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Name: Mrs. TABASSUM SHAUKAT Telephone No: 9422302173 ILS Unique Number:
INAMDAR
Gender: Female
Mother’s Name: RABIA
E-mail: tabassumsinamdar@gmail.com
Student Mobile No: 9372139561
Name in Marathi/ Hindi:
Guardian’s Name:
Self Information
Examination Month & Year Marks Obtained Out of Marks School/ College Bord/ University Seat No.
Passed Total Marks & Place & Place
(All Subjects)
S.S.C. (Xth) 03/1991 261 700 37.28 St. Thomas' Maharashtra
School State Board
Undertakings
1. I hereby undertake, if admitted, to attend lectures (Minimum 85%) and all internal assessment programmes in the College
as prescribed in the syllabus of Savitribai Phule Pune University. If I fail to do so, my term will not be granted.
2. I hereby submit to the disciplinary jurisdiction of the authorities of the University / and the authorities of the College, and
shall observe and abide by the rules made by them.
3. I understand that if admitted, my admission will be confirmed only on my production of the Transference Certificate /
Migration Certificate from my previous College or educational institution and the Final Eligibility Certificate of the
Savitribai Phule Pune University.
4. I undertake to take an identity card immediately and carry it with me while in the College Premises and to produce it when
demanded by college staff.
5. I undertake to pay the fees as approval by competant Authorities from time to time.
6. I understand that the curriculum and the fee structure and admission rules and criteria for this year, as well as for the law
course over the years is likely to be revised from time to time by the Savitribai Phule Pune University, the State
Government or the College and that fees might increase and I undertake to pay the increased fees whenever demanded by
the college and to comply with the rules from time to time.
7. I am aware that mobile phones, or similar electronic instruments have to be switched off in classrooms, library and during
any activity in the College classes. If such instruments ring or are used during classes, in the library or during activities,
the instruments are liable to be confiscated by the college authorities, or fine may be imposed by the college.
8. I am aware that smoking cigarettes or taking any addictive substance in College premises including the canteen, hostel,
mess etc. is prohibited and if found doing these, I will be liable for disciplinary action.
9. I am also aware that it is my responsibility to keep College premises clean.
10. I promise not to indulge in any ragging activity (As defined by ‘The Maharashtra Prohibition of Ragging Act. 1999’) inside
or outside the College.
11. I promise not to indulge in cyber crime or post any derogatory comment about the college, teachers or fellow students in
social media.
12. I declare that all statements made in the application are true, complete & correct to the best of my knowledge & belief. I
understand that in the event of any information being found false or incorrect my candidature is liable to be cancelled or
rejected.
Date
Signature of Student
Decision By Principal
Admitted provisionally subject to completing admission formalities, payment of fees, production of transference certificate /
migration certificate and grant of eligibility by the Savitribai Phule Pune University.
SAVITRIBAI PHULE PUNE UNIVERSITY
I wish to apply for the Eligibility for the academic year: 2019-20
1. Name of the course to which Admission is sought: LLM First Year,LLM
2. Name of the Application : MRS. TABASSUM SHAUKAT INAMDAR (In English Capital Letters)
(Name as per last Mark sheet should be mentioned. N.R.I. Student should write their name as it appears in their Passport.)
3. Mother’s Name: RABIA 4. Aadhar No.: 4276-6213-9778
5. Mobile No.: 9372139561 6. PAN No.: AAZPI5028D
7. Email Id: tabassumsinamdar@gmail.com 8. Type: Maharashtrian
9. Nationality: India 10. Religion: Muslim
11. Gender: Female 12. Date of Birth: ”05/09/1974”
13. Category: OBC
(If you belong to any of the Reserve category attach a certificate of a Competent Authority in support of it.)
1. Do you belong to DT(A), NT(B), NT(C), NT(D), OBC, SBC, SEBC or EWS? Yes
(If you belong to any of the Reserve category attach a certificate of a Competent Authority in support of it.)
14. Are you Physically Disabled? no (If yes please spacify type:)
15. Do you belong to the Minority?: Yes (If yes please spacify type which has given below)
Linguistic :
Religion : Yes
Signature of Candidate