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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
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| College Code: | Registration No: | Application No: |
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| Course: B.A | 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 |
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| Admitted against which Category: OpenReservedSCSTNT1NT2NT3VJSBCOBCVJNTBCJ&KNT-BNT-DTSEBCTFWS | If Reserved, Specify: | ||
| 1. Personal Information Section | |||
| Name of the Student | |||
| Name of the Student (In Capital Letters) |
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| Name of the Student (In Devnagari Script) |
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| Father's / Husband's Name |
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| Mother's Name: | |||
| Caste: SelectMARATHACHAMBHARNAV BUDDISTPHULMALISHIMPISALIAGRIVANJARIDHANGARMAHARLAMANKUMBHARLOHARCHRISTIONSHAGARMALIRAMOSHIDHORKASARKUNBIBRAHMANKOLIMOMINNAIRMANGSUTARNAHVIVADARKOSHTITHAKURTELIGOSAVIGURAVBHOIPINJARABOUDHSONARJAINKAIKADIKASBIRANGARIWASHY WANILINGAYATLONARIPINJARIWANIGUJARATHIMARWADIHANBARMUSLIMKAISTYABAVAVASUDEVCATHOLICPARITKHATIKPUNJABILADBAGWANDONY POLOBELDARNANDIWALEMAHADEO KOLIHOLARJANGAMTWASTA KASARZINGA BHOIGONDHALIKASAINADAFGADI LOHARVAISHNAVKSATRIYANADARTULVMUJAWARSHETVALSANGARCHATHRTHASINDHISHEGARGAVANDIJINGARRAJPUTPANCHALBHANDARIKASHIKAPDIGHISADITAMBATMANNEMARCHIGAVALIYELAMSALEWARPATKARKATARIHARIJANISLAMKAKKAYYALINGAYAT WANIMUSALMANNHAVIDHIWARMATWADISHIKALGARATTARSOMVANSHIYAKSHTRIYABANJARAGANDALIBURUDSHRODESARODEKOMTITHIYYATHAKARMATI-VADARHATKARSUNNIFAKIRSARASWATGIRI-GOSAVIJOSHILADHAFMAHESHWARIBUDHISMKOLI-MAHADEVBRAHMINBUDDHISTGONDBHANGIGHADASHINAV-BOUDHLAIDAFPAWARALEVA-PATIDARBILLAVKOKANAPADMASHALITAMBOLIKUTCHI-GUJARATIBOHIVAYDURAVALVAIDUFULL-MALIBHAVSARBHAVSAR-SHIMPIDIGAMBARVAISH KOMTIDESHASTH BRAHMINBHATMAVACHIDHOLIGUJRATHIPRIMALAI KALLORANDH ADIWASINATHPANTHI DAVARIGOSAVIVANINAVBOUDHVALMIKIAHERKUDMUDE JOSHIRAWALMATANGNAVIMANANT-CKOLHATICHATURTHCHONNADABARVEERASHAIVABEDARNAMDEV SHIMPIBEDA JANGAMBANJARA LOMANIBERADLINGAYAT KUMBHARHINDU MARATHAGADI SUTARHINDU MAHADEV KOLIMAHADEV KOLIBAUDHAKASABDEVANG-KOSHTIMUSALMAN KASABMUSALMAN BAGWANKAHARMUSALMAN CHAUSLAMANIHATKAR DHANGARGOPALMOCHIPARDHIKOLI MAHADCHOPARBANDDHOBITAKARIBHILKUNBI MARATHALINGAYAT GAVLIMUSLIM - MANYARTIRMALBHILLARAJPUT BHAMTADHAWARJAIN SHIMPIGOPAL BHORAPI | Religion: SelectHINDUBUDDHACHRISTIANMANGJAINMUSLIMBUDDHISMBOUDHNAVBOUDHABUDDHISTPUNJABIBOUDDHAVADARMUSALMANISLAMBAUDHACHATURTHA | ||
| Marital Status: SelectUnmarriedMarried | Gender: SelectFemaleMaleOther | Blood Group: SelectA+A-B+B-AB+AB-O+O- | |
| 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 : MarathiHindi |
| 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 |
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| 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 MarathiHindi | |
| 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 DSC-2 | Major DSC-2 | ||||
| Minor (Choose any two from pool of Course) | Minor-5 | Minor (Choose any two from pool of Course) | Minor-7 | ||
| Minor-6 | Minor-8 | ||||
| VSC-2 (Choose any one from pool of Course) | VSC-3 | -- | -- | ||
| 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: EmployedUnemployed | Do you wish to join NCC / NSS YesNo |
| Would you like to apply for Hostel YesNo | 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 : CashOnline | |
| Transaction ID : | ||
| Receipt No. : | Date of Receipt : | |
Office Superintendent / Head Clerk
Date :
Principal
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