Form No. MAHATMA EDUCATION SOCIETY’S PILLAI’S COLLEGE OF ARCHITECTURE Dr. K.M. Vasudevan Pillai Campus, Sector 16, New Panvel, Navi Mumbai, -410206 Tel: 022 27456100 / 2745 1700 / 2748 3207, Fax: 022 2748 3208.Website: www.pica.ac.in APPLICATION FORM FOR FIRST YEAR MASTER OF ARCHITECTURE (URBAN DESIGN) Photo To, The Principal Pillai’s College of Architecture Sir / Madam, I seek admission to the course of Master of Architecture (Urban Design) at Pillai’s College of Architecture I agree to abide by all rules and regulations of the college. FULL NAME AS IT APPEARS ON THE MARKSHEET OF QUALIFYING EXAMINATION 1. Surname First Name 2. Father’s / Husband Name: 3. Mother’s Name: 4. Date of Birth: Male/Female Nationality Category: 5. SC/ST/DN/NT/NT1/NT2/NT3/OBC/SBC/VJ/OPEN 6. Marital Status: CONTACT DETAILS Address: Tel. No: Mobile: Email ID: PLEASE INDICATE THE VALID CERTIFICATE THAT YOU WILL SEND a) Mark sheets from First to Final year B.Arch b) College Leaving Certificate c) Degree Passing Certificate d) Eligibility Certificate e) GATE Score Card f) Migration Certificate Caste Certificate g) h) Caste Validity Certificate I) Non-Creamy Layer Certificate j) Council Registration Certificate k) Sponsorship Letter PILLAI’S COLLEGE OF ARCHITECTURE Dr. K.M. Vasudevan Pillai Campus, Sector 16, New Panvel, Navi Mumbai, -410206 Tel: 022 27456100 / 2745 1700 / 2748 3207, Fax: 022 2748 3208.Website: www.pica.ac.in MAHATMA EDUCATION SOCIETY’S ACKNOWLEDGEMENT Form No. Received an application form for admission to the course of Master of Architecture (Urban Design) for the A.Y. from Ms. / Mr.: Received By: Date: