College Admission Form

Jaibhavani Shikshan Prasarak Mandal's Mahila Mahavidyalaya, Georai Tq. Georai Dist. Beed (Maharashtra) – 431127. Affiliated to Dr. Babasaheb Ambedkar Marathwada University, Chhatrapati Sambhajinagar Academic Year 2026 - 2027
College Code:	Registration No:	Application No:	Choose Photo
Course:	Course Applied For: FIRST YEAR SECOND YEAR THIRD YEAR
Registration Date:		Admission Date:
Aadhar No.		APAAR / ABC Id :
Applying for Concession EBC SC ST NT OBC SEBC EWS SBC PTC STC Freedom Fighter Ex-Service Man
Admitted against which Category:		If Reserved, Specify:
1. Personal Information Section
Name of the Student
Name of the Student (In Capital Letters)
Name of the Student (In Devnagari Script)
Father's / Husband's Name
Mother's Name:
Caste:		Religion:
Marital Status:		Gender:		Blood Group:
Place of Birth:		Date of Birth:
2. Address for Correspondence:
City/ Town/Village:		Tahsil:	Dist.:
Dist.:	Domicile State:		Nationality:
Address (House No., Street, Area, Suburb etc.):			Pin Code:
3. Contact Details
Student’s Mobile No.:		Parent’s Mobile Number:
Student Email Id:
4. Guardian / Parent Information Section
Guardian's / Parent's Name:
Occupation of the Guardian / Parent:		Annual Income of the Guardian / Parent:
Relationship of Guardian with Applicant:		Guardian / Parent’s Mobile No.:

5. Educational Details
Name of the Examination	Name of the Board	Name of the School/College	Date of Passing	Examination Seat Number	Passing Certificate No.	Total Marks	Obtained Marks	%	CGPA
SSC
HSC
B.A.F.Y.
B.A.S.Y.

FIRST YEAR (NEP-2020 Pattern)
6. Subject Details Section
Select any three Subjects, from three different groups.
COURSE	FIRST SEMESTER	COURSE	SECOND SEMESTER
MAJOR / DSC -1		MAJOR / DSC -4
MAJOR / DSC -2		MAJOR / DSC -5
MAJOR / DSC -3		MAJOR / DSC -6
Anyone Related to Major Subject SEC-1		Anyone Related to Major Subject VSC-1
Generic/Open Elective (Other than Major Faculty) (Any One)	Computer Science:	Generic/Open Elective (Other than Major Faculty) (Any One)	Computer Science:
SEC (Common for All Faculties)		VEC-1	Constitution of India
AEC (Common for All Faculties)	AEC-1 : English – Communication Skills in English	AEC (Common for All Faculties)	AEC-2 :
IKS (Common for All Faculties)	Hyderabad Freedom Struggle (Marathwada Region)	IKS (Common for All Faculties)	Constitution of India
CC (Co-Curriculum Courses) (Common for All Faculties)	CC-1 Health and Wellness	CC (Co-Curriculum Courses) (Common for All Faculties)	CC-2 Yoga Education / Sports and Fitness

SECOND YEAR (NEP-2020 Pattern)
Major Subject (Core Mandatory): Choose any one subject among three Subject opted at First Year
Third Semester		Fourth Semester
COURSE
MAJOR DSC-7		MAJOR DSC-9
MAJOR DSC-8		MAJOR DSC-10
Minor Subjects (Mn): Two Subjects other than the subject selected as major subject at Previous / First year
MINOR Mn-1		MINOR Mn-3
MINOR Mn-2		MINOR Mn-4
VSC-2 Related to Major Subject		SEC-2 Related to Major Subject
Generic / Open Elective (Any One) GE/OE	Computer Science	GE/OE	Computer Science
AEC (Choose any one from pool of Language Course)	AEC-3 - English		AEC-4
VEC & CEP Community Engagement Project (Common for All Faculties)	VEC-2 Environmental Studies	CEP Community Engagement Project	Field Project (FP-1)
CC (Co-Curriculum Courses) (Common for All Faculties)	CC-3 – NSS		CC-4 – Performing Arts

THIRD YEAR (NEP-2020 Pattern)
Course	Fifth Semester	Course	Sixth Semester
Major Core Mandatory	Major DSC-11	Major Core Mandatory	Major DSC-13
	Major DSC-12		Major DSC-14
			Major DSC-15 IKS-2
Major Elective (Choose any one from pool of Course)	Major DSC-1	Major Elective (Choose any one from pool of Course)	Major DSC-1
Major Elective (Choose any one from pool of Course)	Major DSC-2	Major Elective (Choose any one from pool of Course)	Major DSC-2
Minor (Choose any two from pool of Course)	Minor-5	Minor (Choose any two from pool of Course)	Minor-7
Minor (Choose any two from pool of Course)	Minor-6	Minor (Choose any two from pool of Course)	Minor-8
VSC-2 (Choose any one from pool of Course)	VSC-3	--	--
VSC-2 (Choose any one from pool of Course)	VSC-4	--	--
Field Project (FP) Community Engagement Project (CEP) (Common for All Faculties)	FP-2 / CEP-2	(OJT) On Job Training	OJT-1

Date:

Signature of the Student

7. Attached Documents
Sr. No.	Name of the Documents	Yes/No	Sr. No.	Name of the Documents	Yes/No
01	Leaving Certificate (Original) + 02 Photocopy		02	02 Photocopy of Std. 10th Mark Memo
03	03 Photocopy of Std. 12th Mark Memo		04	Govt. Gazette Certificate for Physically Challenged
05	Photocopy of Caste Certificate		06	Passport Photo
07	Affidavit for change name		08	Photocopy of Aadhar
09	Marriage Certificate		10	APAAR / ABC Id

8. Other Information Section
Mother Tongue:	Employment Status:	Do you wish to join NCC / NSS
Would you like to apply for Hostel	Hobbies, Proficiency and Other Interests
Game and Sports Participation:
Cultural Participation:
Personal Identification Marks: 1. 2.

Declaration by Student

I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate and true to best of my knowledge. I will be responsible for any discrepancy arising out of the form signed by me and I undertake that, in absence of any document the final admission will not be granted and/or admission will stand cancel. I am aware of the Maharashtra Public University Act of Ragging 2016 & UGC 2009. I state that I will abide by all the rules and regulations of the said Act.

Declaration by Guardian / Parent

I have permitted my daughter to join your college. The information provided by her is correct to the best of my knowledge. I have acquainted myself with the rules, fees and other dues to my daughter.

For College / Institute Use Only

Designation	Remarks / Particular / Recommendation	Signature and Date
Member Admission Committee
Chairman Admission Committee
Admission Clerk
Accountant / Cashier
Transaction Details	Payment Mode :
Transaction ID :
Receipt No. :		Date of Receipt :

Office Superintendent / Head Clerk

Date :

Principal