D Y Patil University, Kolhapur

PERSONAL INFORMATION

Full Name of the candidate : *

Gender : *

Male

Female

Date of Birth : *

Address : *

State : *

Pin : *

UPLOAD PHOTO AND SIGN

Photo: *

Signature: *

JPG FORMAT AND MAXIMUM SIZE 4 MB

COMMUNICATION INFORMATION

Mobile No : *

Alternate Mobile No :*

Student's Email ID : *

ACADEMIC INFORMATION

10+2 Passing Year : *

Obtained Mark

Out of Mark

Physics *

Chemistry *

Biology *

DECLARATION

I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled at any time of counseling or even during the academic course.
I have read and understood all the provisions contained in the notification/s and hereby agree to abide by these provisions.
I am aware that, any legal matters arising out of the total admission process of any Course through will be in the courts of Kolhapur.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later

I Accept that I have gone through the Counselling Procedure.

"After submitting online application form, please take print of the same. It is necessary to bring the hard copy of the application form at the time of counseling and admission."

Application Form for Management/Paid Quota