Vasantdada Patil Pratishthan’s Dr. Panjabrao Deshmukh Boys Hostel at Wadala, Mumbai & Dr. Panjabrao Deshmukh Boys & Girls Hostel at Kandivali, Mumbai (Only for students of Economically Weaker Section) Office : Vasantdada Patil Education Complex, Eastern Express Highway, Sion, Mumbai------
Vasantdada Patil Pratishthan’s Vasantdada Patil Pratishthan’s Dr. Panjabrao Deshmukh Boy’s Hostel Dr. Panjabrao Deshmukh Boys & Girls Situated at 1/A-3, Shivshahi Hostel Punarvasan Prakalp Maryadit, Situated at CTS No. 137/B, Near Growel Antophill, Opp.Wadala Fire Brigade, 101 Mall, Adjacent to Silver Leaf CHS, Wadala, Mumbai-400 037. Akurli Rd, Kandivali (E), Mumbai- 400 101 Eligibility Criteria • Maharashtra State Domicile Certificate is required. • Annual Income should be below Rs. 8,00,000/- p.a. of the parents and students. • Students who are taking admission in Engineering, Pharmacy, MBBS, Law & Agricultural etc. and also 11th & 12th students who belongs to EWS category are eligible for hostel accommodation. • Hostel Accommodation for the students who belongs to Economical Weaker Section.
Self attested documents required alongwith form 1) Last year Marksheet 2) Admission Allotment letter 3) Proof of Admission in School/College 4) Bonafide Certificate of present College 5) ID Card of present College 6) Last year Passing Certificate 7) Copy of the Form 16A of Parent 8) ITR of Parent of Last year 9) Income Certificate issued by Tahsildar or Competent Authority (if the parents are not serving and income is below taxable limit). 10) Aadhar Card 11) Medical Fitness Certificate from Civil Hospital 12) PAN Card 13) Domicile Certificate
Fees Charges • Hostel Accommodation Rs. 10,000/- p.a. per student • Mess Charges Rs. 54,000/- p.a. per student (which includes Tea, Breakfast, Lunch & Dinner and also evening tea). ------• Total Hostel Charges Rs. 64,000/- p.a. per student ======Cheque/DD in favour of VPP’S DR. PANJABRAO DESHMUKH BOYS HOSTEL. (FOR WADALA)
Cheque/DD in favour of VPP’S DR. PANJABRAO DESHMUKH BOYS AND GIRL’S HOSTEL. (FOR KANDIVALI)
Tel.No. 022-20847225, 7226, 7227, 7228 Mobile No. 9920976729 Website : www.pvppcoe.ac.in, www.mpcoa.in, https://vpplc.in & [email protected] . APPLICATION FOR HOSTEL ACCOMMODATION At: 1/A-3, Shivshahi Punarvasan Prakalp Maryadit, Antophill, Opposite Wadala Fire Brigade, Wadala Mumbai 400037 and CTS No. 137/B, Near Growel 101 Mall, Adjacent to Silver Leaf CHS, Akurli Rd, Kandivali (E), Mumbai- 400 101
Tel.: 9920976729 / 022 2084 7226 Email. [email protected] UNDER THE SCHEME OF DR. PANJABRAO DESHMUKH HOSTEL SUBSISTENCE ALLOWANCE (For Economical Weaker Section Students) MANAGED BY VASANTDADA PATIL PRATISHTHAN Sion, Mumbai 400022
To, General Secretary Vasantdada Patil Pratishthan Sion, Mumbai 22
Respected Sir,
I…………………………..………………… studying in …………………………. in
………….…………………………college in Academic Year …………………………… applying for
Hostel Accommodation under DR. PANJABRAO DESHMUKH HOSTEL SUBSISTENCE
ALLOWANCE SCHEME for Economically Weaker Section Students.
1) STUDENT DETAILS
Surname
Name
Father’s Name
Mother’s Name
2) ADDRESS FOR CORRESPONDENCE:
CITY
STATE PIN MOBILE (Student)
Email (student) Res. Phone with STD Mobile Page 2 of
(Parent)
3) Date of Birth (in words )
4) Place of Birth Nationality _ Religion
5) Blood Group _ Gender MALE / FEMALE CASTE Sub Caste 6)
AADHAR CARD UID NO. PAN
7) Have you passed S.S.C. (Xth) Examination from Maharashtra State:
8) Is your father domiciled in Maharashtra State _
9) DETAILS OF FATHER
A) Name
B) Present Designation/ Occupation
C) Name of Organization Qualification
D) Office Address
E) Off. Tel. with STD. Mobile FAX.
Email Annual Income _
(Family Annual Income from all sources)
10) DETAILS OF MOTHER
A) Name
B) Present Designation/ Occupation
C) Name of Organization Qualification
D) Office Address
E) Off. Tel. with STD. Mobile FAX.
Email Annual Income
(Family Annual Income from all sources)
11) DETAILS OF LOCAL GUARDIAN IF DIFFERENT FROM NATURAL PARENT
A) Name
B) Present Designation/ Occupation
C) Name of Organization Qualification
D) Office Address Page 3 of
E) Off. Tel. with STD. Mobile FAX.
Email Annual Income
(Family Annual Income from all sources)
12. Yearly Income of Student & Parent from all sources
13. Address of present College / school
14. Standard
15. Percentage of last Exam
16. Name of the present Professional/ Non-Professional College
17. Whether the admission in Professional/ Non Professional Course through CAP Round:
DECLARATION TO BE SIGNED BY THE CANDIDATE AND TO BE ENDORSED BY THE FATHER OF GUARDIAN
UNDERTAKING
I Mr. /Mrs. Parent/ Guardian of hereby declare that I/ my ward am/is seeking admission in the DR. PANJABRAO DESHMUKH HOSTEL ACCOMODATION at
CTS No. 137/B, Near Growel 101 Mall, Adjacent to Silver Leaf CHS, Akurli Rd, Kandivali (E), Mumbai- 400 101 OR
1/A-3, Shivshahi Punarvasan Prakalp Maryadit, Antophill, Opp.Wadala Fire Brigade, Wadala, Mumbai-400 037.
managed by VASANTDADA PATIL PRATISHTHAN.
1. I have read all the terms and conditions prescribed in GR No sankirna-2018/ pra.kra. 249/ tanshi-4, dated 13.07.2018 published by Government of Maharashtra and I undertake to be abide by them.
2. The information given by me/ us in my/our application is true to the best of my/our knowledge and belief.
3. I hereby agree to conform to any rules, acts and laws enforced by Govt. of Maharashtra and I hereby undertake that so long as I remain resident of the HOSTEL, I will do nothing either inside or outside the HOSTEL which may result in disciplinary action against me under the rules, acts and laws.
4. I fully understand that the General Secretary of Vasantdada Patil Pratishthan, Sion, Mumbai will have full authority to expel me from the HOSTEL for any infringement of the rules of conduct and discipline.
5. I am aware that if I indulge in Anti-National Activities contrary to the provisions of acts and laws enforced by the Govt. and any such activity contrary to rules and disciplinary norms as stated above Page 4 of
may result in disciplinary action without prior notice from General Secretary and that I may expelled from the Hostel due to the same.
6. I know that according to Maharashtra Prohibition of ragging Act 1999, ragging of any kind Physical or Mental within or outside the HOSTEL is strictly prohibited by law. 7. I have also read all the Anti Ragging Rules Regulations of AICTE/ COA and UGC and I hereby undertake to abide by all these rules and regulations and to give anti ragging undertaking to the Institute.
8. Cheque / DD in FAVOUR OF VPP’S DR.PANJABRAO DESHMUKH BOYS AND GIRL’S HOSTEL.
Place: Mumbai Date: _
Signature of Father / Guardian Signature of the Student
Name: Name:
Self attested Documents required along with form;
1) Last Year Marksheet 2) Admission allotment letter 3) Proof of Admission in School/ College 4) Bonafied Certificate of present College 5) ID Card of present College 6) Last year Passing Certificate 7) Copy of the Form 16 A of Parent 8) ITR of parent of last year 9) Income Certificate issued by Tahsildar or Competent Authority (If the parents are not serving and income is below taxable limit.) 10) Aadhar Card 11) Medical Fitness Certificate from Civil Hospital 12) PAN Card 13) Domicile Certificate
Date:
GEN. SECRETARY Signature of the Candidate
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