Submitted On: 25/04/2025 15:29 FormNo:24163

Om Vidyalankar Shikshan Sanstha`s

Asmita College of Arts & Commerce

ADMISSION FORM
XII Commerce (2025-2026)
The Principal,
Asmita College of Arts & Commerce
Kannamwar Nagar II ,Vikhroli (East),Mumbai Maharashtra 400083
I wish to apply for admission to the XII Commerce Class. I give below the necessary particulars.

Student Name Mane Namrata Viresh

Mother`s Name Reshma
Aadhar Card 597205879444 Gender/Sex Female
Marital Status Unmarried Blood Group A+
Date Of Birth(As per LC) 26/03/2008 Place Of Birth (Village/City) SANGLI
Place Of Birth (State) Maharashtra Place Of Birth (Country) INDIA
Nationality Indian Mother Tongue Marathi
Religion Buddhism Category SC
Caste/ Sub Caste N/A Physically Challenged N/A
Special Reservation Quota N/A
Correspondence Address ROOM NO 11/4, SUNNY MENDOSA CHAWLBABI DHURI MARG NEAR PARANJAPE HALL BHANDUP EAS
(Actual Place Of Stay) T
Correspondence Pin Code 400042
Permanent Address ROOM NO 11/4, SUNNY MENDOSA CHAWLBABI DHURI MARG NEAR PARANJAPE HALL BHANDUP EAS
T
Native District SANGLI Native State Maharashtra
Rural/Urban(Native) Rural Telephone No.(Resi.) ----
Student Mobile No 9867150997 Student WhatsApp No 9867150997
Student Email ID namratamane@[Link] Guardian Mobile No 9892922154
Guardian Email ID ---- Do you want Railway Yes
Concession ?
From Station Bhandup Enrolled in Voter`s List? Yes
Subjects Offered
1. English 2. Marathi
3. Economics 4. Book Keeping
5. Organisation of Commerce 6. Secretrial Practice
7. Environment Studies 8. P.T.
 FormNo:24163
Examination Name of the Board / Mon. & Year Name of the College Seat No Total Marks Attempt Out of /
University of Passing /SGPA Grade
XI Maharashtra State Board 2025-04 Asmita College 91 308 600

PARENT / GUARDIAN DETAILS

Parents/Guardian Name Reshma Mane Parents/Guardian Relationship Mother
Parents/Guardian Occupation Other Parents/Guardian Office Add. ----
Annual Income (In Figures) 0.00

DECLARATION BY STUDENT
1. I hereby declare that I have read all the rules and regulations framed by the college authorities as given in the college prospectus, which are presently in force.
2. I hereby declare and undertake to abide by all the mentioned rules and regulations and hereby agree, if admitted, to confirm to them and to such other rules as may

hereafter be made for the smooth functioning of the college.

3. I may not be granted terms or allowed to appear for the College / University Examination if my attendance in lectures and tutorials / practicals falls short of 75%.
4. I may not be granted any concession in any matter, if I take up any employment during the course of my studies.
5. I hereby declare that I shall show satisfactory progress and maintain good conduct.
6. I hereby declare that I have not registered my name at any other institution for any other full time course.
7. I hereby declare that the information filled in by me in this form is accurate and true to the 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 cancelled.
8. I WILL DISPLAY MY IDENTITY CARD PROMINENTLY IN THE COLLEGE PREMISES.
9. I have given my and my parents most recent contact details (phone, email). In case of any change I undertake to inform college accordingly.
10. I hereby give my consent for use of my contact details for educational communication.
11. I am aware that as per University Circular No. SW/42 of 2015 dtd. 29th Oct. 2015, I am compulsorily required to give an undertaking on [Link] & www.
[Link].
12. I will get myself enrolled for Voter ID Card when I would turn 18 Years of age.
13. If I will unable to fill up online fee concession form (i.e SCHOLARSHIP/FREESHIP from govt of India) with the prescribe given time limit. I will not get refund and I
will not held responsible to institute.
14. If students have ATKT in FY & SY, then this students not eligible for TY. In case this circumstances students get admission then this students admission cancel by
college & and student responsible for that.

DECLARATION BY PARENT / GUARDIAN

* I have permitted my son / daughter / ward to join your college.
* The information supplied by him / her is correct to the best of my knowledge.
* I have acquainted myself with the rules and fees, dues of my son / daughter / ward and to see that he / she observes, the said rules in totality.
* I hereby give my consent for use of my contact details for educational communication.

FREESHIP / SCHLORSHIP NOTIFICATION

* If you hold valid Caste Certificate (Caste certificate should be issued from any district of Maharashtra state only) and Income Certificate then you are eligible for

Scholarship / Freeship from Government of Maharashtra.

* Contact College Office to fill up the required form / online form.
* If you do not fill up this form or incase your application of Scholarship / Freeship is rejected by concerned authorities you will not be eligible for any refund of fees.

(Signature of the Student) (Name & Signature of the Parent / Guardian)

FOR COLLEGE USE ONLY

Date Amount Receipt No.:

(Receiver Signature)
 Documents must be submitted at the time of Admission
Only for Reserved Category students
(SC/ST)

Website:-
[Link]
Reservedcategorystudentswhohavetofillscholarship/freeshipformthosestudentsbelow
documents to submit at the time of admission.

SC/ST Freeship/Scholarship 2025-26

Income Limit :- SC/ST Category :- below 2,50,000/- for scholarship
Income Limit :- SC/ST Category :- above 2,50,000/- for freeship

The Documents required for the form are as follows:-

 Xerox copy of Caste Certificate (Tahashildar Office Only)

 Xerox copy of Domicile Certificate
 Father/Mother Income Certificate of 2024-2025 (Tahashildar Office Only)
 Father death Certificate (If applicable)
 Xerox copy of Aadhar Card
 Xerox copy Ration Card
 Xerox copy of Admission Fee Receipt of current year(2025-2026)
 Xerox copy of SSC Marksheet
 Xerox copy of HSCMarksheet
 Xerox copy of 12th [Link] certificate
 Xerox copy of Last Exam Passed
 Xerox copy of Bank Passbook.

Important Note :- Students are requested to link their Aadhar Card No. with their Bank A/C
and also with their mobile no.