Maratha Vidya Prasarak Samaj,Nashik

Application for Admission (XI ) 2024-2025
Admission Information
Academic 2024-2025 Gender Female Application No
J
Stream Category Student Code
Standard XI () Sub Caste Merit Form No
SSC Seat No Religion U dias Code
Registration on 01/01/1970 Scholarship Round No.
 To Paste here recent passport size photograph of student
 The Principal,
 Respected Sir,
  I , may please be granted admission in the college. I declare that, the information given below is correct that I agree to abide by the rules and regulations of the college. I undertake that, I shall do nothing that will interfere with the discipline or damage the reputation of the college. I am also aware of the fact that, there are no election of the student council and annual social gathering in this college.
 
Place:Date:25-11-2024 Student Signature
 Student's Personal Information
Student Name
Mobile No Email ID: Blood Group:
Marital Status Mother Tongue Physically Handicapped No
Landline No -- Birth Place Nationality
Domicile State MAHARASHTRA Date of Birth 01-01-1970 Conveyance use
Parent's Information
Name: Mobile number
Mother Name Mobile number:
Guardian Relation with Guardian
Address Details
Address
City / Tehsil District
State Country INDIA
Address 2 PIN code
Educational Qualification Details
Exam Passed SSC Percentage
Marks Obtain 0/0 Single attempt
Medium Passed In -
School Name
Scholarship Information
Addhar Card Resident Type India
Account No. IFSC code
 
Subject Information For XI () Class
Medium  English/Marathi Compulsory Subjects:
Second Language Optional Subjects :
Declaration by Guardian/Parent
I have acquainted myself with the content of this application form and I fully agree with the rules and regulations as given in the prospectus of this college and board .The information furnished in the application form,is true and correct and is best known to me. I will be held fully responsible for any wrong information in this application form. I endorse the application forward for admission, which may kindly be granted. I shall be held responsible for his/her behavior,conduct,study and action .In case of default or misconduct by my ward, the college authority has full right to take appropriate decision against him/her.
Date : 25-11-2024 Signature of Guardian/Parent






Admission Committee                          College Seal                            Principal
Admitted provisionally subject to his / her submission of original document for eligibility and being declared eligible by the appropriate authority.
Important Note 
Please attach the following documents along with this form.
1. 10th passed mark sheet in original with Two attested true copies.
2. School leaving certificate in original with Two attested true copies.
3. Two copies of recent passport size photograph.
4. Migration certificate for the student out of Maharashtra.
5. One attested copy of caste certificate for S.C./S.T./N.T./V.J./O.B.C./S.B.C. candidates.
6.Eligibility certificate and Converted Mark sheet for students passed from other Boards (CBSE/ICSE) 
7. Affidavit and Police F.I.R. if Duplicate school leaving certificate.
8. GAP certificate- if Required