Appendix ‘A’

For Defence Open category Only -
DEPENDENTS OF SERVING / RETIRED DEFENCE PERSONNEL
(By CO / OC Unit / Service HQ / Record Office / RSWO / ZSWO)
(This certificate to be produced in original at the time of GE, II)

It is certified that Mr. / Ms ________________________________________________________as per the record held is son/daughter/Spouse

of Service No. __________________ Rank _________Name ____________________________________________

serving in __________________________________________________________________(Unit/Dept/HQ)  

or has retired from _______________________________________________________ (the last Unit/Dept/HQ) after completion of  

of regular service in the Army/AF/Navy on __________________(date) with/without pensionary benefits. The candidates is dependent on him/her
as per the records held.(Attached certified photocopy as per rule below for all discharge/retired case).

Signature of Candidate _______________________________

Signature of Defence (ex) Personnel __________________________


Signature (not below officer rank) with Name & Designation
* CO/OC Unit HQ / Records(in case of Serving)

* Records/RSWO/ZSWO or Army /Navy/Air Force HQ for officers (In case of discharged/ Retired)

Office Seal  
Date:     
Notes:  
1.  Strike out portion which is not applicable.
2. In case of dependent of serving personnel to be signed from CO/OC unit or HQs/Records concerned.
3. If retired /discharged attach a copy of Discharge book wherein name of above dependent is mentioned.
4.  If retired with pensionary benefits also attach certified true copy of PPO or Letter from Concerned bank authority.
       
* Please refer Ministry of Personnel Public Grievance & Pension Department of Personnel & Training, New Delhi: 36034 / 5/85 Estd. (SCT) dated 14 Apr 1987 for definition of Ex- Servicemen.



Appendix ‘B’

For Defence Special category only
DEPENDENTS OF DEFENCE PERSONNEL KILLED IN ACTION / DIED ON DUTY IN SERVICE / DISABLED DURING SERVICE
(By CO/ OC UNIT/ Service HQ/ Record Office/ RSWO/ ZSWO)
(This certificate to be produced in original at the time of GE, II)
It is certified that Mr. /Ms ___________________________________________________ son / daughter / Spouse of

No. ______________ Rank ________________ Name _________________________________________

Unit/Records/HQ _________________________________________________________________________

  • He / She (Defence Person) is battle casualty (Killing during War/Ops/CI Ops:__________________________________________________________________________(copy of death / Battle Casualty certificate)who awarded liberalized / war family pension copy of PPO attached.The copy of Discharge Book issued by concerned authority is also required to be attached.
  • Or He / She died during service due to _________________________________________________________
  • (Copy of death/ Medical certificate /Physical casualty certificate) who awarded special family pension PPO copy attached. The copy of Discharge Book issued by concerned authority is also required to be attached.
  • Or disabled in action ( War/ CI /War like operations with more than 50% disability copy of Medical certificate , disability certificate, PPO copy / disability PPO copy attached. The copy of Discharge Book issued by concerned authority is also required to be attached.
  • Or Strike out the portion which is not applicable.
  • Please note that Admission to above category would be subject to conditions that the candidate meets the laid down qualitative requirement and will be as per merit in this category.
            Signature of Candidates:________________________Signature of Defence Dependent:___________________________


 

Signature (not below officer rank),Name & Designation


* CO/OC Unit /Head of Department /Service HQ/Record Office In case of serving

* -Records/RSWO/ZSWO or Army /Navy/Air Force HQ for officers. In case of discharged/ Retired.

Office Seal  
Date:     


Appendix ‘C’

Specimen Letter for Industry Sponsored Candidates
(To be printed on the company letter head, stamped, signed and bring original at the time of GE,II)

Date:

The Director
Symbiosis Institute of Management Studies (SIMS)
Range Hills Road, Kirkee Cantt,
Pune 411020.

Sir,

  1. We have pleasure of sponsoring the candidature of Mr./Ms. ________________________________ Son/ Daughter of ___________________________________________________________________________
    2. for Full-Time MBA programme for batch commencing from June 2011 at SIMS.
  2. As per the understanding the Company would visit SIMS for Summer (CPS) and final placements.
  3. The company will be pleased to participate in the Summers/Final placements between 2011-13.
  4. The candidates will have to adhere to the regulations and discipline standards of the Institute as promulgated.
The turnover of the company for FY 2009-2010_____________(Required up to & over .One Crores.)
 

Thanking you,
Yours Sincerely,

 

Signature:
 

Name:
Chief Executive Officer/ Managing Director/Proprietor/Executive Partner

Designation:

Note:

  • Candidate may be son / daughter / immediate relative / friend or acquaintance of proprietor / owner / senior executive or any employee in an organization / Industry (Public or Private) and should be sponsored by that organization.
  • Sponsoring Company must undertake to visit SIMS for placements.
  • Application should be as per the above format and should be on the letterhead of the Sponsoring Company.
  • A company also attaché supporting documents i.e. Annual Report, and Balance Sheet of previous year.
  • All applications will be verified. No capitation or donation is required for admission to SIMS.
    



Appendix ‘D’
(TO BE FILLED, SIGNED & BRING AT THE TIME OF GE,II)

ADOPTED CHILDREN OF DEFENCE PERSONNEL
(AT LEAST 5 YEARS PRIOR TO SEEKING ADMISSION)
(By Service HQ / AG’s Branch / OC Unit)

 

It is certified that Mr / Ms ______________________________________________________________is son / 

daughter of No.  ____________ Rank ______________ Name ____________________________________

is adopted  on ____/____/_______ (5 years prior to  seeking admission). The legal papers (copy) of adopted child are enclosed with the certificate.


Signature of the parent____________________________

A copy of gazette notification / legal papers attached.
 
Signature of the Station HQ/OC Unit Not below officer rank)

Place : ____________________________                                                                                      Name & Designation ____________________________

Date : ____________________________                                                                                       (Office Seal) ____________________________



Appendix ‘E’
(TO BE SIGNED BY CANDIDATE, PARENT & TO BRING IN ORIGINAL AT THE TIME OF GE,II.)

DECLARATION / UNDERTAKINGS
  1. I hereby submit to the disciplinary jurisdiction of the Vice-Chancellor/Director, SIMS, Pune and other officer and authorities of the SI(DU) / institute /Symbiosis Society and shall observe and abide by the rules made by the Vice-Chancellor and also by the rules made by the Head of the Institute.

  2. I have carefully noted the rules and process of admission as given in the prospectus which I’m required to follow and shall in matters if interpretation accept the decision given by the Director in this respect as final and binding .I have read the rules pertaining to refund of fees.

  3. I shall attend minimum 90% overall of the lectures and for each course minimum 80% of the lectures per subject as per rules failing which I shall not approach the Director for any concession in this regard and shall be liable to be debarred from taking the exam.

  4. I further undertake that I will not indulge in any act of indiscipline. That I understand that the admission is being offered to me on the basis of information furnished by me. In case of any information or particulars are found wrong/ false or any natural fact is concealed, my admission shall stand automatically cancelled and I shall have no claim what –so-ever in respect of my admission.

  5. That I further undertake that I will make all the payment as laid down by the Institute from time to time.

  6. I shall read, understand and accept the code of conduct ,the notification that will be displayed on the general notice board/ infodrome of the institute and I shall take note of all communications put up and follow the same from time to time.

  7. I have noted and accepted that all orientation programmes /camps/ seminars/meets/guest lecturers /workshops etc, are compulsory and it is obligatory on my part to attend the same from time to time.

  8. I understand that if I remain absent consequently without prior permission of the Director my terms shall not be granted /admission deemed to be cancelled I also understand only 10% exemption is being granted for valid medical reasons.

  9. I have not taken admission to any other university for full time programme.


  10. I have noted the mission statement /vision of SIMS ,Pune as a student / alumnus I will extend all my co-operation & help in order to fulfill the vision of my alma mater.

Date : ____________________________                                                                                      

Applicant's Signature: ____________________________  
 
Parent's Signature ____________________________