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ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S

INSTITUTE OF INFORMATION TECHNOLOGY KENNEDY ROAD, PUNE – 411 001

TEL.PH. 020-26057636 & 26057983, FAX No. 26058877

Ref. No. AISSMS/IOIT/2018-2019/ Date : 06.06.2018

N O T I C E

All the provisional students of S.E., T.E. and B.E. classes for the Academic Year 2018-2019 are hereby

instructed to pay the fees as detailed below as per the Schedule.

Sr.

No.

Year Category Tuition

Fees

Develop-

ment Fees

Misc.

University

Charges

Adm.

Form

Fees

Total Fees

01. SECOND YEAR

(S.E.)

(Admitted Year

2017-2018)

OPEN 78636/- 7864/- 1000/- 200/- 87700/-

OBC 39318/- 7864/- 1000/- 200/- 48382/-

SC --- ---- 1000/- 200/- 1200/-

ST/DT-VJ/ NT-B,C,D/ SBC / TFWS

--- 7864/- 1000/- 200/- 9064/-

J&K / GOI 15000/- 5000/- 1000 +4000

200/- 25200/-

02.

THIRD YEAR

(T.E.)

Admitted Year

2016-2017 &

(Direct S.E. 2017-

2018)

OPEN 76364/- 7636/- 1000/- 200/- 85200/-

OBC 38182/- 7636/- 1000/- 200/- 47018/-

SC --- --- 1000/- 200/- 1200/-

ST/DT-VJ / NT-B,C,D/ SBC/TFWS

--- 7636/- 1000/- 200/- 8836/-

J&K / GOI 15000/- 5000/- 1000

+4000

200/- 25200/-

03. FINAL YEAR (B.E.)

Admitted Year

2015-2016 &

(Direct S.E. 2016-

2017)

OPEN 82473/- 8247/- 1000/- 200/- 91920/-

OBC 41237/- 8247/- 1000/- 200/- 50684/-

SC --- --- 1000/- 200/- 1200/-

ST/DT-VJ / NT-

B,C,D/ SBC/TFWS

--- 8247/- 1000/- 200/- 9447/-

J&K / GOI 15000/- 5000/- 1000

+4000

200/- 25200/-

04. Students

Admitted in F.E.

& Direct S.E. for

the Year 2013-

2014 & 2014-

2015

OPEN 73992/- 8508/- 1000/- 200/- 83700/-

OBC 36996/- 8508/- 1000/- 200/- 46704/-

SC --- --- 1000/- 200/- 1200/-

ST/DT-VJ/ NT-B,C,D / SBC, TFWS

--- 8508/- 1000/- 200/- 9708/-

J&K / GOI 15000/- 5000/- 1000

+4000

200/- 25200/-

The above mentioned College Fees are to be paid by Payment Gateway, NEFT/ RTGS, Online Net- Banking, Bankers Pay Order/ Demand Draft drawn in favour of “ The Principal, AISSMS’s Institute of Information Technology, Pune” payable at Pune.

In addition to the above Fees all the students have to pay Soft Skill Training Charges as detailed

given below :

Sr.No. Particulars Amount Rs.

01. Soft Skill Training Charges Rs. 1500/-

The above Soft Skill Training Charges are to be paid by Bankers Pay Order / Demand Draft Drawn in favour of “ The Honorary Secretary, AISSM Society, Pune-5” payable at Pune.

Schedule of the payment of Fees :

Sr.

No.

Class & Branch Date of

Admission

Timing

1. Second Year (S.E. All Branches) 04.07.2018 11.00 to 04.00

2. Third Year ( T.E. All Branches) 05.07.2018 11.00 to 04.00

3. Final Year ( B.E. All Branches) 06.07.2018 11.00 to 04.00

NOTE :

1. Please draw two separate Demand Drafts as mentioned above. 2. Fees should be paid as per the schedule mentioned above, failing to which late fee will be

imposed. The fees of failed students will be returned after the result. 3. Format of Challan is displayed on the Office Notice Board. At the time of filling-up the Challan,

please mentioned the first Year / Direct Second Year Admission Year and Category. 4. The fees Challan forms are available with concerned Branch Lab Assistant and the same will

collected in the respective Classrooms of the S.E./T.E./B.E. students.

( Dr. Pradeep B. Mane)

Copy to :1) Student Notice Board 2) Library Notice Board 3) Department Notice Board

ALL INDIA SHRI SHIVAJI MEMORIAL SOCIETY’S INSTITUTE OF INFORMATION TECHNOLOGY

KENNEDY ROAD, PUNE – 411 001

TEL.PH. 020-26057636 & 26057983, FAX No. 26058877

DOCUMENTS TO BE ENCLOSED FOR ADMISSION OF S.E. TO B.E ACADEMIC YEAR 2018 - 2019

Documents to be enclosed with the admission form in following order :

i) Admission fees challan, DD/Pay Order & NEFT/RTGS attached with Account section copy. Ensured that Name of student, Year, Branch & Mobile No is mentioned on backside of DD/Pay order.

ii) Challan of Soft Skill Training Charges, DD/Pay Order attached with Account section

copy. Ensured that Name of student, Year, Branch & Mobile No is mentioned on backside of DD/Pay order.

iii) Filled Admission Form. iv) One recent stamp size photograph to be pasted on admission form ( No old or

stamped photograph will be accepted)

v) Photo copy of their previous year marksheet i.e. in case of S.E. - F.E. Marksheet, in case of T.E- F.E. & S.E Marksheet, in case of B.E- F.E., S.E.,& T.E, Marksheet.

vi) Photo copy of Caste Certificate, Validity Certificate & Non Creamy Layer Certificate.

vii) Photocopy of Income Certificate (VJ, NT, SBC, OBC) viii) Original Income Certificate (TFWS Category) ix) Photo copy of the last year admission fees receipt.

x) Photo copy of Pay Order/ Demand Draft of fees to be paid. xi) Photocopy of Student Adhar Card

Dr. Pradeep B. Mane

Copy to :1) Student Notice Board 2) Library Notice Board

3) Department Notice Board

All India Shri Shivaji Memorial Society’s

INSTITUTE OF INFORMATION TECHNOLOGY, Pune – 411 001 PHOTO

Approved by AICTE, New Delhi

Affiliated to Savitribai Phule Pune University, Pune

Application for Admission to SE/ TE/ BE of Academic Year 2018-19

(To be filled by Candidate in CAPITAL LETTERS only)

Year Branch Roll No Fees (Rs) DD No & Date Name of Bank

SE/TE/BE:

Category: Admission against: PRN:

1. Name of Student:

(Surname) (First Name) (Father’s Name) (Mother’s Name)

Gender (M/F): Date of Birth: Blood Group:

Religion: Sub Caste: Nationality :

Domicile State: Mother Tongue: Languages known:

Staying in: Own House/ College Hostel / Private Hostel / Rented Flat / Cot basis / Any other

Any major ailment:

Mobile No: Landline No: Email id:

a. Local Address: *

b. Permanent Address: *

2. Information of Father: Name: Education: Occupation: Designation:

Office Address:


3. Information of Mother:

Name:

Education: Occupation: Designation:

Office Address:


4. Information of Local Guardian (If applicable):

Name:

Education: Occupation: Designation:

Office Address:


5. Parent’s Address for Correspondence: *

6. Details of Qualifying Examination Passed: *

Year Name of Branch Name of University Year of Passing

Max Marks

Marks Obtained

% (or) Grade

FE

SE

TE

7. Have you been debarred from appearing at any examination held by SPPU, Pune Yes / No

or any statutory examination authority in India:

Bank A/C No: Name of Bank: Branch:

IFSC Code: MICR Code: Aadhar No: 9. In case of student admitting in BE, do you require assistance for Campus Placement: Yes / No If

no, what are your future plans: Higher Study/ Entrepreneurship/ Any other 10. Important rules, regulations and responsibilities related to attendance, activity schedule and academic calendar of the College and their implications: (i) Student is required to have at least 75% attendance in each head of passing of Theory,

Practical, Term- Work, Project, Seminar, etc. (ii) Student is required to complete 100% Term Work to satisfactory level. (iii) Student is required to maintain good conduct.

(iv) Student who fails to comply with any of these requirements (i, ii, iii) will be detained and hence will

not be permitted to appear for University Examinations. The detained student also stands to lose one

whole year and will have to seek readmission to the same class in the succeeding year/s and repeat it

with full payment of fees. (v) Student has to abide by the academic calendar of College for smooth conduct of academics, participate and attend various curricular, co-curricular and extra-curricular activities. 11. Declaration:

(i) We hereby declare that the information given above is true and correct to the best of our knowledge and belief.

We will be solely responsible for any consequences arising out of any wrong information.

(ii) We abide to inform any change in above information to AISSMSIOIT Office. (iii) We ensure to comply with all the above rules, regulations and requirements.

Date & Place Signature of Parent Signature of Student

* Self attested photocopy of relevant documents is compulsory to be enclosed.

For Office Use only

Name & sign of Mentor Name & sign of GFM Reporting date

Remark:

AISSMS, INSTITUTE OF INFORMATION TECHNOLOGY



Kennedy Road, Pune -1. Kennedy Road, Pune -1. Kennedy Road, Pune -1.

F.E./SE (Direct) Admission Against _________________________________ F.E./SE (Direct) Admission Against _________________________________ F.E./SE (Direct) Admission Against _________________________________

Category - OPEN Category - OPEN Category - OPEN S.E / T.E. / B.E. Admission Year 2018-2019 S.E / T.E. / B.E. Admission Year 2018-2019 S.E / T.E. / B.E. Admission Year 2018-2019 (For Student Section) (For Account Section) (For Student )

Name of the Candidate (In full, in BLOCK letters) Name of the Candidate (In full, in BLOCK letters) Name of the Candidate (In full, in BLOCK letters)

Shri./Smt_______________________________________________________________________________ Shri./Smt_______________________________________________________________________________ Shri./Smt_______________________________________________________________________________ (Surname) (Surname) (Surname)

_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ (First Name) (Father’s Name) (First Name) (Father’s Name) (First Name) (Father’s Name)

Ph.No./Mob. No._______________________________________________________________________ Ph.No./Mob. No._______________________________________________________________________ Ph.No./Mob. No._______________________________________________________________________

S.E. / T.E. /B.E. ______________________________________ Roll No._______________________ S.E. / T.E. /B.E. ______________________________________ Roll No._______________________ S.E. / T.E. /B.E. ______________________________________ Roll No._______________________ (Branch) (Branch) (Branch)

Academic Year 2018-2019 Academic Year 2018-2019 Academic Year 2018-2019 Sr.No. Particulars Rs Sr.No. Particulars Rs Sr.No. Particulars Rs

1) Tuition Fees 1) Tuition Fees 1) Tuition Fees -

2) Development Fees 2) Development Fees 2) Development Fees

4) University Charges 1000/- 4) University Charges 1000/- 4) University Charges 1000/-

5) Form Fee 200/- 5) Form Fee 200/- 5) Form Fee 200/-

6) Any other 6) Any other 6) Any other

Total Total Total

Rupees(In words): _________________________________________________________________ Rupees(In words): _________________________________________________________________ Rupees(In words): _________________________________________________________________

_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________ Date : / / 2018 Cash/P.O./D.D. No. ____________________________ Date : / / 2018 Cash/P.O./D.D. No. ____________________________ Date : / / 2018

Drawn on _____________________________ _________________________________________ Drawn on _____________________________ _________________________________________ Drawn on _____________________________ _________________________________________

========================================================== ========================================================== ========================================================== (For office Use Only) (For office Use Only) (For office Use Only)

Date : / /2018 Receivers Signature Date : / /2018 Receivers Signature Date : / /2018 Receivers Signature

Seal of College Seal of College Seal of College

AISSMS, INSTITUTE OF INFORMATION

TECHNOLOGY Kennedy Road, Pune -1.

F.E./SE (Direct) Admission Against _________________________________

Category - ST / NT / DT / VJ /SBC / TFWS S.E / T.E. / B.E. Admission Year 2018-2019

(For Student Section) Name of the Candidate (In full, in BLOCK letters) Shri./Smt_______________________________________________________________________________

(Surname) _________________________________________________________________________________________

(First Name) (Father’s Name) Ph.No./Mob. No._______________________________________________________________________ S.E. / T.E. /B.E._____________________________________ Roll No._________________________

(Branch)

Academic Year 2018-2019

Sr.No. Particulars Rs

1) Tuition Fees

2) Development Fees

4) University Charges 1000/-

5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________ Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ _________________________________________

========================================================== (For office Use Only)

Date : / /2018 Receivers Signature

Seal of College




Category ST / NT / DT / VJ /SBC / TFWS S.E / T.E. / B.E. Admission Year 2018-2019

(For Account Section) Name of the Candidate (In full, in BLOCK letters) Shri./Smt______________________________________________________________________________

(Surname) __________________________________________________________________________________________


(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ __________________________________________ ==========================================================

(For office Use Only) Date : / /2018 Receivers Signature

Seal of College


Kennedy Road, Pune -1.


Category - ST / NT / DT / VJ /SBC / TFWS S.E / T.E. / B.E. Admission Year 2018-2019

( For Student ) Name of the Candidate (In full, in BLOCK letters) Shri./Smt______________________________________________________________________________

(Surname) __________________________________________________________________________________________


(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ _________________________________________ ==========================================================


Seal of College




Category - SC S.E / T.E. / B.E. Admission Year 2018-2019


(Surname) _________________________________________________________________________________________


(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________ Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ _________________________________________

========================================================== (For office Use Only)


Seal of College




Category SC S.E / T.E. / B.E. Admission Year 2018-2019

(For Account Section) Name of the Candidate (In full, in BLOCK letters) Shri./Smt______________________________________________________________________________

(Surname) __________________________________________________________________________________________


(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ __________________________________________ ==========================================================


Seal of College




Category - SC S.E / T.E. / B.E. Admission Year 2018-2019


(Surname) __________________________________________________________________________________________


(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 Drawn on _____________________________ _________________________________________ ==========================================================


Seal of College




Category - OBC

S.E. /T.E. / B.E. Admission Year 2018-2019

(For Student Section)

Name of the Candidate (In full, in BLOCK letters) Shri./Smt_______________________________________________________________________________

(Surname) _________________________________________________________________________________________

(First Name) (Father’s Name) Ph.No./Mob. No._______________________________________________________________________

S.E. / T.E. /B.E. _________________________________Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 ========================================================== (For office Use Only) Date : / /2018 Receivers Signature

Seal of College

AISSMS, Institute OF INFORMATION TECHNOLOGY



Category - OBC


(For Account Section)

Name of the Candidate (In full, in BLOCK letters) Shri./Smt______________________________________________________________________________

(Surname) __________________________________________________________________________________________


S.E. / T.E. /B.E. _________________________________Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 ==========================================================


Seal of College




Category - OBC



(Surname) __________________________________________________________________________________________


S.E. / T.E. /B.E. _________________________________Roll No._____________________________

(Branch)



1) Tuition Fees

2) Development Fees


5) Form Fee 200/-

6) Any other

Total

Rupees(In words): _________________________________________________________________ _________________________________________________________________________________________

Cash/P.O./D.D. No. ____________________________Date: / / 2018 ========================================================== (For office Use Only)


Seal of College




Kennedy Road, Pune -1. Kennedy Road, Pune -1. Kennedy Road, Pune -1.

Category - J & K / G.O.I. Category - J & K / G.O.I. Category - J & K / G.O.I.

S.E. /T.E. / B.E. Admission Year 2018-2019 S.E. /T.E. / B.E. Admission Year 2018-2019 S.E. /T.E. / B.E. Admission Year 2018-2018 (For Student Section) (For Account Section) (For Student )

Name of the Candidate (In full, in BLOCK letters) Name of the Candidate (In full, in BLOCK letters) Name of the Candidate (In full, in BLOCK letters)

Shri./Smt_______________________________________________________________________________ Shri./Smt_______________________________________________________________________________ Shri./Smt_______________________________________________________________________________ (Surname) (Surname) (Surname)

_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ (First Name) (Father’s Name) (First Name) (Father’s Name) (First Name) (Father’s Name)

Ph.No./Mob. No._______________________________________________________________________ Ph.No./Mob. No._______________________________________________________________________ Ph.No./Mob. No._______________________________________________________________________

S.E. / T.E. /B.E.____________________________________ Roll ___________________________ S.E. / T.E. /B.E.____________________________________ Roll ___________________________ S.E. / T.E. /B.E.____________________________________ Roll __________________________ (Branch) (Branch) (Branch)

Academic Year 2018-2019 Academic Year 2018-2019 Academic Year 2018-2019

Sr.No. Particulars Rs Sr.No. Particulars Rs Sr.No. Particulars Rs

1) Tuition Fees 15000/- 1) Tuition Fees 15000/- 1) Tuition Fees 15000/-

2) Development Fees 5000/- 2) Development Fees 5000/- 2) Development Fees 5000/-

4) University Charges 1000/- 4) University Charges 1000/- 4) University Charges 1000/-

5) Form Fee 200/- 5) Form Fee 200/- 5) Form Fee 200/-

6) Any other 4000/- 6) Any other 4000/- 6) Any other 4000/-

Total 25200/- Total 25200/- Total 25200/-

Rupees(In words): Twenty Five Thousand Two Hundred Only - Rupees(In words): Twenty Five Thousand Two Hundred Only - Rupees(In words): Twenty Five Thousand Two Hundred Only - _________________________________________________________________________________________ _________________________________________________________________________________________

_________________________________________________________________________________________ Cash/P.O./D.D. No. ____________________________ Date : / / 2018

Cash/P.O./D.D. No. ____________________________ Date : / / 2018

Drawn on _____________________________ _________________________________________ Cash/P.O./D.D. No. ____________________________ Date : / / 2018

Drawn on _____________________________ _________________________________________

========================================================== Drawn on _____________________________ _________________________________________ (For office Use Only) ==========================================================

Date : / /2018 Receivers Signature (For office Use Only) ========================================================== Date : / /2018 Receivers Signature (For office Use Only)

Seal of College Date : / /2018 Receivers Signature Seal of College

Seal of College

AISSM, SOCIETY, Shivajinagar, Pune -5

S.E. / T.E. /B.E. Admission Year 2018-2019


(Surname) _________________________________________________________________________________________


S.E. /T.E. /B.E.__________________________________ Roll No.____________________________

(Branch)

Academic Year 2018-2019 Sr.No. Particulars Rs

1) Soft Skill Training Charges 1500/-

Total 1500/-

Rupees(In words) : Fifteen Hundred Only

Cash/P.O./D.D. No. ____________________________Date: / / 2018

Drawn on _____________________________ _________________________________________. ==========================================================

(For office Use Only) Date : / /2018 Receivers Signature Seal of College

AISSM, SOCIETY,

Shivajinagar, Pune -5


(For Account Section) Name of the Candidate (In full, in BLOCK letters) Shri./Smt_______________________________________________________________________________

(Surname) _________________________________________________________________________________________


S.E. /T.E. /B.E.__________________________________ Roll No.____________________________

(Branch)



1) Soft Skill Training Charges 1500/-

Total 1500/-


Cash/P.O./D.D. No. ____________________________Date: / / 2018

Drawn on _____________________________ _________________________________________ ========================================================== (For office Use Only) Date : / /2018 Receivers Signature

Seal of College

AISSM, SOCIETY,

Shivajinagar, Pune -5


(For Student) Name of the Candidate (In full, in BLOCK letters) Shri./Smt_______________________________________________________________________________

(Surname) _________________________________________________________________________________________


S.E. /T.E. /B.E.__________________________________ Roll No.____________________________

(Branch)



1) Soft Skill Training Charges 1500/- Total 1500/-


Cash/P.O./D.D. No. ____________________________Date: / / 2018

Drawn on _____________________________ _________________________________________ ==========================================================

(For office Use Only) Date : / /2018 Receivers Signature Seal of College