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Oachghat - Kumarhatti Road,Bajhol - Solan 173 229 (H.P.)
Mailing Address: PO Box No. 9, Head Post Office, Solan-173 212 (H.P)
City Office: The Mall, Solan - 173 212 (H.P)

(for Details Please Consult Prospectus)
No Column Should Be Left Blank




Course applied for

Enrollment No. (To be filled by the institute)

1. Name of the Candidate (In block letters)

2. Father's Name (In block letters)

3. Mother's Name (In block letters)

4. Date of Birth (In Figures)

(In words)

5. Male / Female

6. Permanent Address

7. Address for Correspondence

8. Telephone No. (if any)

9. E-mail ID (if any)

10. (a) Academic Qualification

Examination University / Board Year Subjects Marks Obtained Maximum Marks Result with Percentage

(b) Whether disqualified from any examination



11. List of documents attached

a)

b)

c)

d)

e)

F)

Note : Candidate are required to attach the attested photocopies of the following documents (originals are required for verification at the time of admission. Attestation should be done by a Gazetted Officer / Notary Public / Bank Manager / Magistrate)


1. Certificates & detailed marksheet of the qualifying examination.
2. Three passport size attested photographs.
3. Certificate from competent authority, if belong to second category.
4. Certificates pertaining to extracurricular activities.
5. Certificate duly verified by parent that candidate has not been punished for ragging at any stage of academic career.



Declaration : I shall abide by the rules and the regulations of the university and shall not indulge in any unlawful and undesirable activities.



Date Place

Signature of the Candidate

Countersigned (Parent / Guardian)


Signature of the Candidate

Countersigned (Parent / Guardian)





(For office use only)



Certified that the candidate has attached all the documents enlisted above. He / She is eligible / not eligible for admission.




Admission cell


Recommendation for admission

Admitted

Dean (seal)

Registrar (seal)

Approved by HP Government (Notification No. EDN –A-Gha(8) -10/2006 dated 15 October, 2009)

Recognised by UGC (F No. 8-1/2010(CCP)-1/PU), dated 7.2.2011)