Admission Form


 (*) Denoted Fields Are Mandatory
To,
The Director,
Audyogik Shikshan Mandal's
INSTITUTE OF PROFESSIONAL STUDIES, PIMPRI, PUNE - 18

* *ATMA / MAT / CAT/ XAT/ MHCET / Enrollment Number :
* Score:
(*These students are exempted from the Written Entrance Test conducted by the IPS. However, they must appear for G. D. & P.I.)
I request for accommodation in IPS Hostel / Rented Room:
I would like to appear for Written Test / GD & PI on:
OR
I would like to appear for Written Test/GD & PI at:
PERSONAL INFORMATION
* Full name (In Block Letters):
Date of Birth (DD/MM/YYYY):
Student Category:
Permanent Address:
City:
Pin Code:
* Email:
* Phone No.:
* Father / Guardian Name:
Contact Address:
City:
Pin Code:
Fax:
* Contact Phone No.:

EDUCATIONAL DETAILS: (Mention all University / Board Exmination that you have passed)

Examination Passed
University / Board Percentage of Marks Special / Optional Subjects Name of the College/ Institute
HSC
SSC

Notes:-
1. Students appearing for final year graduation examination & whole Bachelor's Degree results are awaited can also apply. They must mention the average percentage of marks obtained in all previous years of graduation course.

2. Candidates must bring academic certificates at time of GD & Personal Interview.

UNDERTAKING
1. I and my parents / gurardin have carefully noted the eligibility rules, procedures of admission, rules and regulations, important notes an important notes for Fee Refund, submission of Certificates etc. given in the IPS prospectus which I am required to follow and in matters of interpretation, accept the decision given by the Director in this respect as final and binding.
2. I shall submit all the required original certificates, attested copies of certificates for clearance of eligibility, fill the exam forms and pay the entire tuition fees, placement fees, exam fee at the earliest before the last mentioned date by the IPS and University of Mumbai which I alone will be responsible for further consequences. If I am found to have furnished false information or suppressed information, will, if admitted, be dismissed and my fees will be forfeited.
3. I will maintain a minimum attendance of 75% per semester failing which my term may not be granted and I will not avail the placement facilities of IPS.
4. I fully understand that the Director of the Institute has full liberty to expel me from the Institute for any infringement of the rules and regulations of conduct and discipline given in this prospectus.
5. The information given by me in my application is true to the best of my knowledge and belief.

  
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