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230300108359

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For Office Use Only: Roll No: 486 Journal No: ........................ Deposit Date: .......................

SCD Government College, Ludhiana


Admission Form (2024-25) Application / Form No: 138552-103100
Class Name: BA Sem-III (Evening Category: General
College)

UNI/PB.GOVT APPLICATION ID:


PERSONAL DETAILS Applicant ID: 230300108359
Applicant's Name: RAHUL SINGH
Father's Name: KARAN SINGH Mother's Name: MAMTA MANHAS
Father's Occupation: Private Service Mother's Housewife
Occupation:
Father's Mob: 8557811516 Gender: Male
Caste: General Religion: Hindu
Annual Income: 1,50,001 to 2,00,000 Guardian's Mamta Manhas
Name:
Date of Birth: 01-09-2000 Blood Group: A+
Mobile No: 7888901813 E-Mail ID: rsm7860im@gmail.com Paste your
recent
Registration No: Medium: (NA) passport size
Aadhar No: 445815438991 ABC ID: 325010279413 unattested
photo here
Freeship Card No: Parking:
PERMANANT ADDRESS
Area Type: Urban Nationality: INDIAN
Address: S/O KARAN SINGH, City / Village: LUDHIANA
HOUSE NO.87, STREET
NO.1, THAPAR COLONY
NEAR SHUKLA
PROPERTY DEALER
District: Ludhiana State: Punjab
Country: India PIN Code: 141001
Vaccination: Yes - 2 Benf.Ref.ID: 05-02-2024

MISCELLANEOUS
Gap Case: No Criminal Case: No
Punjabi Passed In Matric: No Last Session: 2023-24
Last Class Attended: BA Sem-I (Evening College) Last College 239
Roll_No:

SUBJECT PREFERENCE
1: English 2: English-Literature 3: History
4: Political Science 5: Punjabi
LOWER EXAM DETAILS
Exam Name Board / Univ. Year- Roll No Obt. Max. %age
Month Marks Marks
10+2 Medical National Open School 202003 160123193099 0.00 0 65.57
BA Sem-I (Evening PB UNI, CHANDIGARH 2023-12 0 0.00 0 00.00
College)
BA Sem-II (Evening PB UNI, CHANDIGARH 2024-05 0 0.00 0 00.00
College)
MARKS & WEIGHTAGE DETAILS
Marks in Lower Exam: 0.00 / 0 Marks in Related Subject: N/A
Has Honours Subject / Class: No NCC/NSS Level: /
Roll of Honour: No University Colour: No
Youth Festival Position:
Continued on page 2 ...
SCDLDH / 230300108359 / 138552-103100 / RAHUL SINGH / BA Sem-III (Evening College) / GN / Page 2

BANK ACCOUNT DETAILS


Bank Name: State Bank of India
Bank Account No: 41665655729 Bank Branch: Haibowal ludhiana
IFSC Code: SBIN0051456 MICR Code:

DECLARATION BY APPLICANT
I declare and affirm that:
1. I have read all rules and regulations in the prospectus and will abide by them.
2. All the facts and figures filled in this form are true to my knowledge and belief. If any of these is found to be false then
my name may be struck off from college rolls.
3. I will not enroll in any other course or institute or job.
4. I take admission on my own risk and responsibility. If University does not approve my admission I will not lay any claim
against the college.
5. I will ensure at least 75% attendance.

Applicant's Signature
DECLARATION BY SC APPLICANT

I shall deposit the scholarship money within 7 days of receipt from Government. In case I fail to do so, my admission may
be cancelled.

Applicant's Signature
DECLARATION BY FATHER / GUARDIAN

1. I have read all rules and regulations in the prospectus and will abide by them.
2. I will pay all due fee and funds of my son / daughter.

Father/Guardian's Signature

ADMISSION COMMITTEE RECOMMENDATIONS


Registered with Panjab Uni. Chandigarh: Yes Type: Old Student of this Fee Concession: YES / NO
College

Member 1 Member 2 Member 3 Member 4

It is certified that the applicant is found to be eligible for admission and is recommended to be admitted as per specified
merit / category. I have checked all documents and merit.

Convener's Signature

Principal's Signature

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