Application Form No: SINHGAD INSTITUTES (STES, SSPM & SYCSPM) Self- MANAGEMENT INSTITUTES / SCHOOLS Attested Approved by AICTE, Recognized by Government of Maharashtra & Affiliated to Savitribai Phule Pune University/ University of Mumbai Photo MBA Admission Form 2020-21 Aspirant can directly apply for admission to the First Year for MBA programme to any of the following Institutes or can process through Centralized Admission. Name of Sr. DTE Preference Institutes Name Affiliating No Code Nos. University Vadgaon-Ambegaon (Bk) Campus, Pune - 411041 Sinhgad Institute of Management (SIOM) Savitribai 1 Vadgaon-Ambegaon (Bk), Off Sinhgad Road, Pune-411041, Phule Pune MB6113 020- 24356592/ 24358360 [email protected] University SKN Sinhgad School of Business Management (SKNSSBM) Savitribai 2 Vadgaon-Ambegaon (Bk), Off Sinhgad Road, Pune 411041, Phule Pune MB6741 020- 24354036, [email protected] University Sinhgad College of Engineering-MBA Dept. (SCOE) Savitribai 3 Vadgaon-Ambegaon (Bk), Off Sinhgad Road, Pune-411041, Phule Pune MB6177 020- 24354705/ 24100234 [email protected] University Smt. Kashibai Navale College of Engineering-MBA Dept. (SKNCOE) Savitribai 4 Vadgaon-Ambegaon (Bk), Off Sinhgad Road, Pune-411041, Phule Pune MB6178 020-24354938 [email protected] University NBN Sinhgad School of Management Studies (NBNSSOMS) Savitribai 5 Vadgaon-Ambegaon (Bk), Off Sinhgad Road, Pune 411041, Phule Pune MB6772 020-24355042/46 [email protected] University Narhe Technical Campus, Pune-411041 Savitribai Sinhgad Institute of Management & Computer Application (SIMCA) Phule Pune 6 Off Mumbai-Banglore Bypass road, Narhe, Pune-411041, MB6131 University 020- 66831896 [email protected] Kondhwa (Bk) Campus, Pune 411048 Sinhgad Institute of Business Administration & Research (SIBAR) Savitribai 7 Kondhwa (Bk), Kondhwa Saswad Road, Pune 411048, Phule Pune MB6132 020- 26933635/ 33 [email protected] University Erandawane Campus , Pune 411004 Sinhgad Business School (SBS) Savitribai 8 19/15, Erandawane, Khilare Marg, Off Karve Road, Pune 411004, Phule Pune MB6136 020-25431001/ 25434314 [email protected] University Lonavla Campus, Dist - Pune 410401 Sinhgad Institute of Business Administration & Computer Application Savitribai 9 (SIBACA) Kusgaon (Bk), Off Mumbai-Pune Express Way, Lonavla, Dist - Pune 410401, Phule Pune MB6205 02114-673306/08/512 [email protected] University Warje Campus, Pune 411058 RMD Sinhgad School of Management Studies (RMDSSOMS), Savitribai 10 111/1, Pune-Mumbai Bypass road, Warje, Pune 411058, Phule Pune MB6769 020-25218401/02/05/06 [email protected] University Kondhapuri Campus, Dist. Pune 412208 RMD Sinhgad Management School (RMDSMS) Savitribai 11 Kondhapuri, Tal-Shirur, Pune 412208 Phule Pune MB6127 02138- 645330 [email protected] University Mumbai Campus, Mumbai 400072 Sinhgad Institute of Business Management (SIBM) University of Plot No. 126, MHADA Colony, Chandivali, Powai, Mumbai 400072 MB3155 12 Mumbai 022- 28472090 [email protected] All above Institutes (Sr. 1 to 12) are approved by AICTE and recognized by Govt. of Maharashtra Note: The candidate is required to give minimum 4 (Four) preferences to validate the form. Applicant’s Personal Information: 1. Full Name of the Candidate: (as per graduation marksheet) In Devnagri Script :____________________________________________________________________________________________________________________ Gender: Male / Female / Transgender Mother’s Name: ___________________________________________________ Father’s Name: _______________________________________________ Father’s Occupation : ____________________________________________ Father’s Mobile Number: _____________________________________ Candidates Mobile No. __________________________________________ 2. Local / Correspondence Address: ___________________________________________________________________________________________________ District:____________________________________________ State: __________________________________ Pin Code: ____________________________ Landline (with STD Code): __________________________________ E-mail Id: ____________________________________________________________ 3. Permanent Address:___________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ District:____________________________________________ State: __________________________________ Pin Code: ____________________________ 4. Aadhaar Nos. ______________________________________________________ Pan Card Nos. ________________________________________________ 5. Date of Birth (DD/MM/YY): _______________________________ Birth Place: ___________________________________ Taluka : _________________________________________ State _____________________________ 6. Religion: ___________________________ 7. Caste Category: Open / SC/ST/VJ/DT/NT-A/NT-B/NT-C/NT-OBC/SBC/SEBC/EWS / Other:________________________ Mother Tongue: ____________________________________ Blood Group: __________________________________ 8. (a) Name of the Guardian & Contact Nos.: __________________________________________________________________________________________ (b) Relationship of Guardian with the Candidate: __________________________________________________________________________________ (c) Father’s / Guardian’s Annual income including income from all sources _________________________________________________ 9. Do you require Hostel Accommodation: Yes /No : _________________________________________________________________________________ 10. Admission Form Fee: Rs. 1050/- Demand Draft (DD) No. ________________________________________________ Dated: ___________________________________________________ Bank Name: ____________________________________________________________ Branch: __________________________________________________ (DD to be drawn in favour of “Sinhgad Technical Education Society” payable at Pune) 11. Academic Qualification: Sr. Name of the Name of the Degree Percentage & Name of the Board /College and No. Examination or Diploma Class Obtained University passed awarded 1 S.S.C (10th) 2 H.S.C (12th) 3 Graduate Degree Post Graduate 4 Degree/Diploma 5 Any other Specify Entrance Exam appeared : MH-CET / CAT / CMAT (please tick) Enrl. No.: __________________________________________________ Composite Sore: _________________________________________ Percentile: ________________________________________________ Month / Year: ___________________________________________ DECLARATION TO BE SIGNED BY THE CANDIDATE I hereby declare that, 1. I have read all the rules of Admission and I have consulted my parents / guardian and after understanding these rules, I have filled in the application for admission to the First Year MBA Programme at MANAGEMENT INSTITUTES / MBA SCHOOLS. 2. The information given by me in the application form is true to the best of my knowledge and belief. 3. I have not been debarred from appearing for any examination held by any Government constituted or Statutory Authority in India or abroad. 4. I fully understand that admission once granted in particular category, will be final & I will not be entitled to seek admission in any other category. Depending on my inter-se merit and availability of a seat my admission is subject to verification of my original testimonials for obtaining the eligibility. 5. I hold myself responsible for full payment of the fees at the time of the admission. In case any dues are not cleared within the stipulated time declared/notified by the head of the institution, the college can take the necessary action against me. I have noted that the fees may be refundable as per rules in case of cancellation. 6. I understand that no other document, other than those attached to the application form will be entertained for the purpose of claims/ concessions/weightages etc. in connection with my admission. 7. I hereby declare that I have read and understood all the clauses in AICTE Regulation dated 01-07-2009 on Curbing the Menace of Ragging and I also hereby give my consent for the same. 8. I hereby agree to abide by all Rules, Acts and Laws in force by Government / University/ Institute/ Society and hereby undertake that so long as I am a student of the Institute I will do nothing either inside or outside the Institute which may result in disciplinary action against me under the rules, Acts and Laws. 9. The Institute will initiate strict disciplinary action students who organise, assist or lead in strikes or in any way found guilty of serious breach of discipline in or outside the college campus. 10. I fully understand that the Director/Principal of the Institute where I would be admitted has the full authority to expel me from the Institute for any infringement of the rules of conduct and discipline by me, which also includes lack of stipulated attendance, any false information given above or involvement in any illegal activities. 11. I undertake to attain full attendance as per the University and Institute Rules, failing which I am aware that my terms will not be granted. 12. I hereby agree that I have no objection to use of my pictures in soft copy and hard print form during promotions of events & advertisements and institute related activities. 13. I hereby agree that I have no objection to use of my academic records for academic