GOSWAMI GANESH DUTTA SANATAN DHARMA COLLEGE (SDCC) ‘A College with Potential for Excellence’-UGC, New Delhi. Selected for ‘Star College in Life Sciences’-DBT, Govt. of India.
FORM-A
SECTOR 32-C, CHANDIGARH
SESSION 2009-2010 APPLICATION FOR ADMISSION/REGISTRATION IN
B.COM / B.B.A.I
Application No.
IMPORTANT INSTRUCTIONS:
NET
1.
The application form should be filled up by the candidate in capital letters. Where blocks are provided, each block should contain one character only. A character denotes an alphabet, comma or any other sign. To indicate gap, a block may be left as blank. Incomplete and unsigned application will not be accepted. Please Mark (√ ) in the appropriate box (es).
2.
Registration No. 3. 4. (For office use only)
PASTE HERE UNATTESTED PHOTOGRAPH
(FOR OFFICE USE ONLY) Roll No………………………………………………………………. Class. ……………………………………………………………………… Receipt No. ………………………………………………… Amount ………………………………………………. Dated……………………
Application Under:
UT Pool
SIGNATURE OF THE CANDIDATE (within the box only)
General Pool
Reservation Category:
General
SC/ST
Defence
Sports
(Attach Certificate)
Freedom Fighter
Physically Handicapped
Kashmiri Migrant
Kargil Martyr
NAME OF THE COURSE :
B.B.A.
B.Com.
I opt for ________________________________________ ‘Add-on’ certificate course. (Select any one out of the following) :
Cosmetology/ Environmental Auditing/ Child Psychology/ Bio-Technology/ Guidance and Counselling/ Event Management/ Industrial Microbiology/ Information Technology/ French/ Computer Applications/ Animation and Graphics/ Journalism/ Computer Hardware & Maintenance/ Introduction to Computer Science/ Sanskrit/ Business Statistics & Computer/ Advertising & Sales Mgt./ Tourism and Travel/ Human Rights & Values in Education/ Entrepreneurship Development Programme/ Fashion Designing/ Portfolio Mgt. & Security Analysis / Computer Based Accounting/ Functional English/Video Reporting/ Electronics and its Equipments Maintenance Subjects to be taken up :
HCP
OR PUNJABI (Compulsory)
Name: (as rendered in Matriculation/SSC or equivalent certificate) TITLE NAME Mr.
Ms.
DATE OF BIRTH
SEX Male
D
D
M
M
Y
Y
Y
NATIONALITY Indian
Female
Others
Y
ADDRESS FOR COMMUNICATION
City
Dist
State
PIN
Phone No. ____________________________________________ Mobile No. _____________________________________ (With STD Code)
E-mail Address ________________________________________________________________________________________ Do you suffer from any serious ailment or ever had it ? (If Yes, give details) :_______________________________________ _____________________________________________________________________________________________________ Have you ever been disqualified/punished for misbehaviour or for using unfair means ? (If Yes, give details with period of disqualification): _______________________________________________________________________________________ Particulars of Brother/Sister in this College during the current session. (If any, give details) : Name Roll No
Class
FAMILY INFORMATION
(FILL IN CAPITAL LETTERS)
(I) INFORMATION ABOUT FATHER Name________________________________________ Address _____________________________________________ City_________________________ Dist. ________________________State _________________ PIN ______________ Phone No._____________________________ Fax No._________________________ Mobile No. _________________ (With STD Code)
Occupation __________________________
Designation _______________ Monthly Income _________________
Office Address ___________________________________________________ Phone No.________________________ (II) INFORMATION ABOUT MOTHER Name________________________________________ Address _____________________________________________ City_________________________ Dist. ________________________State _________________ PIN______________ Phone No._____________________________ Fax No._________________________ Mobile No. _________________ (With STD Code)
Occupation __________________________
Designation _______________ Monthly Income _________________
Office Address ___________________________________________________ Phone No. ________________________
ACADEMICINFORMATION INFORMATION ACADEMIC Examination
Univ./Board
Year of Passing
Roll No.
Result
Marks obtained
Maximum Marks
%age
Subjects
Name of the Institution last attended
Matric
10+2 Are you pursuing or intend to pursue CA course:
Yes
No
DECLARATION 1.
2. 3. 4. 5. 6. 7.
I hereby declare that I have noted all instructions given in the College Hand Book. I pledge to abide by the Rules and Regulations of the College and the Panjab University and not to associate myself with any activity that goes against the discipline of the institution. I am joining the College with the express permission of my Parent/Guardian. I solemnly declare that I would not commit, abet and indulge in ragging. If I am found guilty of ragging, I may be punished/expelled/ rusticated/suspended from the college. I solemnly declare that I have not so far been admitted to any affiliated college in the class to which I am seeking admission in this college and that I have not been disqualified by any University/Board/Body/Council for the class I am joining in this college. I solemnly declare that all the facts stated in the form are true to the best of my knowledge. I solemnly declare if I withdraw myself from the college, I will not claim the refund. I solemnly declare that I would fulfill the requirements of Panjab University i.e. 75% attendance & 25% marks in the House Tests. I solemnly declare that I will submit migration certificate (if required) by 31st August, 2009.
______________________________ Full Signature of the Parent/Guardian
____________________________ Full Signature of the Student
Documents/Information wanting
Scholarship/Concession recommended
Any other
__________________ Lecturer-in-charge
____________________ Convener/Co-ordinator
____________ Principal
Checklist (Attach the following documents) (a)
Matric Certificate
(b)
Character Certificate
(c)
Result of the previous examination
(d)
Reservation Certificate
(e)
D.D. of Rs.250/- (if downloaded from website) (In favour of Principal, GGDSD College, Sector 32-C, Chandigarh)
EXTRA PHOTOGRAPH
PASTE HERE RECENT UNATTESTED PHOTOGRAPH