APPLICATION FOR ADMISSION
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| Form No:.................. | |
| SESSION 2009-10 APPLICATION FOR ADMISSION |
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(For Office Use Only) Admission NO.__________ Session__________ Date__________ Amount Rs.__________ Receipt No.________________________ Class__________ Roll No.________________________________ ________________ Signature of Clerk |
TO BE FILLED BY THE APPLICANT IN HIS/HER OWN HAND |
Name of Exam.Appeared in 2009_____________ Result: Pass/Fail/Comptt.in_______________ Class________ Uni./Bord Roll No.__________ Percentage of Marks obtained______________ |
Fresh/Old Student________________________ If Old Student, mention: Class___________ Class Roll No.___________________________ Session__________________________________ |
| CLASS YOU WISH TO JOIN______________________________________________ GROUP___________________________________________ |
| SUBJECTS OFFERED: |
| COMPULSORY SUBJECTS | ELECTIVE SUBJECTS |
|---|---|
| Subject Name | Subject Name |
1. General English 2. General Punjabi/History & Culture of Pb. 3. Environmental Studies 4. Introducation to Computer Science (Addl. Optional for B.A.,B.Sc., B.Com.(I), Module-(I) |
1.____________________________ 2.____________________________ 3.____________________________ 4.____________________________ 5.____________________________ 6.____________________________ |
| Note: (1) For Group and combinations, Please consult the Prospectus. (2) Enviornmental Eduction Paper Is Compulsory for B.A.,B.Sc., B.Com./ B.C.A |
| PARTICULARS OF STUDENT:
1. REGISTRATION NO. OF BOARD/UNIVERSITY__________________________________________________________________ 2. NAME (IN BLOCK LETTERS):_______________________________________________________________________________ (The name written should be the same as entered in Matric Certificate) 3. Sex(Male /Female)_____________________________________________________________________________________________ 4. Date of Birth:________________________________ (In Words)_________________________________________________________ 5 FATHER"S NAME(IN BLOCK LETTERS):_________________________________________________________________________ 6. MOTHER"S NAME(IN BLOCK LETTERS):________________________________________________________________________ 7. GUARDIAN (IF Father is Deceased)______________________________________________________________________________ 8. RELARIONSHIP WITH GUARDIAN______________________________________________________________________________ 9. DO YOU BELONG TO S.C./S.T./B.C.? YES/NO_________ CASTE_____________________ SUB CASTE_____________________ (If Yes, giv full pariculars of caste or sub caste and attach proper certificate) |
| PARMANENT ADDRESS | CORRESPONDENCE ADDRESS |
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__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Phone No.__________________________________________ |
__________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Phone No.__________________________________________ |