Dhanvantari College

Dhanvantari College of Engineering
APPLICATION FORM FOR ADMISSION

New Admission Regular Admission


		* indicates compulsary fields
	Course Type *
	Course Name *
	Select Year *
	Academic Year *

Information to be furnished By the Student :

(Surname)

(First Name)

(Father's / Husband's Name)

Name *

Local Address *

Pin Code :

Mobile No. *

Permanent Address *

Pin Code :

Mobile No. *

Date of Birth *

Marital Status *

Single Married

Name of Employer

Address

Upload Photo

Academic Information :

Examination	Name of University or Examination Board	Name of the School or College	Year of Passing	% of Marks
S.S.C *
H.S.C
I.T.I/ DIPLOMA / DEGREE
Experience Current
Experience Previous

DECLARATION

I solemnly affirm that the above information given by me is correct and true to the best of my knowledge.

I have carefully read and note the rules and regulations and procedures,etc. wich are acceptable to me.

After admission i will strictly obey and abide by the instructions and orders issued by the College form time. In case of any contravention of

these rules the decision of the Authority will be final and binding upon time. I have carefully read the information given in the prospectusof

the College. I agree to abide by your rules and regulations. I further declare that the information furnished by my ward is fully correct and

confirm to the facts. It will be my endeavors to extend my whole hearted co-operation to the Authorities. At the same time I will ensure

that my ward also observes and follows instructions given by the College / Industry etc. from time to time.

List of Documents to be submitted along with the Application form:

1. 3 Passport size Photograph.

2. School Leaving Certificate.

3. Mark list of S.S.C / H.S.C / I.T.I / Diplomaor Degree Examination.

4. Certificate of S.S.C / H.S.C / I.T.I / Diplomaor Degree Examination.

5. Certificate of Industrial Experience (if any).

6. Joining Letter of present Employer (if any).

Note : Submit Attested Xerox copies only.