Roll No.

__________________

Ex-22/Ad

Guru Nanak Dev University, Amritsar

Exam. Centre ______________

(To be filled by the office)

Admission Form for ____________________ (Semester)_______________Examination______201__

Last Date of receipt of admission form & fee (Semester Examinations)

Dec. Exams.
May Exams.

Without late
fee
10 Sept.
10 Feb.

With late fee

Rs. 250/20 Sept.
20 Feb.

With late fee

Rs. 500/30 Sept.
28 Feb.

With late fee

Rs. 1000/10 Oct.
10 March

With late fee With late fee

Rs. 2000/Rs.1000/-Per day
20 Oct.
10 days before comm20 March
encement of Exam.

Admission fee for Reg. Rs. 1200/- Re-appear Per Paper Rs. 1100/- Max. Rs. 2500/ Prac. Fee Rs. 500/- Int. Asst. Fee Rs. 200/-

Note : The grace of three working days will be allowed on all the above mentioned dates.
ALL PARTICULARS TO BE FILLED IN NEATLY & LEGIBLY IN HIS/HER OWN HANDWRITING
1. Name (in block letters)_____________________________________________________________________
n`m (pMj`bI ivc) __________________________________________________________________________
2. Father's name (in block letters)______________________________________________________________
ipq` d` n`m (pMj`bI ivc)____________________________________________________________________
3. Mother's name (in block letters)______________________________________________________________
m`q` d` n`m (pMj`bI ivc)____________________________________________________________________
4. Regd. No._______________________

5. Man/Woman_________________

6. Do you belong to Scheduled Caste/Tribe/Backward Class- Yes/No (If yes attach certificate.)
7. Subjects offered with particular options, if any

1. __________________________________

2.

________________________________

3. __________________________________

4.

________________________________

5. __________________________________

6.

________________________________

7. __________________________________

8.

________________________________

9. __________________________________

10.

11. __________________________________

12.

8. Particulars of passing the lower Examination

________________________________
________________________________

D.D. No. _________________

Dated_______

Name of Examination__________Year/Session______ Uni./Board__________________Marks obtd.____

9. Are you appearing in the RP/RT/RTI of lower examination also? Yes/No if yes indicate the name of
Examination_______________Subject________________Roll No._____________Session____________

10. Date of declaration of the last Examination Result______________________________________________

11. Indicate if any disqualification was incurred in any University examination or if any enquiry is pending in a
case of alleged use of unfair means, tick Yes/No, if yes Name of Exam_________________Year/Session_____
Roll No._______ University/Board._______________________________________________
12. Have you attended the college/deptt. affiliated to this University in the academic session______________
(Tick Yes/No) if you have attended any affiliated college/deptt., give name of the college/department__________
13. Sem. I Roll No.___________Session___________Sem. II Roll No.____________Session______________
Sem. III Roll No._________Session____________Sem. IV Roll No.____________Session_____________
Sem. V Roll No._________Session____________Sem. VI Roll No.____________Session_____________
Sem. VII Roll No._________Session___________
14. I___________________son/daughter of_____________________Age_________year_______Resident
of___________________________________________Distt.________________Punjab declare that the
information, given above and in the documents enclosed herewith, is true to the best of my knowledge and
belief and nothing has been concealed therein. I am aware of the fact that if, at any later stage, the said
information is proved to be false, I shall be punished as per law and my admission will be summarily rejected
or I may be expelled from the institution in which I got admission on the basis of false information.

N
I

_______________________
Dated _____________

Signature of the Candidate

Note : All cases/disputes regarding admission/result of all classes 'in civil cases' will be subject to the jurisdiction
of Amritsar Civil Court and in case of High Court cases, will be subject to the jurisdiction of the Punjab &
Haryana High Court, Chandigarh.
The receipt of the fee/admission forms/ will not entitle the candidate to appear in the examination but
it will only entitle him/her to consideration for his/her eligibility.
CERTIFICATE-I
Certified that :
i) the candidate remained on the roll of this College/Deptt. for the academic year preceding
the examination and (a) he/she attended the requisite number of lectures/practicals etc.
Space for
(whatever/wherever applicable delivered to his/her class) and (b) he/she secured requisite
percentage of marks in the house examinations as per relevant Ordinances.
latest photograph
ii) he/she bears a good moral character, and his/her work has been satisfactory : that he/she has
filled in and signed this admission form in my presence and has satisfied me by production
of authentic documents : that the statements made by him/her in the admission form are
correct and that he/she is eligible to appear in the examination.
For faculty
of Arch. & iii) the candidate appearing in III Semester examinations has passed the 50% courses of II Semester
examinations. (a) the candidate appearing in V Semester examinations has passed the 50% courses of
&
Town Plng.&
For faculty
I, II, III and IV Semester examinations. (b) the candidate appearing in VII Semester examinations has
of Engg.
passed all papers of I & II Semester examinations. (c) the candidate appearing in VIII Semester
& Tech.
examinations has passed all papers of I, II & III Semester examinations.
iv)
(a)
candidate has satisfied me by production of authentic documents about his eligibility to join B.A./
For
LL.B.
(FYIC)/B.A./LL.B.(Hons. FYIC)/B.L./LL.B. (b) has been on the rolls of Deptt. of Laws during
faculty of
Laws
the requisit preceding the examination and has attended a number of lectures on each of the subjects as
also tutorials, moot courts and practical training course during the exam.
For faculty v) the candidate has attended, in each subject, not less than 75% of the lectures in theory paper and 85%
of Arch. &
of the planning practice workshops and attended the educational tours and town planning seminars, as
Town Plng.
and when conducted by the Deptt. and Town Planning Institution (India) respectively.
Certified that our college/deptt. is teaching and has been granted affiliation in the subject/courses for which
the candidate is submitting his/her admission form.

qsdIk kIq` j~d` hY ik pRIiKE`rQI ijhVy kors/iviSE~ v`sqy d`Kl` P`rm Byj irh` hY, ieh s`fy k`lj/ivB`g
ivc pVH`ey j~dy hn Eqy wUnIvristI vloN iehn~ iviSE~ ivc m`nq` (Affiliation) id@qI geI hY|
Date________________201__

___________________________
(Signature of the Principal/Head) (with office seal)
CERTIFICATE-II
(For Late College/Deptt. Students)

Certified that :(a) that the candidate has already attended the prescribed course meant for the___________Annual/Semester
course examination from___________to__________and appeared in this examination for the first time during
(year and month)_________________under Roll No._________ (b) that he/she is eligible to appear in the
examination as late college/deptt. student under the ordinances in force.(c) that he/she fulfilled all other
conditions required under the ordinances. (d) that he/she bears a good moral character. (e) that he/she has
signed this admission form in my presence.
Date________________201__

Signature of the Principal/Head (with office stamp)

Fee for Law Students

ibn~ lyt &Is

250/- ru:

500/- ru:

1000/- ru:

2000/- ru:

Rs. 1000/- Per Day

lyt &Is n`l

lyt &Is n`l

lyt &Is n`l

lyt &Is n`l

Ten days before the

s`l`n`

1 dsMbr

15 dsMbr

15 jnvrI

31 jnvrI

15 PrvrI

commencement of

smYstr (dsMbr)

10 sqMbr

20 sqMbr

30 sqMbr

10 EkqUbr

20 EkqUbr

Examinations

10 PrvrI

20 PrvrI

28 PrvrI

10 m`rc

20 m`rc

(meI)

d`^l` &Is : 1200/- ru: (pRqI ismYstr)

s`l`n` : 1800/- ru: (rYgUlr)

rIEpIEr 1100/- ru: (iek pypr)

iek qoN v@D pypr : 2500/- ru: (pR`eIvyt)

rIEpIEr 1100/- ru: (iek pypr)

500/- ru: pRYktIkl PIs (rYgUlr)

iek qoN v@D pypr : 2500/- ru:

1200/- ru: (pR`eIvyt ividE`rQIE~ leI)

ismYstr pRYktIkl 1100/-

Price : Rs. 100/-

Roll No Slip
wUnIvristI rol nM: .....................

gurU n`nk dyv wUnIvristI, EMimRqsr

(vyrvy pRIiKE`rQI duE`r` Bry j`x)

_______ B`g________pRIiKE` ______200__

rol nMbr _____________________________
pRIiKE`rQI d` n`m _______________________
ipq` d` n`m ___________________________

(qsdIk SuD`)
nvIN Poto
gUMd n`l icpk`A

(qsdIk SuD`)
nvIN Poto
gUMd n`l icpk`A

m`q` d` n`m ___________________________

kyNdr ______________________________
______________
pRIiKE`rQI dy hsq`^r
sMbMDq klrk

kMtrolr (pRIiKE`v~)

sMbMDq sh`iek (sYkSn_______)

pR I iKE`rQI nU M ieh k`rf

sMB`l ky r@Kx` c`hId` hY Eqy
pRIiKE` dOr`n iksy vI idn
mMgx qy idK`aux` c`hId` hY|

! cut from here !

kyNdr .................................