Panjab University Registration No.

/PUPIN (If any)

1. Name of the department :__________________________________________
2. Class:___________________________ 3. Category code (see instructions)
4. Name of the Candidate
5. Fathers Name
6. Mothers Name
7. Guardians Name
8. Annual Income from all sources Rs.
9. Date of Birth 10. Sex [M/F] 11. Nationality
12. Address for Correspondence
13. Parmanent Address
14. Are you claiming weightage on any of the following (Tick if Yes )
N.C.C. N.S.S. Cultural activities Youth Welfare Passing last examination from P.U.
15. Are you employed ? Yes /No
16. Are you applying for hostel accommodation ? Yes /No
17. Are you enrolled in or seeking admission to any course concurrently ? (If yes, give details) Yes /No
18. Did you take admission in any of the departments of the Panjab University during the last three years ? Yes/No
Year Deptt. Roll No. Result
If so, give year, department, roll number and the (i) .....................
result of the university examination, if appeared (ii) ....................
(iii)....................
19. Entrance Test Roll No. and Course Roll No........Course......Marks......
under which you appeared
..
(Full Signature of the Candidate)
DECLARATION BY THE APPLICANT AND THE PARENTS/GUARDIAN
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 liable to be cancelled if any of the statements made by me
above is found incorrect.
2. I undertake to observe proper standards of academic conduct.
3. I shall abide by the prescribed courses of reading and the modes of examinations, which may prevail from time to time, even though these
may be at variance with those of the previous years.
4. I shall abide by the rules and regulations as given in the Panjab University Calendars and its revisions/Handbook of Information and rules
for Admission.
5. I shall faithfully carry out the instructions issued by the Chairpersons of the Department, Faculty members and other University Authorities
from time to time.
6. I hold myself for due and prompt payment of fees and all other dues.
7. I understand that I cannot concurrently be enrolled for more than one full-time courses of studies.
8. I am fully aware that ragging is strictly prohibited/punishable under Law in the University. If I am found guilty of indulging in or abetting
ragging, I shall be liable for punishment and expulsion from the Hostel/University.
Dated : .. ..
(Full Signature of the Candidate)
I certify that my son/daughter/ward is making this application with my permission. I hold myself responsible for his/her good conduct and
behaviour as a student of the University and for payment of all his/her fees and dues during his/her stay in the Department.
................
(Full Signature of the Parent/Guardian)
Name : ........
Dated : .. Address : ........
........
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Pin Code Tel. No.
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Sr. No. ..
Received on
Signature of receiver .
Last date for receipt of application Form :
(i) all Courses except (ii) below : 2-7-2014
(ii) Certificate/Diploma Courses : 18-7-2014
Affix recent
Photograph of 3.5
cm. X 4.5 cm. duly
attested by the
Head of the
Institution last
attended
PANJAB UNIVERSITY, CHANDIGARH
Application form for Admission for All Courses (except for Ist Year Classes of the courses where admission is
based on JEE-2014, P.U.-CET-2014-(UG), PUTHAT-2014 & P.U.-B.A./B.Com. LL.B. (Hons.) Five Year Integrated
Course-2014 as the admission of these courses will be conducted online) for P.U., Chandigarh and its Regional
Centres at Hoshiarpur, Ludhiana, Kauni and Muktsar for the session 2014-2015
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CERTIFICATE OF EMPLOYMENT
(Essential for Department of Evening Studies-MDRC and employees seeking admission to any other department)
I certify that I .......................................... s/o, d/o, w/o ............................................. has been
working as ................... in Govt./Semi-Govt./Private Organisation/Self employed (tick P PP PP) for the last ........ years.
I have obtained permission to join the said course and my emoluments are.............................................per month.
................... ...................
Countersigned by the Employer (Signature of the Candidate)
Name and Designation (with seal)
Special Interests, if any
Mark (x) in the appropriate box/s :
(A) Dance c Music c Acting c Debate/Declamation c Fine Arts c
(B) N.C.C. c N.S.S. c Hiking/Trekking c Leadership c
(C) Blood Donation c Environment c Adult Education c
(D) Games : Specify..............................................................................................................................
(Signature of the Candidate)
SUMMARY OF EDUCATIONAL QUALIFICATIONS FROM Xth CLASS ONWARDS
(Attested Photostat/Xerox copies of Detailed Marks Certificates and Degrees, etc., must be attested in support of statements)
Previous Exam. Subjects studied Max. Marks %age Session Roll No. Uni./ Board Name of
Passed Marks obtd. & Year School/College
Name of
Exam./Class
Aggregate of All University Examinations held during the B.Pharm. Course (attach details separately) and valid GATE-Score, if appeared.
(Signature of the applicant)
(CHECK-LIST OF DOCUMENTS ATTACHED (TO BE FILLED IN BY THE CANDIDATE)
University Certificates (List all the copies of certificates separately and make sure that the Detalied Marks Certificates of the examination) on
the basis of which admission is sought are included.
(i)
(ii)
(iii)
(iv)
(v)
(vi)
Total number of documents attached
Note : Incomplete application form or with wrong or deliberately concealed information is liable to be straight away rejected.
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INSTRUCTIONS FOR CANDIDATES
1. This form must be filled in by the candidate in his or her own hand in a clear and legible manner.
2. This application form complete in all respects must be submitted to the concerned Teaching Department/Centre of the Panjab University as has
been indicated in the Admission Notice of 2014-15 as well as in Handbook of Information and Rules for Admission 2014 on or before the last
date indicated at the top of application form, even if, result of the qualifying /Entrance examination has not been declared.
3. The application form must be completed in all respects. No column should be left unfilled. If any information sought is not applicable to the
candidate, the word N.A. should be entered against that column. If a candidate omits/conceals relevant information or gives false information,
his/her admission is liable to be cancelled.
4. All documents like copies of University Certificates, photographs, certificates claiming special status, etc. must be attached with this application.
In case the required documents are not attached, the application is liable to be rejected as incomplete.
5. The forms in which various certificates are to be submitted are given in the Handbook of Information. Only certificates along these lines
will be acceptable. Handbook of Information and Rules for Admission 2014 can be obtained from Sale Counter, Administrative Block
(Basement) Panjab University, Chandigarh, on cash payment of Rs. 550/- and by Post from the Manager, Publication Bureau, P.U.,
Chandigarh 160 014 against account payee Bank Draft of Rs. 660/- drawn in favour of the Registrar, Panjab University, payable at
Chandigarh.
6. All copies of University Certificates, photographs and character certificate, etc., must be attested by the Head of the Dept. last attended or by
a Class I Gazetted Officer or by an Officer of the University not below the rank of Assistant Registrar/Lecturer. The full name of the attesting
officer and the official seal must be clearly legible on the certificate.
7. The check-list of documents printed on this form should be carefully filled and the total number of documents enclosed with the application
should be clearly mentioned.
8. Foreign students should submit this Form to the concerned department through the office of the Dean of International Students, Panjab
University.
9. For filling item 3 category of the form use the following codes. ( One can fill more than one category) :-
Category Code Category Code
General GN Military Personnel
Scheduled Caste SC (i) Wards of Military/Paramilitary Personnel died in action D1
Scheduled Tribe ST (ii) Wards of Military/ Paramilitary Personnel incapacitated while in service D2
Backward Classes BC (iii) Wards of Military/ Paramilitary Personnel Ex-Servicemen D3
*Sports Person SP (iv) Defence Personnel incapacitated while in service D4
Physically Handicapped/ PH (v) Wards of Serving Defence Personnel D5
VH/Blind
Terrorist Victims TV (vi) Ex-Servicemen D6
Freedom Fighter FF (vii) Serving Defence Personnel D7
Kashmiri Migrant KM Foreign Nationals/NRI NRI
One Girl child out of the OGC Cancer, AIDS and Thalessemia Patient CAT
Only Two Girl children
*Candidates seeking admission in this category shall, along with the Admission Form, will submit following documents to the concerned
department and the concerned department will send the photocopy of the application forms after paging all the documents received from
eligible candidates to Directorate of Sports. The candidates are required to appear for trial in a proper sports kit along with their original
sports certificates on University Grounds as per schedule w.e.f. 15-7-2014 to 18-7-2014 (For Schedule contact office of the University
Director of Physical Education). Presence of candidate in the field at appointed time is Mandatory. No separate intimation will be sent :-
(a) Self attested photocopies of sports certificates.
(b) Class 10th and class 10+2 and B.A. detailed marks certificate showing date of birth.
(c) Affidavit of sports achievement (ANNEXURE-III) available in HBI -2014 duly attested by a Notary/Magistrate class I/II on a stamp paper
of Rs. 5/- or 10/-.
(d) Roster form/list of players duly attested by the competent authority of concerned tournament/championship. The photograph of the
player should also be pasted on the certificate duly attested by the competent authority of concerned tournament/championship.
NOTES : 1. THE CANDIDATES SHOULD UNDERSTAND THAT THE ADMISSION IF GRANTED BY THE DEPARTMENT/CENTRE
WOULD BE PROVISIONAL AND SUBJECT TO CONFIRMATION BY THE DEAN OF UNIVERSITY INSTRUCTION.
2. FEES/FUNDS AND CHARGES PAYABLE FOR VARIOUS COURSES BY THE STUDENTS SHALL BE AS PRESCRIBED BY THE
SYNDICATE OF THE PANJAB UNIVERSITY, CHANDIGARH FROM TIME TO TIME.
3. HOSTEL SEATS ARE LIMITED AND THESE WILL BE ALLOTTED EXCLUSIVELY ON THE MERIT BASIS AS PER THE QUOTA
ALLOTTED TO THE DEPARTMENTS.
4. AT THE TIME OF ADMISSION, THE STUDENTS SHOULD SUBMIT AN UNDERTAKING THAT HE/SHE HAS NO CRIMINAL
BACKGROUND AND HAS NOT BEEN CONVICTED UNDER ANY CRIMINAL OFFENCE. HE/SHE SHOULD ALSO STATE IN
THE UNDERTAKING THAT NO F.I.R. IS REGISTERED AGAINST HIM/HER OR NO CRIMINAL PROCEEDINGS ARE PENDING
AGAINST HIM/HER AT THE TIME OF SUBMISSION OF APPLICATION. FURTHER, THE STUDENTS SHOULD ALSO STATE
IN THE UNDERTAKING THAT HE/SHE WILL NOT POSSESS/CARRY ANY LETHAL WEAPON ON THE UNIVERSITY CAMPUS
AND IF ANY WEAPON IS RECOVERED FROM HIM/HER, HE/SHE BE RUSTICATED. (Syndicate Para 6, dated 29.3.2011)
In addition to attested copies of academic certificates, the candidate should also attach attested copies of the documents/certificates listed
below :-
(a) Certificates relevant to claim for a Reserved Category Seat.
(b) Character Certificate.
(c) No Objection Certificate from the Employer.
(d) Migration Certificate.
(e) Affidavit of or about not having been involved in any offence (required in case of a gap in academic career).
(f) Eligibility Certificate.
(g) Certificate in support of claim for weightage/weightages.
(h) Foreign Nationals/NRI candidates are required to submit relevant Certificates.
E1/P.U.P. (559) 1500/16-05-2014
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ACKNOWLEDGEMENT CARD
PANJAB UNIVERSITY, CHANDIGARH-160014
Ref. No. ........................./ Dated ......................
Name of the Applicant ...........................................................................
Fathers Name .......................................................................................
Your application form for admission to ....................................
has been received in this department on ...........................................
In all future correspondence please quote the above reference number.
Office Incharge
Department of ........................
(This card duly stamped & self addressed must be submitted
alongwith the application form).
ACKNOWLEDGEMENT CARD
PANJAB UNIVERSITY, CHANDIGARH-160014
Ref. No. ........................./ Dated ......................
Name of the Applicant ...........................................................................
Fathers Name .......................................................................................
Your application form for admission to ....................................
has been received in this department on ...........................................
In all future correspondence please quote the above reference number.
Office Incharge
Department of ........................
(This card duly stamped & self addressed must be submitted
alongwith the application form).
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