Annexure-VI

(The candidate is required to hand 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 upload-
ed through the candidate’s registered account on Somaiya admission portal (https://
admissions.somaiya.edu/)
.……………………………………………………………………………………………………….……………………………………
DECLARATION FOR DOCUMENTS UPLOADED FOR ADMISSION
To,
The Principal
K. J. Somaiya College of Engineering
Somaiya Vidyavihar University
Vidyavihar (E), Mumbai 400 077

Date:

I __________________________(full name of candidate), Son/Daughter of

______________________________(full name of parent/ guardian), Resident of
______________________________________________________________________________
(full residential address) hereby declare that provisional admission for academic year 2024
-25 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 K. J. Somaiya
College of Engineering, 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.

Date:
Signature of Candidate: Place:

Name of Candidate: Mobile No.

Signature of Parent / Guardian: _________ Place: Mobile No.

Name of Parent / Guardian and relation with Candidate: