Vidyavikas Degree College

Sudhir Phadke Flyover, Borivali (W) Mumbai - 400091

APPLICATION FOR ADMISSION

Form No.

To,
The Principal

Respected Sir/Madam,
I seek admission to the First/Second/Third Year Degree Class of your college. I hereby agree to abide by all rules and regulations of the college.


Important instructions for students :

a. Read prospectus carefully before filling the admission form

c. Fill in all fields in CAPITAL English letters only.

d. Select appropriate Option.





A. Personal Information Section

1. Name of the Student (in English):

2. Name of the Student as printed on the School certificate

Previous Name of the Student (In case of Name change) :



  • Passport No
  • Validity
  • Country
  • Type of Indian Visa
  • Visa Validity
  • Visa/Residential Permit No
  • Date of Issue
  • Police Verification Report

%

3. Educational Details Section :

[Write ‘YES' in the last column, against the qualifying examination, on the basis of which you are seeking admission to the said course. Write ‘NO' in front of other examinations]
Please Note: 10th & 12th Details are mandatory if passed.

Last College Attended :
Name of Examination Name of Board / University State Name of School/College Date of Passing (MM/YYYY)
Std 10th
Std 12th

Year Roll No Examination Seat No. (Last) Passing Certificate No. Marks Obtained Out of Result
Std 10th
Std 12th

4. Name of Subject and Codes

Note that the documents need to be submitted as printed copies.

Please select the course you wish to apply for.


Select The Language in which you want the Study Material Answering Language For :


5. Student's Work experience or Employment Details

If student is not Employed Write Fathers Occupations and Income Details


6. Declaration by Student

I hereby declare that, I have read the rules related to admission as given in the prospectus; and that the information furnished by me is true and complete to the best of my knowledge. I am aware that my admission will be finalized by the University headquarters and that the admission fee will not be returned or transferred to next year in any case. I further agree that the decision taken by the University and any change made in the rules regarding admission from time to time will be binding on me.

Please Upload a passport size (35 mm X 45 mm) Photograph here. File should not exceed XXKB size.

Alternate Text

Passport Size Photograph

Upload student signature, sign only with black ink. File should not exceed XXKB size.

I hereby declare that I fully intend to complete my education by obtaining a seat at your institution.

Alternate Text

Signature

I have noted the statement above signed by my ward and I shall see he/she observes the rules of the college.

Signature of Guardian

Students Photograph