Filled Sample of

Undertaking/Declaration
 IIOVELY UNDERTAKING FROM APPLICANTS
Iii ROFESSIONAL FOR PENDING DOCUMENTS
(WRITE NA OR STRIKE our WHICHEVER IS NOT RELEVANT)
D)NIVERSITY
"Trans{ohnin_J 'Etlucafion "Trans{ormin_J 9ndia
I

To
i
Head, Di~ision of Admissions
Lovely Prffessional University
Phagwara, Punjab.
Sub: .
l
~ndertaking for submitting the pending documents
I

\ 4nam clgpt°
Respecte~ Sir/ Madam,
cpiin af,-, ,DateofBirth(dd/mm/yyyy) Q~-D7- I 990
J"fj,UO d11v q~J'nfJiv
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6 .1:,... JJ~ /µ. .-Q:.. IA.i,:lo.l.Ld~k-O:ll.,l,.A·~,_
am seeki~g provisional admission in Programme - --l-M
-1-lr....,,-:,.A...L....--------Programme~ e r ///{ - Al N 1
with Provi~ional Reg. No: /2,3 0 0 CJ/ D · .
Here in, I submit that

E
a) I have passed all the courses and semesters/ years till the final year/ semester.
O My result for the final year/ semester has not been declared till date and I have passed all the courses and semesters/ years
PL
' till the pre-final year/ semester
b) The following documents/certificates pertaining to my admissions are pending and I will submit the same by
:!,J-05 2,, O2,,:3 <mention date>.
1.
I

9,naduo1iPYv HaHAN rd:;, 2. &oo.fJ o/J Ruld&n, e, - fu.t b'\O

s. I
M

4. - - - - - - - - - - - - - - -
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,E
5 . .....;__ _ _ _ _ _ _ _ _ _ _ _ _ _ 6. - - - - - - - - - - - - - - -
j
' C

c) / understand that as per the eligibility criteria of the programme ·

(i) · / must appear ·and qualify the relevant Eligibility/ Entrance TesV Interview by______________ J
SA

~ mention date>. g
(ii) II need to obtain minimum cut-off marks to be eligible for admission in the above programme. :{!

In case I fail to submit the documents/certificates or I am not able to appear for the Eligibility/ Entrance Test/ Interview or not able to score
equal to pr more than prescribed cut-off marks in the eligibility/ entrance tesV interview or fail to obtain minimum marks in eligibility i
qualification or found ineligible or information provided herE1in or in Application form for admission is found to be incorrect, then my
admission shall stand cancelled and the fee and other charges, including amount paid for provisional admission, paid by me shall stand E
forfeited and I will further be liable to pay the fee and other charges for remaining/ entire duration of the Progamme. ;
.;

cf\~ ~ ., J ~,,-----
Signaturd of the Applicant Parents/ Guardian* Signatu~e (in case, applicant is Minor)

Date; 3/-03 - 2-0] 3 Mention the relation with student in case of Guardian _ _ _ _ _ _ __
!
Date: 3 ! -03 - 2--lJ J.__3,
For Office Use only
Approval by Competent Authority
I .
Approve1 date for pending document(s) _ _ _ _ _ _ _ _ __
· File No.: _ _ _ __
SignaturJ _ _ _ _ __
Date: _ _ _ _ __
UID: _ _ _ _ __