A PRINT OUT CAN NOT BE USED TO SEEK ADMISSION. PLEASE USE PESCRIBED FORM AVAILABLE FROM THE COLLEGE
AMBALA CITY
ADMISSION FORM 2008-2009
(FOR OFFICE USE ONLY)
Class.....................................................Roll No............................
Amount received Rs. ..................................................................
vide Receipt No. .......................................... Dated.....................
(To be filled in by the candidate)
1. Class you wish to join
2. Subjects offered (i) (iv)
(ii) (v)
(iii) (vi)
3. Name (Block Letters) 4. Blood Group
5. Date of Birth 6. Male/Female....................
7. University Registration No. (If Registered)
8. Father's Name (Block Letters) Occupation Ph..................
9. Mother�s Name (Block Letters) Occupation Ph..................
10. Name of Guardian (if Father/Mother not alive) Ph....................
11. Annual Family Income
12. Permanent Home Address
Phone No. with STD Code
13. Address for Correspondence
Phone No. with STD Code
14. Whether you belong to Scheduled Caste / Scheduled Tribe / Backward Class? Yes/No
If yes, Name the Category and Caste
(Attach recent SC / ST / BC Certificate issued from S.D.M.)
15. Board / University Examination Results
Name of the Year Passed/ Board/ Institution University/ Marks %age Division Subjects
Examination Failed/ University from which Board Secured/ Offered
Compt. Roll No. appeared Max. Marks
Matric
10+2
B.A./B.Sc./B.Com./
Biotechnology / B.T.M. /
Industrial Microbiology I
BA/B.Sc./B.Com. II
B.A./B.Sc./B.Com III
MA (Prev.)
English/Hindi/M.Com.
16. School/College last attended
17. If an old student of this college, Session Class .......................Roll No. ................
18. What Extra-Curricular activities are you interested in?
19. Which activities do you wish to join? (N.C.C. / N.S.S. / Women Cell / Games)
20. Distinction won in Sports / Extra-Curricular Activities /N.S.S./N.C.C. etc.
21. Scholarship, Prizes, Medals etc. won (if any)
P.T.O.