welcome to Systel IMR

Systel Technical Education Society’s
SYSTEL INSTITUTE OF MANAGEMENT & RESEARCH,DHULE
Affiliated to Kavayitri Bahinabai Chaudhari North Maharashtra University, Jalgaon
ISO 9001:2015 Certified Institute

Admission Form

Full Name( Begins with Surname)
Last Name
First Name
Middle Name
Mother's Full Name
Father's Full Name
Address
 City
                        
Father Occupation
 Income
                        
Father's Mobile No
Student Information
 Date of Birth      
Place of Birth
 Gender                 
Marital Status    
Blood Group    
 Mobile No           
Aadhar Card No  
 What's Up No     
E-mail ID              
Category
Caste          
Sub Caste  
Admission in
Course Name                    

Details of Last Examination Passed

Name of Exam Board / University Exam Seat No Name of the School/College Year of Passing Total Marks Per %
S.S.C
H.S.C
Degree
Others

DECLARATION BY THE GUARDIAN


I have acquainted myself with and in full agreement with the rules and regulations as given in the prospectus I endorse the application of my ward for admission,which may kindly be granted.I shall be resposible for his/her behavior and conduct,study and actions in and outside the college campus.