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Group Admission Form

This document contains an admission form for Desh Bhagat Group of Institutes. The form requests information such as the student's personal details, family details, educational qualifications, nationality, declaration of understanding the institute's rules, and signatures of the student and parent. The parent also declares that they will pay any fees or fines owed by the student and take responsibility for the student's behavior and discipline.

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Breeze Jaspreet
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226 views

Group Admission Form

This document contains an admission form for Desh Bhagat Group of Institutes. The form requests information such as the student's personal details, family details, educational qualifications, nationality, declaration of understanding the institute's rules, and signatures of the student and parent. The parent also declares that they will pay any fees or fines owed by the student and take responsibility for the student's behavior and discipline.

Uploaded by

Breeze Jaspreet
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Sr. No. .

DESH BHAGAT GROUP OF INSTITUTES


Amloh Road, Mandi Gobindgarh (Punjab)

ADMISSION FORM
SESSION Note: This form is to be filled in by the student in capital letters only.

1. 2.
3.

Course _________________________________________________________________ Type of Course : Regular Name of the Student Tick the appropriate () Boxes Male NRI Sports Person Female Handicapped Urban S.C. Rural S.T. B.C. Gen. Distance

4.

Others __________________

5. 6. 7. 8. 9.

Date of Birth Fathers/Guardians Name Occupation Mothers Name State of Residence/domicile Mailing Address __________________________________________________________________ _________________________________________________________________________________

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Permanent Address__________________________________________________________________ ______________________________ Mobile ___________________________Ph. No. Parents Mobile ________________________________ Ph. No.

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E-mail Id _________________________________ Blood Group ______________________________ Do you need Hostel Facility :Yes No

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Qualifications Details:

Qualification

Main Subjects

Session

%age Marks/ Grades

Board/ University

University Regd. No./ Board Roll No.

16.

Nationality DELCARATION BY THE STUDENT AND PARENTS


1. 2. 3. 4. 5. I am responsible for the information given above by me and it is true to the best of my knowledge and belief and nothing has been concealed therein. I hereby agree to conform to all rules, acts and laws enforced by the University and the Institute. Further I, hereby undertake that if I disobey any of the rules or regulations of the Institute, then any disciplinary action may be taken against me, even to the extent of expulsion from the Institute. I know that at any stage of my course, if any, discrepancy is found in my testimonials / documents / eligibility by the University or any other Authority, the Institute will not be held responsible and I will own the responsibility. I hereby agree to pay the full fee of the course even if I discontinue at any time during the course, as I am fully aware that the seat vacated by me will be a loss to the Institute. I hereby agree to fulfill the 75% attendance condition and to clear the conditional examinations to make myself eligible in the final exams as per the University rules. Date :- ______________ Signature of Parents Signature of Student

DECLARATION FROM FATHER / MOTHER / GUARDIAN

1. 2. 3. 4.
5.

The particulars furnished by my son/daughter / ward in his / her admission form are true to the best of my knowledge and belief. I undertake and bind myself to pay by due date on behalf of my son/daughter / ward such fee / fines / charges etc. which the Institute may levy upon him/her from time to time and in the event of failure to perform this duty, the Principal of the Institute may take such action against my son/daughter / ward as he / she may deem fit. That I being the father/guardian of Mrs. / Ms. / Mr. _______________________ do undertake the entire responsibility of his/her good behavior and he/she will maintain proper discipline during his/her stay in the college and or Hostel. That I will pay any difference in college fee/ dues from time to time on account of enhancement. That the college authorities have explained to me about the eligibility criteria & status of the college regarding Punjab Govt. approval, AICTE approval and University affiliation etc. I am admitting my ward after thorough consideration and to my full satisfaction.

Date :- ____________________

Signature of Father/Mother/Guardian

FOR OFFICE USE ONLY


1. 2. Date of Form Submission : List of Original Certificates received : (a) Matric ________________ (d) (b) 10+2 _________________ (e) (c) Graduation _____________ (f) Migration ________________ Character ________________ Any other ________________ (Office Executive) (Univ. Coordinator)

(Admission Clerk)

(Coordinator) (Member of Admission Committee)

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