Application Status Student Printed on 04-08-2024

RKMV
Rajkiya Kanya Maha Vidyalaya (RKMV) Shimla Himachal Pradesh 171001

Application Number : 24006531 Admission Form Session Year : 2024 - 2025

BA (Year 3)
Personal Details
Applicant Status ActiveStudent
Name SUHANI Gender Female
Email suhanidragta@gmail.com Religion Hinduism
D.O.B. 26/04/2004 Mobile 8894293672
20 years, 2 months and 5 days Aadhaar 422686949833
(Age as on 1st July 2024)
Anti Ragging Ref. No 18001805522 ABC Ref. No 18001805522

Academic Details

Assigned Subject HISTORY-POLITICAL SCIENCE

Group
Club NSS
Latest Percentage 65.77
Category SC
Sub-Category Open
Class Roll No 22010113
SEC Preference HISTORY
GE Preference COMMERCIAL ART
University H22R280589
Registration Number
University Roll 1221710729
Number

Year &
Name of the Obtained/
Examination Result month of Roll No Univ/Board CGPA Percentage Subjects
Institution Total Marks
passing
GOVT HIGH ENG HINDI SCI SST
Matric Pass 03-2020 2014881005 HP BOARD 614.00/700.00 87.71
SCHOOL KHARLA MATHS SKT ART
GOVT SR SEC ENG HISTORY POL SCI
PlusTwo Pass 03-2022 2243409005 HP BOARD 436.00/500.00 87.20
SCHOOL BADSHAL HINDI PHY EDU
History ,Political
Himachal Pradesh R.K.M.V. Lakkar science ,English,Hindi,
BAI Pass 04-2023 1221710729 6.84 63.24
University Bazar, Shimla (HP) AECC English
Environment Science
Himachal Pradesh R.K.M.V. Lakkar History Political science
BAII Pass 04-2024 1221710729 7.07 65.77
University Bazar Shimla HP Hindi English

Family Details
Father Name RAJU Yearly Income ₹ 50000.00
Occupation FARMER Mobile 8894293672
Mother's Name DAYAVANTI

Address Details
Domicile H.P Nationality Indian
Permanent VILL JAGTERLI P.O. DHARARA Correspondence VILL JAGTERLI P.O. DHARARA TEH
Address TEH TIKKAR SHIMLA HP SHIMLA Address TIKKAR SHIMLA HP SHIMLA HP
HP 171203 171203
Application Status Student Printed on 04-08-2024

DECLARATION BY THE STUDENT

1. I _______________________, declare that I have carefully read the instructions and state that the entries made by me in this form are correct to the
best of my knowledge and nothing has been concealed. I understand that my admission is provisional and liable to be cancelled if any of the statements
made by me is found incorrect.
2. I undertake to observe proper standards of academic conduct and will not indulge in any activity that goes against the discipline of the
college.
3. I shall abide by the rules and regulations of the College and Himachal Pradesh University.
4. I will be responsible for the timely payment of fees and all other dues.
5. I am fully aware that ragging, smoking and drinking liquor is strictly prohibited in the College and the Hostel. If I am found guilty of indulging in these
activities, I shall be liable for punishment, disciplinary actions and expulsion from the Hostel and the College.

6. I solemnly undertake that I am not facing any disciplinary proceedings and have not been disqualified by any Board/University.
7. I hereby declare that the particulars/entry made in the form and documents uploaded are from the original certificates. In case any of them found
incorrect or fake, I may be summoned to present my case in the presence of the Principal/Committee, failing which my candidature may be cancelled
without further notice.

Date (Full signature of the candidate in presence of committee)

DECLARATION BY THE PARENT / GUARDIAN

I _____________________________ (parent/guardian) hold myself responsible for the good conduct and behaviour of my ward
______________________________ as a student of the college and for payment of all his/her dues during his/her stay in the College. I undertake
responsibility that my ward will attend the classes regularly and punctually to complete the required percentage of attendance as per the Himachal Pradsh
University/ Sardar Patel University and Government of Himachal Pradesh Rules, failing which he/she will be rendered ineligible for the final examinations

(Full signature of the Parent/ Guardian)

DOCUMENTS UPLOADED

i. Matric and 10+2 ii. Marks Sheet of 1st/2nd Year

iii. Character certificate in original of the instituion last attended. iv. Original migration certificate if other than HP board
v. Bonafide Certificate vi. Category Certificate (SC/ST/OBC/EWS/Minority Community)
vii. Certificate of IRDP/BPL/PH/WFF/ExMan/WES & Others viii. Physical Challenged if yes attach certificates.
ix. Certificate of Single Girl Child

FOR THE USE OF ADMISSION COMMITTEE

Signature of Applicant Name and Signature Name and Signature Name and Signature with Date
(In the presence of Admission Committee) (Member) (Member) (Convener)

RECOMMENDATION FOR ADMISSION BY SCRUTINY COMMITTEE

BA (Year 3)

Signature Signature

Dean Principal

FOR THE USE OF PRINCIPAL

ADMISSION GRANTED as per the recommendation of the Admission Committee
Admission regularised on Roll-on-system as per recommendation of the Admission Committee

Principal
RKMV
Rajkiya Kanya Maha Vidyalaya (RKMV)
Shimla Himachal Pradesh 171001
 Student Anti-Drug Pledge

I, SUHANI D/O RAJU pledge to stay away from all kind of drugs, substances and
intoxication.

I will follow all rules and laws established by my college and Government of Himachal
Pradesh against the use of alcohol, smoking, & narcotic consumption.

Possession, distribution, and the consumption of alcoholic beverages and illicit drugs during
my stay in the college shall be treated as the violation of college rules. If found guilty, strict
action may be taken against me by the college administration and the same shall be final and
binding on me.

I abide by above mentioned rules and agree to place my signatures below.

Student Signature

Sunday, August 4, 2024