Session

Registration
No.

For College Course Admitted to: Student No.

use only
Admission Date :

01. Personal Information Section

Name of the Student

Father's Name

Mother's Name :

Marital Status : Saral No. :

Date of Birth : Gender :

Place of Birth : Blood Group :

Grandfather's Name : Nationality:

Bank Name : Account No. :

Religion : U-Dise No. :

Aadhaar Card No. Minority:

02. Address Details

Address for Correspondence: Country : Pin Code :

State : District : Tehsil : City :

Permanent Address Country : Pin Code :

State : District : Tehsil : City :

03. Contact Details

Student's Phone : Parent's Phone :

Student's Mobile No.: Student's Email Id:

04. Legal Reservation Information Section

Domicile State : Admission Type : Caste:

Sub Caste : Phy. Handicapped :

05. Education Details Section

06. Qualifying Exam Details Section
Qualifying Exam Name :
College/School Board/ Admission Passing Marks Total Percentage Place Arts/Com
Attended University Year Year Obt Marks /Sci

07. Subject Details Section

08. Guardian's / Parent's Information Section

Guardian's/ Parent's Name :

Occupation of the Guardian's/Parent's : Annual Income of the guardian's/Parent's :

Guardian's/Parent's Phone No. :

09. Other Information Section

Mother Tongue : Employment Status : Do you wish to join NCC / NSS:

Would you like to apply for Hostel :

Hobbies, Proficiency and Other interests :

Games and sports participation :

Personal Identification Marks :

10. Declaration by Student

I hereby declare that, I have read the rules related to admission and the information filled in by me
in this form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed
by me and I undertake that, in absence of any document the final admission will not be granted and / or admission will stand cancel.

Place : Signature of the Student:

Date :
Form Fee 50 Application For Eligibility Roll No/Admission
(For Under Graduate Courses Only) (for office use)

I wish to apply or the Eligibility for academic year: 2020-2021 Date

1. Name of the Course to which application is sought Year:- 1st / 2nd / 3rd / 4th / 5th
2. Name in full of the Applicant:-
3. Mother's Name:-
4. Nationality:- Indian
5. Type:-
6. Gender:-
7. Date of Birth:-
8. Reserved Category:-
(If you belong to any Reserved Categories, attach certificate of Competent Authority in support of it.)
Do you belong to the creamy layer of NT(C), NT(D) and No
OBC?
(If you do not belong to the creamy layer, submit a certificate of Competent Authority in support of it.)
9. Are you a physically handicap? No

Particulars of the H.S.C. Examination

1. Have you passed Exam from
Maharashtra board?Yes / No if No
please specify Name of Board :-
2. Name of the school/Jr. College/College :-

Seat No. Month & Year of Passing Percentage Class/Grade

Please specify Educational gap Details if any ( to be filled by candidate ):-

Last Examination Name Seat No. Month & Year of Passing. Percentage Class/Grade

1. Are you Belong to the Minority?No/Yes(if yes please specify type which has given below ) .
Linguistic: Religious:

Signature of Candidate

Copies of Following attested certificates are annexed to application form

1. Statement of Marks of the qualifying examination 4. Domicile Certificate
2. Education Gap certificate 5. Cast certificate (For reserved category candidates)
3.Affidavit for change in name 6. Cast validity certificate (For reserved category
candidates)
7. Transfer Certificate
 Undertaking/ Self Declaration for Educational Documents Verification

Name of Student :
Course : Category :
I, (under signed) being an applicant student have submitted an Application Form ( Application Form No.: )
To avail admission in above mentioned course, I am enclosing, below mentioned documents.

Sr No Document Please fill for which ever documents is Remarks if any

applicable

1 10th Marksheet
2 12th Marksheet
3 12th Leaving Certificate (Original)
4 Caste Certificate

5 Caste Validity Certificate

6 Non-Creamy Layer

7 Gap Certificate

8 Domicile Certificate
If Diploma Student - All Semester
9 Diploma Marksheet

10 Other than Maharashtra Board -

Migration Certificate (Original)

I, hereby, declare that, the entries made by me in the Admission Form are complete and true to the best of my knowledge
and based on records.
I, hereby, undertake to present the original documents and photocopies of above mentioned documents (whichever is
applicable) in time. ( Within three months after the confirmation of my admission to the concerned course in Fergusson
College.) I am also aware that, if I fail to do so i.e. if I do not submit these original and photocopies of above mentioned
documents or there is a discrepancy between the information I have given in the Admission form and my documents /
certificates, my admission will remain cancelled.

Date :
Purpose:
The purpose of this policy is to set terms and conditions, as well as standards and guidelines, for the acceptable uses of the
IT services and assets by the Fergusson College students. Fergusson College expects students to become familiar with
individual and institutional responsibilities to protect its electronic information.
Scope:
This IT Security Policy covers following IT Services and assets:
1. Laboratory computers
2. Wi-fi connectivity to devices
3. ERP system access
4. LAN access
5. BYOD
6. CCTV.
Terms & Conditions:
1. Laboratory computers-
Students will in no way damage or tamper the laboratory computers.
Laboratory computers shall be used only for laboratory practical assignments.
2. Wi-fi and LAN connectivity to devices-
Wi-fi and LAN connectivity will be available as is. Valid username and password obtained from Computer Services
Office is required when accessing wi-fi and LAN network. Internet services provided will be guarded by firewall. Firewall
policies will have to be adhered to. Wi-fi or LAN connectivity is not supposed to be used to access any unauthorized
content or hack any internal or external systems or sites.
3. ERP system access-
ERP system can be accessed from mobile and PC. Students will not share login Id or password with anyone. The
email Id and the contact details provided as input to the ERP system have to be up to date. Students should avoid
using the ERP system from any cyber café. In case of unavoidable circumstances, after ERP system is accessed
from any cyber café, cache and local copies of any documents should be cleared.
4. BYOD-
Physical security of the student’s personal devices is not the responsibility of Fergusson College. Using the
Fergusson College, wi-fi or LAN connectivity, no viruses should be infused or spread. If the student ’s device is to be
used for any laboratory work, prior permission from the Lab assistant should be taken.
5. CCTV-
Fergusson College campus is monitored by CCTV for the students’ security. No student shall tamper it in any way.

Student User Agreement:

The use of the IT Service for the following unlawful activities is prohibited:
1. Sharing Username and Password-
Sharing username and password to anyone is unacceptable. User who provides such information to others to gain
internet access will be removed from the network permanently.
2. Copyright Infringement-
Any download using the service that will infringe a copyright of a material, audio, video or document is totally
prohibited and will be subject to disciplinary action depending on the number of offense.
3. Spamming and Invasion for Privacy-
Sending of unsolicited bulk and/or commercial message over the internet using the service or using the service for
activities that invade an others privacy is prohibited.
4. Private Commercial Purpose-
Using the service for personal gain; for example, by selling your username and password to others, or by performing
work for profit with Fergusson College resources in a manner not authorized by Fergusson College.
5. Defamatory or Abusive Language-
Using the service to transmit, post, upload, or otherwise make available defamatory, harassing, abusive, or
threatening material or language that encourages bodily harm, destruction of property or harasses another is
prohibited.
6. Hacking-
Accessing illegally or without authorization to computers, accounts, equipment, or networks belonging to another
party, or attempting to penetrate security measures of another system is prohibited.
7. Pornography-
Student will not visit sites that are considered obscene. The college prohibits users from using its service to send
sexually oriented images or messages. In the event that a student disregards this policy and continually visits
unauthorized sites, it will be grounds for internet access after a warning has been issued to that user.
8. Supervision and Monitoring-
Fergusson College reserves the right, upon reasonable cause for suspicion, to access all aspects of its computing
systems and networks, including students’ login sessions to determine if a user is violating any agreement mentioned
above. Fergusson College has the right to determine which uses constitute acceptable use and to limit access to
such uses. Fergusson College has the right to limit the time of access and priorities among competing acceptable
 uses. Fergusson College also reserves the right to view private files that have been downloaded to check for the
propriety of downloaded files and monitor bandwidth usage.
9. Virus attack-
Any personal devices that are to be connected with the Fergusson College wi-fi network should be free from virus.
10. VPN Access-
Students of Fergusson College will not use any VPN or any proxy server.
11. Unauthorized copy of software-
Students are not allowed to make an authorized copy of any legitimate software that belongs to Fergusson College.

______________________________ hereby agrees to the terms/conditions of this policy.

Undertaking by the Applicant

The Undersigned solemnly states that,

1. I have filled in all the particulars in the admission and other forms submitted by me and these are true to the best of
my knowledge.
2. I have read, understood and undertake to abide by the prevalent rules and regulations of the college as they
may hereafter be made or amended by the college authorities.
3. I understand that, I will not be permitted to appear for my college / university examination, if I fail to satisfy the college
authorities on any of the following counts.
• At least 75 percentage attendance separately at lectures and practicals.
• At least 75 percentage attendance at P.T. parade /N.C.C parade/N.S.S. work etc. as applicable to me.
• Attendance and performance at the college examination /tutorial, etc.
• Good disciplined behavior & decent dress on the college premises.
• Obedience to the instructions of teachers, staff and other college authorities.
• Payment of college fees as prescribed.

1. I undertake to keep my guardian /parents informed about my progress in studies and attendance at lectures,
particulars, tutorials etc.
2. I understand that my admission will be final only on producing a transference certificate from the concerned school/
college and a final certificate of eligibility from The Registrar, Savitribai Phule Pune University, which I undertake to
secure and submit to you before the end of the first term.
3. I am aware that the refund of tuition fees on cancellation of the admission shall be as per University rules.
4. I further undertake to abide by the decision of the college authorities of NOT HOLDING THE ANNUAL SOCIAL
GATHERING.
5. I am aware that use of mobile phone on the campus is prohibited wherever academic activity is going on (class room,
laboratories, libraries etc.) and undertake to strictly follow the rule.
6. I submit to the disciplinary jurisdiction of the Vice - Chancellor, Savitribai Phule Pune University and other
officers and authorities of the University and the college and shall observe and abide by the rules made from
time to time by the Vice-Chancellar. I am aware that my admission stands cancelled , if I fail do the same .
7. I request that, no information relating to me or my performance or any other matter should be furnished to any third
person or published without my written permission.
8. I will not be involved in any act of ragging directly or indirectly, I am aware that the college has a right to expel me if
found guilty of ragging and criminal law will be set in motion by the police.
9. I hereby unconditionally authorize Deccan Education Society, Pune and its institute to use my personal contact
information for sending any communication to be deemed necessary by them and also agree such
communication will be treated as reviewed by me.
Thanking you

Sincerely Yours,

Date :

Signature of Applicant

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Seconded by the Parent /Guardian

Date :

Signature of Parent /Guardian

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DECISION BY AUTHORITY
ANNEXURE I
AFFIDAVIT BY THE STUDENT
-------------------------------------------------------------------------------------------------------------------------------

1. (Full name of student with admission , registration / Enrolment)

S/O,D/O,, Mr./Mrs./Ms.

having been admitted to FERGUSSON COLLEGE PUNE Have received a copy of the UGC Regulations on Curbing the
menace of ragging in Higher Educational Institutions, 2009 ( hereinafter called the Regulation ) carefully read and fully
understood the provisions contained in the said of called the Regulation .

1. Have , in particular, perused Clause 3 of the regulations and am aware of what constitutes ragging.
2. I have also, in particular , perused Clause 7 and Clause 9.1 of the regulation and am fully aware of the panel and
administrative action that is liable to be taken against me in case I am found guilty of or ABETTING RAGGING ,
actively or passively or being part of a conspiracy to promote ragging.
3. I hereby solemnly aver and undertake that my ward will not indulge in any behavior or act that may be constituted as
ragging under Clause 3 of the Regulations.
4. My ward will not participate in or enable or propagate through any act of commission or omission that may be
constituted.
5. I hereby affirm that, if found guilty of ragging I am liable for punishment according to Clause 9.1 of the regulations,
without prejudice to any other criminal action that may be taken against me under any panel law or any law for the
time being in force.
6. I hear by declare that I have not been expelled or debarred from admission to any institution in the country on account
of being found quality of abetting or being part of a conspiracy to promote , ragging and further affirm that, in case
that declaration is found to be untrue. I am aware that my admission is liable to be cancelled.
7. Declare that

Signature of deponent

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing
has been concealed or miss-stated

therein.

Verified at _________ _______ on this the ________________ of______________________

(place ) (day) (month) (year)

Signature of deponent

I solemnly affirmed and signed in my presence on this the _________ of_____________

(day) (month) (year)

after reading the contents of this affidavit.

ANNEXURE II

AFFIDAVIT BY PARENT/GUARDIAN

-------------------------------------------------------------------------------------------------------------

( Name of parent /guardian )

father / mother / guardian of

( Full name of student with admission , registration / enrolment no)

having been admitted to FERGUSSON COLLEGE PUNE Have received a copy of the UGC

1. Regulations on curbing the menace of ragging in Higher Educational Institutions, 2009 ( here in after called the
Regulation ) carefully read and fully understood the provisions contained in the said of called the Regulation.
2. I have, in particular, perused Clause 3 of the regulations and am aware of what constitutes ragging.
3. I have also , in particular , perused clause 7 and clause 9.1 of the regulations and am fully aware of the penalty and
administrative action that is liable to be taken against may ward in case he/she is found guilty of or abetting ragging
,actively or passively or being part of conspiracy to promote ragging .
4. I hereby solemnly aver and undertake that
- My ward will not indulge in any behavior or act that may be constituted as ragging under Clause 3 of the Regulations
- My ward will not participate in or able or propagate through any act of commission or omission that may be constituted.
5. I hereby affirm that, if found guilty of ragging my ward is liable for punishment according to clause 9.1 of the regulations,
without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the
time being in force.
6. I hereby declare that my ward has not been expelled or debarred from admission to any institution in the country on
account of being found guilty of abetting or being part of conspiracy to promote , ragging and further affirm that, in case
that declaration is found to be untrue the admission of my ward is liable to be cancelled.

Signature of deponent