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Savitribai Phule Pune University

Application Form for

Entrance Test, 2015-2016

Personal Data
Surname First Name Middle Name
Date of Birth
Address for Correspondence
City State Pin
Phone Mobile Email
Reservation Information
State of Domicile
Category If Other Please Specify Category Belongs to Non Creamy Layer
Physically Handicapped If Yes Type of Disability    
Center for Entrance Test
Qualifying Examination
Name of Exam Status
Month and Year of Passing / Appearing
Aggregate Percentage of Marks/CGPA Percentage of Marks/CGPA in Principal Subject
Details of Qualifying Examination
Year/Semester Subject(s) Total Marks Obtained Out of Percentage
12th Equivalent
Documents to be submitted along with Application form
1 Statement of marks of the qualifying examination
(Note: In case of candidates whose results are awaited, statement of marks would have to be submitted after the declaration of results and their admission to the course is subject to the fulfillment of the eligibility criterion).
2 Leaving certificate of previously attended educational institute.
4 Reserved Category Certificate from the competent authority (applicable to candidates belonging to reserved category with domicile in Maharashtra only) and cast validity certificate as a supporting document.
5 Attested true copy of latest Creamy layer free certificate. If available. (for NT (C) NT (D), OBC) .
6 For the candidates having physical disability:
Attested true copy of minimum 40% physical disability certificate from competent authority (District Civil Surgeon).
7 Attested true copy Domicile certificate


I hereby declare that all statements made in this application are true ,complete and correct to the best of my Knowledge and belief. I understand that in the event of any information being found false or incorrect, my candidature is liable to be cancelled or rejected. I am aware that I need to obtain and produce my Original Certificates enlisted above at the time of admission.