SHREE KRISHNA EDUCATIONAL & CHARITABLE SOCIETY

ARYABHATTA GROUP OF INSTITUTES,BARNALA

( Affiliated to MRSPTU Bathinda and Approved by AICTE New Delhi, Punjab School Education Board, Mohali & Affiliated to NIOS New Delhi )

NH-703, Bajakhana Road, Barnala-148101(Punjab) M: 99880-25700 Affix Latest

www.facebook.com/aryabhattagroup www.aryabhattagroup.com Passport
Size Photograph
REGISTRATION CUM ADMISSION FORM
PARTICULARS OF THE STUDENT

File No...............
Course / Branch ..................................................................................Semester....................

1. Name (in Block Letters)

Elective Subjects
(The Name written should be the same as entered in the Matriculation Certificate)
1................................ 2. Father's Full Name (in Block Letters) Mr.

2................................
3. Mother's Full Name (in Block Letters) Mrs.
3................................

4................................ 4. Date of Birth: Gender (M/F)

5................................ 6. Permanent Address .....................................................................................................

6.................................
................................................................Contact No....................................................
7. APAAR ID : ......................................................................................................................
For Office Use only 8. State of Domicile...........................Religion..................E-mail Id...................................
9. Academic Record (If Result awaited, attatch admit card copy)
Original Photocopy
Month & Board / Roll No. of Max. Marks
Examination Year of School/College
University Board/Uni.
10th
Passing Marks Obtained
+1
Matriculation
12th

Diploma
(DMC)
10+1
Graduation
(DMC)

Cat. Cert. Certificate

Exam./10+2
Income Cert.

UID (S) Diploma

UID (F)
Graduation
UID(M)

Resi.
Any Other
Bank Acc.

Photos (For General Category Only)

Aadhar Card Details(attach copies) Student
Migration Cert.
Category: General SC/ST OBC Other
SLC
Bank Details:
Others
Name of Bank......................Account No....................................IFSC Code.......................
 For PMS Only

Category Certificate No...........................................Issued by...................................Issue Date........................

Income Certificate No..............................................Issued by...................................Issue Date........................

Aadhar Card (Student)

Aadhar Card (Father)

Aadhar Card (Mother)

Annual Income:..................................................................................................

Bank Account Detail (Aadhar seeded)

Bank Name.................................................Branch.............................................................................................

A/C No........................................................IFSC Code......................................................................................

10. Any distinguished Extra-Mural / Extra Curricular Activities?..............................................................................

11. Sports / Games Background..............................................................................................................................

12. Were you ever punished for any misbehavior / misconduct or for using unfair means in any

University / Board / College House Examination ? If so give details...................................................................

DECLARATION
1. I hereby declare that I have read all the instructions given by the College. I pledge to abide by all the Rules &
Regulations
.. of the College / University / Board
2.I solemnly declare that I will deposit my college fee, University / Board examination fee as per schedule communicated
by the college.I will be personally responsible for any loss.
3.I have noted that my admission is provisional and subject to confirmation / registration with the University / Board
if I fail to produce the eligibility Certificate/Migration/Original certificate of the lower examinations passed before last
date given by University / Board, my admission to the college may be cancelled and I will have no claim
4.I agree that fees once paid will not be refunded in any case.
mYN sihmq hW ik ie`k vwr Adw kIqI PIs iksy vI hwlwq iv`c vwips nhIN kIqI jwvygI[
5.I will not indulge in any form of Ragging.

6. mYnUM pqw hY ik kwlj v`loN swrI jwxkwrI kwlj dI vYbsweIt/noits borf au`pr hI id`qI jwvygI geI,
nw pVHn krky hoey nukswn dw Kud ijMmyvwr hovWgw/hovWgI[

.................................. English pMjwbI

Place

.................................. .........................................
Date of Application Signature of Father/Guardian Full Sign. of the Applicant
Contact No........................... (Give full name in legible hand)

I have personally verified all the documents and details.

............................. ............................. ............................. .............................

Sign. Sign. Sign. Principal / Director
(Adm. Coordinator with date) (A/C Section with date) (Registration Branch)
 SHREE KRISHNA EDUCATIONAL & CHARITABLE SOCIETY
ARYABHATTA COLLEGE,BARNALA
( Affiliated to Punjabi University Patiala and Approved by AICTE New Delhi, Punjab School Education Board, Mohali
Affiliated to Jagat Guru Nanak Dev Punjab State Open University Patiala)
NAAC ACCRIDITED
NH-703, Bajakhana Road, Barnala-148101(Punjab) M: 99880-25700 Affix Latest
www.facebook.com/aryabhattagroup www.aryabhattacollegebnl.com Passport
File No............... REGISTRATION CUM ADMISSION FORM Size Photograph

PARTICULARS OF THE STUDENT

Course / Branch ..................................................................................Semester....................
(ONLY FOR PUNJABI UNIVERSITY PATIALA STUDENTS)

Already Registered with PUP (Y/N)....................................If Yes Regd. No.......................................................

Medium of Study ...............................................Mudla Gyan (Yes / No) ............................................................

1. Name (in Block Letters)

Elective Subjects
1................................
(The Name written should be the same as entered in the Matriculation Certificate)
2................................ 2. Father's Full Name (in Block Letters) Mr.
3................................
3. Mother's Full Name (in Block Letters) Mrs.
4................................

5................................
4. Date of Birth: Gender (M/F)
6.................................
6. Permanent Address .....................................................................................................
7.................................
................................................................Contact No....................................................
8.................................
7. APAAR ID : ....................................................................................................................
9.................................
8. State of Domicile...........................Religion..................E-mail Id...................................
For Office Use only 9. Academic Record (If Result awaited, attatch admit card copy)
Month & Board / Roll No. of
Original Photocopy Max. Marks
Examination Year of School/College
University Board/Uni.
10th
Passing Marks Obtained
+1
Matriculation
12th

Diploma
(DMC)
10+1
Graduation
(DMC)

Cat. Cert. Certificate

Exam./10+2
Income Cert.

UID (S) Diploma

UID (F)
Graduation
UID(M)

Resi.
Any Other
Bank Acc.

Photos (For General Category Only)

Aadhar Card Details(attach copies) Student
Migration Cert.
Category: General SC/ST OBC Other
SLC
Bank Details:
Others
Name of Bank......................Account No....................................IFSC Code......................
 For PMS Only

Category Certificate No...........................................Issued by...................................Issue Date........................

Income Certificate No..............................................Issued by...................................Issue Date........................

Aadhar Card (Student)

Aadhar Card (Father)

Aadhar Card (Mother)

Annual Income:..................................................................................................

Bank Account Detail (Aadhar seeded)

Bank Name.................................................Branch.............................................................................................

A/C No........................................................IFSC Code......................................................................................

10. Any distinguished Extra-Mural / Extra Curricular Activities?..............................................................................

11. Sports / Games Background..............................................................................................................................

12. Were you ever punished for any misbehavior / misconduct or for using unfair means in any

University / Board / College House Examination ? If so give details...................................................................

DECLARATION
1. I hereby declare that I have read all the instructions given by the College. I pledge to abide by all the Rules &
Regulations
.. of the College / University / Board
2.I solemnly declare that I will deposit my college fee, University / Board examination fee as per schedule communicated
by the college.I will be personally responsible for any loss.
3.I have noted that my admission is provisional and subject to confirmation / registration with the University / Board
if I fail to produce the eligibility Certificate/Migration/Original certificate of the lower examinations passed before last
date given by University / Board, my admission to the college may be cancelled and I will have no claim
4.I agree that fees once paid will not be refunded in any case.
mYN sihmq hW ik ie`k vwr Adw kIqI PIs iksy vI hwlwq iv`c vwips nhIN kIqI jwvygI[
5.I will not indulge in any form of Ragging.

6. mYnUM pqw hY ik kwlj v`loN swrI jwxkwrI kwlj dI vYbsweIt/noits borf au`pr hI id`qI jwvygI geI,
nw pVHn krky hoey nukswn dw Kud ijMmyvwr hovWgw/hovWgI[

.................................. English pMjwbI

Place

.................................. .........................................
Date of Application Signature of Father/Guardian Full Sign. of the Applicant
Contact No........................... (Give full name in legible hand)

I have personally verified all the documents and details.

............................. ............................. ............................. .............................

Sign. Sign. Sign. Principal / Director
(Adm. Coordinator with date) (A/C Section with date) (Registration Branch)
 FEE FORM

File No................................

1. Name of Student .............................................................................................................................................

2. Father's Name.................................................................................................................................................

3. Course.....................................................4. Semester....................................................................................

5. If SC then USER ID......................................................Password....................................................................

6. Fee Details

Fee Type Sem1 Sem2 Sem3 Sem4 Sem5 Sem6 Sem7 Sem8

Univ. Fee

Tuition Fee

Late Fee x x x x x x x
Total Fee

Scholarship

G.Total

7. University/Board Examination Fees will be applicable extra as per University/Board rules

8. Bus Service required (Yes / No).....................................................................................................

9. If Yes, Name of Stop.........................................................Fee amount...........................................

(subject to change every year)

10. Reference (If any)..........................................................................................................................

Sig. of Student Sign. of Guardian Sign. of A/c Section Sign. of Admission Inch.
ARYABHATTA GROUP OF INSTITUTES
NH-703, Barnala-Bajakhana Road, Village Jodhpur-Cheema, Barnala
M: 99880-25700,97813-41000
S.NO List of Documents Required
1 10th DMC
2 10+1 DMC
3 School Leaving Certificate
4 10+2 DMC
5 E-Punjab Certificate
6 Character Certificate
7 Graduation DMC(All)
8 Student Snaps 4
9 Father Snap 1
10 Mother Snap 1
11 Gap Certificate
12 OBC Certificate
13 Migration Certificate
14 Aadhaar Card Student
15 Aadhaar Card Father
16 Aadhaar Card Mother
17 SC Certificate Student
18 Residence Proof
19 Income Certificate
20 Bank Account Student
21 E-mail ID
22 ABC ID
23
24
25
26
27

Affiliated to
Punjabi University, Patiala MRSPTU Bathinda & Approved Jagat Guru Nanak Dev Punjab
(NAAC ACCREDITED) by AICTE, New Delhi State Open University, Patiala
BCA | BBA | B.A B.Tech (CSE | ME | EE | ECE) B.A | B.COM | BCA
B.COM M.SC (Physics | Chemistry) M.A | M.COM
MBA (HR | FINANCE | Marketing | IT) M.SC (Computer Science)
B.SC (NON-MED.) B.A (Computer Science )*
*Subject to Approval

PGDCA | M.COM CERTIFICATE PROGRAMMES:

M.A (Economics,English) Affililated to P.S.E.B NANNY CARE
+1,+2 (Arts,Commerce,Medical,Non.Med.) ACCOUNTING
M.SC (Math,IT) DIGITAL MARKETING
Affililated to N.I.O.S ,New Delhi
M.SC IT (Lateral Entry) 10th/12th (Arts,Commerce,Medical,Non.Med.) OFFICE AUTOMATION
Course : ______________ File No : ______________
Session : ______________ Date : ________________

GROUP OF INSTITUTES
EXPLORING NEW HORIZONS

ARYABHATTA GROUP OF INSTITUTES

ARYABHATTA COLLEGE

Subject : __________________________________________________________

Name : ___________________________________________________________
Address : _________________________________________________________

________________________________Contact No :_______________________
Designation: _______________________________________________________
Department : _______________________________________________________

ARYABHATTA GROUP OF INSTITUTES

NH-703, Bajakhana Road, Barnala-148101(Punjab)
www.aryabha acollegebnl.com aryabha [email protected]
www.aryabhattagroup.com