Pune Vidyarthi Griha's
College of Science

Application Form for Admission to the B.Sc. (Computer Science) 2022-2023

1. Candidate's Personal Information

First Name :* Maiden Name: Father's/Husband's Name:* Last Name:* Mother Name:* Date of Birth:* Birth Place: Gender: * Male Female Trans Gender Blood Group: Choose blood group...AB+AB-A+A-B+B-O+O-   Choose blood group... AB+ AB- A+ A- B+ B- O+ O- Nationality:* Religion :* HinduMuslimJainChristianSikhNavboudhParsiOther   Hindu Muslim Jain Christian Sikh Navboudh Parsi Other Category:* Choose Category..OpenOBCSBCSCSTDTA/VJNTNTBNTCNTDSEBCEWS   Choose Category.. Open OBC SBC SC ST DTA/VJNT NTB NTC NTD SEBC EWS Caste: * Choose Caste..BrahminCKPDhangarKumbharLingayatMaliMarathaMaharSonarOther   Choose Caste.. Brahmin CKP Dhangar Kumbhar Lingayat Mali Maratha Mahar Sonar Other Domicile/State:* Choose state...Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPondicherryPunjabRajasthanSikkimTamil NaduTripuraUttar PradeshUttarakhandWest Bengal   Choose state... Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal Copy Local Address Local Address:* Permenant Address:* District:* District:* Taluka:* Taluka:* Pincode:* Pincode:* Aadhar Card Number: Voter Id:

Upload Image:* Choose Maximum Image Size should be 1MB

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2. Parent's Information

Note* : In case the Mother/Father doesn't have a middle name, please put '-'.

Father's / Husband's Information Father's Full Name:* Education: Occupation/Business:* Choose OccupationBusinessServiceFreelancerHomemaker   Choose Occupation Business Service Freelancer Homemaker Organization Name:* Designation: Mobile:* Email: Annual Income (p.a.) (₹):*

Mother's Information Mother's Full Name:* Education:* Occupation/Business: Choose OccupationBusinessServiceFreelancerHomemaker   Choose Occupation Business Service Freelancer Homemaker Company/Business: Designation: Mobile: Email: Annual Income (p.a.)(₹):

3. Contact Details

Landline :		Student Mobile no. :*
Student's Email-ID :*

	The Information given is true to the best of my knowledge and belief

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