Government of Maharashtra

Government College of Engineering & Research, Avasari-Khurd,

Taluka - Ambegaon, Dist. - Pune - 412405
Telephone No. : 02133-230582 website : www.gcoeara.ac.in
Email ID : office.gcoeavasari@dtemaharashtra.gov.in
(Automobile & Mechanical Engineering Programmes Accredited by NBA, New Delhi)

Date:

Provisional Admission form for Academic Year 2024-25

(It is mandatory to submit this form on or before 2nd July 2024, 5.00 PM to the respective department)

Full Name of the Student

Roll Number
Students PRN
Name of Department

Class SE / TE / BE (Please tick () the appropriate)

Date of Birth: / / (DDMMYYYY)
Present address with pincode ________________________________
________________________________
_________________ Pincode:
Permanent address with ________________________________
pincode
________________________________
_________________ Pincode:
Mobile Number of the Student
Email Address gcoeara email ID Alternate email ID

Parent’s Mobile Number

Parent’s Email Address

CGPA obtained in the last

semester (Please attach the
copy of mark sheet
downloaded from SPPU
portal)

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 List of the Courses to be studied during semester commencing from 1st July 2024

S. N. Course Course name Course type

code (Compulsory/Elective/Audit)
1
2
3
4
5
6
7

Note: Please refer the syllabus structure of SPPU for filling up above table

Sign of the Class Teacher/Coordinator Signature of Head of the Department

Declaration by the candidate:

I have carefully read all the rules of admission and I understand that if any information/documents
produced by me in connection with my admission found to be false or incorrect at any stage, my
admission will be cancelled, fees will be forfeited or I may be expelled from the institute and will
also be liable for the penal action as per law. In case of failure, I will not be eligible to appear in the
University examination. I also undertake to follow the discipline in the Institute premises and off
the premises so as to uphold the honour of the institute. In any case I shall not be involved in the
ragging activities inside and outside the Institute campus. I shall obey all the rules and regulations
laid down by the State Government/DTE//University/ Institute from time to time. I undertake to
attend all theory and practical classes as per Savitribai Phule Pune University rules to fulfil
minimum 75% attendance.

Place: Avasari (Khurd) Name and Signature of the candidate

Date: ------/-----/2024

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