![Passed BA./B.Sc./B.
Com or its
Equivalent
[ B.Sc ]
HPU 2017 7.08 10.00 69.00 2114AD
AD0200
49
Awaited M.A./M.Sc./M
.Com or its
Equivalent
22. Were you ever disqualified/suspended by the University or any other institution from
attending classes or appearing in any exam ? If yes, give Details :
Details :
Declaration by the Candidate
Signature of the CandidateDate :
No
I hereby declare that the entries made by me above are correct to the best of my knowledge. I am conscious that if any of
the entries are found to be incorrect, my admission is liable to be cancelled. I have read carefully the Handbook of
Information and I undertake to abide by the rules of the University. I have gone through the rules and regulations of the
University and I hereby solemnly affirm that I will not indulge in any kind of ragging/ indiscipline and if I am found guilty of
any offenses, I will have no claim against the order of the rustication/ expulsion / Cancellation of my admission from the
University .I further undertake that in the event of my ineligibility at the time of counseling / admission, I shall have no
claim for admission and as such my candidature is liable to be cancelled for which I am solely responsible.
Note Point:- This print out of online application form shall be retained by the candidate and the same shall be
submitted at the time of counseling/admission.](https://image.slidesharecdn.com/656942111applicationform-190516041411/85/656942111-application-form-2-320.jpg)
656942111 application form
- 1. Name of the Course : Name : Father's Name : Address for Correspondence (IN CAPITAL LETTERS) : Mother's Name : 1. 2. 3. 4. 6. Mobile No. 8. Permanent Home Address (IN CAPITAL LETTERS) : 11. Date of Birth : Age as on 1st July of this year : yrs. Months 13. Nationality : 14. Gender: 9. Email-Id : Aadhaar No. :10 . 12. High School (Matric) Mark-Sheet No.: 15. Are you Bonafide Resident/Domicile of Himachal Pradesh? : 19. Your Category : 20. Details of Fee Deposited Amount : Rs. Dated : 21. Academic Qualifications : Result Status Examination Passed Name of the Board/University Passing Year Credits/Marks Obtained Maximum Marks (not for the candidate with CGPA) Credits/ % Marks Exam Roll No. Passed +2 or its Equivalent HP BOARD 2014 296.00 500.00 59.20 1431015 28 B.Ed PRIYANKA ASHOK KUMAR PUSHP LATA VPO NALTI TEHSIL GHUMARWIN DISTRICT BILASPUR HP 7018909515 VPO NALTI TEHSIL GHUMARWIN DISTRICT BILASPUR HP 00.p.chandel@gmail.com 941282263628 1763960 29 Jul 1997 Indian Female Yes General-Open 1000.00 22 0 15/05/2019 7. 18. Stream (As per norms) 5. Examination Center for Entrance Test : SHIMLA Are you only the single girl child of your parent?: No16. 17. NoDo you belongs to J&K State? : Non-Medical HIMACHAL PRADESH UNIVERSITY, SHIMLA - 171005. APPLICATION FORM FOR ENTRANCE TEST FOR ADMISSION TO 2 YEARS B.Ed. COURSE FOR THE SESSION 2019-2020
- 2. Passed BA./B.Sc./B. Com or its Equivalent [ B.Sc ] HPU 2017 7.08 10.00 69.00 2114AD AD0200 49 Awaited M.A./M.Sc./M .Com or its Equivalent 22. Were you ever disqualified/suspended by the University or any other institution from attending classes or appearing in any exam ? If yes, give Details : Details : Declaration by the Candidate Signature of the CandidateDate : No I hereby declare that the entries made by me above are correct to the best of my knowledge. I am conscious that if any of the entries are found to be incorrect, my admission is liable to be cancelled. I have read carefully the Handbook of Information and I undertake to abide by the rules of the University. I have gone through the rules and regulations of the University and I hereby solemnly affirm that I will not indulge in any kind of ragging/ indiscipline and if I am found guilty of any offenses, I will have no claim against the order of the rustication/ expulsion / Cancellation of my admission from the University .I further undertake that in the event of my ineligibility at the time of counseling / admission, I shall have no claim for admission and as such my candidature is liable to be cancelled for which I am solely responsible. Note Point:- This print out of online application form shall be retained by the candidate and the same shall be submitted at the time of counseling/admission.