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²I IT
INNOVATION & LEADERSHIP
www.isquareit.edu.in
Hope Foundation’s
INTERNATIONAL INSTITUTE OF INFORMATION TECHNOLOGY(I²IT), PUNE
n Approved by All India Council for Technical Education (AICTE), New Delhin Recognized by Directorate of Technical Education (DTE), Govt. of Maharashtran Affiliated to the Savitribai Phule Pune University
Application Form for Admission againstInstitute Level Seats / Vacant Seats after CAP Rounds
Please affix latest passport size colour
photograph
For Office Use Only:
Fee Payment Details Non-Refundable Processing Fee of ` 500 /- (Rupees Five Hundred Only)
To,Principal,International Institute of Information Technology (I²IT),P-14, Rajiv Gandhi Infotech Park, Hinjawadi - Phase - I, Pune - 411057, India
Admission Information
DTE ENROLMENT No. (MANDATORY):_____________________
Admission to: First Year Engineering Direct Second Year Engineering
Indicate Preference for below branches / specializations (1 / 2 / 3):
Electronics & Telecommunication Computer Engineering Information Technology
Full Name:___________________________________________________________________________________ (In BLOCK Letters) Last Name First Name Father/ Husband’s Name Mother’s Name
Religion:_______________Caste:____________Category:____________Domicile State:___________________
Date of Birth:__________________(DD / MM / YYYY) Gender:____________________(Male / Female)
Registered with State Election Commission - Yes / No Voter ID No.:_________________________
Parent /Guardian Information
Candidate Information
Name:
Education:___________________________Relation with ward:
Profession (Tick as Applicable)
Govt. Service Private Service Business
Name and Address of the Employer:____________________________________________________________
____________________________________________________________________________________________
Gross Annual Income (Rs.) :________________________Email Address:______________________________
Landline (with STD Code):_________________________Mobile:_____________________________________
Permanent Address:__________________________________________________________________________
____________________________________________________________________________________________
Address for Correspondence:__________________________________________________________________
____________________________________________________________________________________________
Demand Draft / Cheque Cash Net Banking / Cards / NEFT
DD No:DD Date:Bank Name:Amount Rs.:
Receipt No.:Receipt Date:
Amount Rs.:
Transaction Ref.No.:Transaction Date:Bank Name:Amount Rs.:
Examination
th10
th12
Bachelor
Board Name of College / School & City
Marks Obtained
Month & Year of Passing
Diploma
Please attach only attested photo copies of the relevant documents (No Original documents should be attached). Tick ü if document is attached. Write NA, if Not Applicable.
Educational Qualifications
Signature of Candidate Signature of Parent
Date:
Place:
Hope Foundation’s
International Institute of Information Technology (I²IT)P-14, Rajiv Gandhi Infotech Park, MIDC, Phase-I, Hinjawadi, Pune- 411057 Maharashtra, IndiaTelephone : +91 20 2293 3441 / 2 / 3 |Fax: +91 20 2293 4191Email: [email protected] / [email protected] | Website: www.isquareit.edu.in
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th10 Mark Sheet
th12 Mark Sheet
Diploma Mark Sheet
Leaving / Transfer Certificate
Domicile Certificate
Nationality Certificate
Caste Certificate
Caste Validity Certificate / Proforma H
Non-Creamy Layer Certificate
Gap Certificate
Migration Certificate (If other than Maharashtra State Board
Copy of Aadhaar card (Mandatory)
Others (Please specify)
MHT - CET 2018 Score Card
JEE (Main) 2018 Score Card (if applicable)
Out of
Qualifying Examinations
Entrance Exam Name
(2018)
Score Merit Number
Obtained Out of All India State Category
MHT - CET
JEE (Main)
Document Verification Acknowledgement (Mandatory)
