Session 2020-2021

ZEAL COLLEGE OF ENGINEERING & College Code

:ZCOER
RESEARCH

Survey No.39, Dhayari Narhe Rd, Narhe, Pune,

DTE
Maharashtra 411041 Code-6298

For College Course Admitted to: DSE/SE-ELECTRICAL ENGINEERING - 3 Registration No.

use only 943387

Admission Date :

01. Personal Information Section

LAST NAME FIRST NAME MIDDLE NAME

Name of the Student SAWANT SHUBHAM DILIP

Father's Name

Mother's Name :

Marital Status : Saral No. :

Date of Birth : 11/11/1999 Gender : Male

Place of Birth : Blood Group :

Native Place :

Voter ID Card No. : Organ Donar : NO Medium :

Bank Name : Account No. : Transaction Type : ONLINE

Religion : Hindu Citizen of : INDIAN UDISE No. :

Aadhar Card No. : Driving Licence No. : Minority: NO

02. Address Details

Address for Correspondence: Pin Code :

State : Maharashtra District : Mumbai Suburban Tehsil : City : Mumbai Suburban

Permanent Address Pin Code :

State : Maharashtra District : Mumbai Suburban Tehsil : City : Mumbai Suburban

03. Contact Details

Student Phone : Parent Phone : 9833594521

Student Mobile No.: 9326446105 Student Email Id: sawantshubham138@gmail.com

04. Legal Reservation Information Section

Domicile State : Type Of Category : Caste Category : OPEN

SubCaste : Phy. Handicapped :
Caste Certificate No. : Learning Disability No. :

05. Social Reservation (Special Category) Information Section

 SR NO. SOCIAL RESERVATION NAME

06. Education Details Section

Name of Name of School Date of Examination Passing Grade / Obt CGPA
Name of
Board / College Passing Seat No. Certificate No. Total Marks %
Examination
Marks

07. Qualifying Exam Details Section

Qualifying Exam Name : DIPLOMA
College/School Board/ Admission Passing Marks Total Percentage Place Arts/Com Education
Attended University Year Year Obt Marks /Sci Gap

Government Polytechnic 0 0 1039 1350 76.96 NO

Mumbai

Qualifying Exam Subject Details

Sr.No. Subject Name Total Marks Obtained Marks

1

08. Subject Details Section

09. Attached Documents

Sr No. Name of Documents/Certificates

10. Guardian / Parent Information Section

Guardian's/ Parent's Name :

Occupation of the Guardian/Parent : Annual Income of the guardian/Parent :

Relationship of Guardian with applicant : -- Guardian/Parent Phone No. : 9833594521

11. Other Information Section

Mother Tongue : Employment Status : NO Do you wish to join NCC / NSS: NO

Would you like to apply for Hostel : NO

Hobbies, Proficiency and Other interests : NA

Games and sports participation :

Personal Identification Marks : --

12. Declaration
I hereby declare that :
• I have not been debarred from appearing any examination held by any Government constituted or statutory examination authority of India
• I have not been involved or no prosecution is pending against me in copying or any year case of misconduct at any college/University
examination.
• I shall not ask for transfer from the aforesaid college to any other college/Institution under any circumstances.
• The Particular furnished in the application form are correct to the best of my knowledge.
• I will abide by the rules and regulations in force at present and that may be enacted and enforced in future by the institute, so
long as I am student of the institute.
• I will do nothing either inside or outside the institute that will interfere with the ordinary governance and discipline.
• I understand that my admission secured as a reserved category candidate given against the quota reserved for backward class
category is purely provisional and will be cancelled if the caste Certificate is cancelled/rejected/invalidated by the Directorate of
Social Welfare Maharashtra State and also subject to submission of Caste Validity Certificate and /Non Creamy Certificate (If
• I am fully aware about the college fees being payable are subject to the revision of the fees by the Fees Regulating Authority [M.S.]
and I will pay the difference (if any) immediately on demand by the college authorities.
• The conformation of the provisional admission depends upon my result of the university examination and in case I am not
eligible, my admission will get cancelled automatically.
• In case I am not eligible for admission to higher class, I shall contact in person for completing future formalities or claiming
refund as per Institute’s rules & regulations.
• I will remain regular in all respect and as far as possible try to attend all the theory lectures and practical throughout the year. I am
also aware about the college timings/ shift timings and if my overall attendance is less than 75% my academic term will not be
granted.

Place :
Date : 04/11/2020 Signature of the Student : ____________________________________
13. UNDERTAKING BY STUDENT AND PARENTS
We undersigned Mr./Mrs.
father /Mother /Parent /Guardian of, SHUBHAM DILIP SAWANT
Class : DSE/SE-ELECTRICAL ENGINEERING - 3,Branch : ELECTRICAL ENGINEERING
Shift: 1st Shift/ 2nd Shift, my ward -
having been admitted to ZEAL EDUCATION SOCEITY’s Zeal College of ZEAL COLLEGE OF ENGINEERING & RESEARCH
I/We fully aware of the following regulations and norms of the Institute and hereby undertake to strictly abide by the same.
• I shall attend the college right from the first day of the Term as per the Time Table.
• Minimum attendance required as per the Savitribai Phule Pune University is 75% for granting of the term. It goes without saying
that I should attend all the Theory and Practical classes sincerely and regularly without fail for achieving excellence in
Academics. I know that no special consideration is given even on Medical grounds.
• I shall not get involved in any kind of RAGGING and antisocial activities. I am fully aware that ragging is an offence punishable
as per the law, resulting in imprisonment and / or heavy penalty. If I found involved in any such activity directly or indirectly, I
shall not only be expelled from the Institution, but the matter will be reported to the appropriate authorities, for further action.
• I am required compulsorily to submit Unit Tests Assignments and appear for Prelim in every subject with full
preparation, for granting of my Term.
• I shall complete all the assignments after thorough preparation; I shall neither copy the same from others nor show others
to copy my assignments.
• I shall read and follow all the instructions given by the Institute from time to time through its various Notice Boards, SMS,
E-mail, ZCOER Website, Announcement Systems, ERP or Oral Communications, etc.
• I shall strictly maintain punctually while attending all the Theory and Practical Classes. In case required short / long leave I
shall take prior permission of GFM /Head of Department.
• I shall put-on my college I-Card on every day without fail and will attend the college in full college uniform on the specified
days and on special occasions.
• I shall dress my hair properly and put on a neat, decent formal dress of Trouser and Shirt / Salwar Kurta (for girls)
• I shall participate in all curricular, co-curricular, extra-curricular, social, cultural and adventure activities at my own risk. In case of
any unfortunate event, accident, any type of injury or fatal casualty, Institution / Management / Faculty / Staff will not be held
responsible under any circumstances. I understand that any breach of the above rules, regulations and norms may result in
disciplinary action and even non-granting of my Academic Term. Once again promise that will attend the college regularly from

• understand that, any admission secured as a reserved category candidate given against quota reserved for backward class
category is purely provisional and can be cancelled if the caste certificate is cancelled / rejected / invalidated by the any Govt.
Authority or admission authority and also subject to submission of Caste Validity Certificate and / Non Cream Layer Certificate (if

• I understand that, any admission secured as a reserved category candidate, I am liable to submit the Scholarship
/Free-Ship or any other concession form within the stipulated time period decided by concern Government Authority. In case I
haven’t submitted the same I will pay full applicable fees to institute within time, without any reason.
• am also made aware of the fact that the Management of Zeal Education Society’s Zeal College of Engineering and Research,
has submitted the proposal for increase in fees/ fixation of fees to Fees Regulating Authority (M.S), Mumbai and the decision of
the respected authority is yet to be declared. hereby promise to pay the additional amount of fees immediately, in case of

• will also remain regular for the lectures, practical’s as per coIIege/ shift timings. will not directly or indirectly get involved in any
such at or behavior which will adversely affect my image and the image of the institute, failing which I shall be liable for the
disciplinary action which may result into cancellation of my admission.
• I have read all the rules and regulations of the college regarding Discipline and Code of Conduct which are in force and made
applicable by the Management of Zeal Education Society, Pune and I promise to abide by the same.

Place :
Date : 04/11/2020 Signature of the Student : ____________________________________
I agree with the contents of Undertaking signed by my ward.

Full Name & Signature of the Parent’s/Guardian’s

14. UNDERTAKING REGARDING ANTI-RAGGING

I, Mr/Ms. SHUBHAM DILIP SAWANT, Son of

Mr./Mrs.
Class : DSE/SE-ELECTRICAL ENGINEERING - 3,Branch : ELECTRICAL ENGINEERING Shift: 1st Shift/ 2nd Shift,having been admit
ZEAL COLLEGE OF ENGINEERING & RESEARCH
I, Mr/Ms. SHUBHAM DILIP SAWANT, Son of
Mr./Mrs.
Class : DSE/SE-ELECTRICAL ENGINEERING - 3,Branch : ELECTRICAL ENGINEERING
• We have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions 2009,
(here in after called the “Regulations”) carefully read and fully understood the provisions contained in the said Regulations.
• We have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
We have also, in particular, perused clause 7 and clause 9.1o the Regulations and am fully aware of the penal and administrative
action that is liable to be taken against me / My ward in case I / my ward found guilty of or a betting ragging, actively or passively, or
being part of a conspiracy to promote ragging.
• We here by solemnly aver and undertake that :
a.I/My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations.
b.I/My ward will not participate in or abet or propagate through any act of commissioner omission that may be constituted as
ragging under clause 3 of the Regulations.
• We here by affirm that,if found guilty of ragging,I am liable for punishment is according to clause 9.1 of the Regulations, without
prejudice to any other criminal action that may be taken againts me / my ward under any penal law or any law for the time being in
force.
• 5.We hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of being
found guilt of,abetting or being part of conspiracy to promote, ragging; and further affirm that, in case the declaration is found to be
untrue, I am aware that my / my ward's admission is liable to be cancelled .

Source Of Information : Form Checked by :

Name and Sign of Account Section Name and Sign of Student Section

15. For College / Institute Use Only

Designation Remarks / Particulars /Recommendations Signature and Date

Admission Clerk
Admission Committee
Accountant / cashier

Registrar/Office Cash Received : Rs 1,000.00

superintendent

REMARK OF THE ADMISSION COMMITTEE

May be admitted to Class_____________________________________________________ Section__________________

May be Rejected____________________________________________________________________________________

Last date of payment of fees __________________________________________________________________________

Admission may be canceled if the fees are not paid by this date.

Principal/ Director Signature of Admission Committee