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    Admissin Form

    Uploaded by

    Chirag Raval
    This document is an admission application form for Singhana University. It requests information such as the applicant's name, father's name, date of birth, address, contact details, category, gender, educational qualifications, course and fee details, declaration of truthfulness of submitted documents and agreement to university rules. It collects details necessary for processing the admission application along with fees and required documents.

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    Attribution Non-Commercial (BY-NC)
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    Admissin Form

    Uploaded by

    Chirag Raval
    68 views2 pages
    This document is an admission application form for Singhana University. It requests information such as the applicant's name, father's name, date of birth, address, contact details, category, gender, educational qualifications, course and fee details, declaration of truthfulness of submitted documents and agreement to university rules. It collects details necessary for processing the admission application along with fees and required documents.

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    This document is an admission application form for Singhana University. It requests information such as the applicant's name, father's name, date of birth, address, contact details, category, gender, educational qualifications, course and fee details, declaration of truthfulness of submitted documents and agreement to university rules. It collects details necessary for processing the admission application along with fees and required documents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    68 views2 pages

    Admissin Form

    Uploaded by

    Chirag Raval
    This document is an admission application form for Singhana University. It requests information such as the applicant's name, father's name, date of birth, address, contact details, category, gender, educational qualifications, course and fee details, declaration of truthfulness of submitted documents and agreement to university rules. It collects details necessary for processing the admission application along with fees and required documents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Form fee-Rs.

    1100
    Form No.: …………
    (For Office Use Only)

    SINGHANIA UNIVERSITY
    (Established U/S 2(f) of UGC Act 1956)
    Narnaul-Singhana-Pilani Road, Pacheri Bari, Distt. Jhunjhunu (Raj.) - 333515, Phone No.: 01593-271005, 271331
    Fax No.: 01593-271003, Tele/Fax: 01593-271070, Mobile: 09352237951/52/53, website: www.singhaniauniversity.co.in

    Admission Application Form Session 2010-2011

    Course: -------------------------------------------------------------------
    Self attested
    Department: -------------------------------------------------------------- Photo
    1. Name : ………………………………………………………………………………………
    2. Father’s/Husband/s Name: ………………………………………………………………………………………………………………
    3. Date of Birth: ……………………………………………………………………………………………………………………………………
    4. Present Address: ……………………………………………………………………………………………………………………………….
    (in block letters) ………………………………………………………………………………………………………………………………..
    5. Phone No.: …………………………………….. Mobile: …………………………………. Email: ……………………………………
    6. Correspondence Address: …………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………… PIN ……………………………………..
    7. Category : General/SC/ST/OBC …………………………………………Annual Income-------------------
    8. Gender : Male/Female ………………………………………………………
    9. Qualifications :
    Exam Year of Board/University % Subjects Photo copy
    Passing attached
    Secondary
    Sr. Secondary
    Graduation
    P.G.
    Others

    10. Course Fee: As per university rules (please see website).


    11. (A)Fee deposition Detail
    Amount of fee Bank name Account no.
    ----------------------- ------------------- -------------------

    Deposition date mode of payment challan/DD/Cheque number

    ----------------------- -------------------------- -------------------

    (B) Hostel Facility: Separately for boys and girls. Fee Rs. 36,000/- per annum plus Rs.
    2,000/- refundable security.
    Amount of fee Bank name Account no.
    -------------------- ---------------- --------------------

    Deposition date mode of payment challan/DD/Cheque number

    ---------------------- ------------------------- ------------------------------------

    DECLARATION

    I……………………….Son/Daughter/wife of …………………………solemnly declare and affirm that I am duly


    qualified to take admission in the course for which I have applied and all the certificates and
    testimonials attached with my application are true and valid. I have fully satisfied myself about the legal
    status of the University i.e. it is an autonomous statutory body with regulations making power for it’s
    functioning. University is duly authorized and competent to take my admission in the course for which I
    have applied. I also undertake not to ever raise any objection about Universities legal status to take my
    admission and award degrees on qualifying prescribed examinations. I also undertake not to demand
    refund of fee/charges paid by me. In case of any dispute/differences/claim or disciplinary action
    settlement by University arbitration clause shall be applicable.

    I shall always follow the rules and regulations of the University and in case of any breach thereto, I shall
    be liable to be penalized for the same which may include expulsion from the University.

    Place: (Signature of Candidate)

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