of
any discrepancy found in any of the documents submitted by me through online mode, I will have
no claim on my admission and will not be entitled for any refund under such circumstances.
I have read and understood the Cancellation policy stated on the website of S K Somaiya College. I agree
that if I cancel my admission then deduction in fees will be as per the Cancellation policy as mentioned on
the website of S K Somaiya College.

Date::\\~ l1-'j
. _ _~
Signature of Candtdate: p,- _
"""'"'_______ Place:lA.~ol~o/..k~
Name of Candidate: {)k.~v~~ P~d~c,.._ Mobile No. ~1> 2.-0 3 6~r0(,

Signature of Parent/~ian: vJt#· Place: fAJ~cJ.. ~°'-~

Mobile No. q b 2---$' 2- 2- L :l-. 5

Name of Parent/ ~etHdian and relation with Candidate: tu~ P0r cl~ °'-
( f~~")