Roll No.

__________________
Exam. Centre ______________
Guru Nanak Dev University, Amritsar (To be filled by the office)
Admission Form for ____________________ (Semester)_______________Examination______201__

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.M/F____Mobile No. Rural/Urban
6. Do you belong to Scheduled Caste/Tribe/Backward Class- Yes/No (If yes attach certificate.) SC BC Gen.
7. Subjects offered with particular options, if any
1. _______________________2._______________________3.__________________________
4. _______________________5._______________________6.__________________________
Y
P
7. _______________________8._______________________9.__________________________
10. _______________________11.______________________12._________________________

O
8. Particulars of passing the lower Examination
a. Name of Examination________________University/Board__________________Roll No.__________
Session____________Marks obtained____________Result______________
C
b. Name of Examination________________University/Board_________________Roll No.___________
Session____________Marks obtd._______________Result______________
9. Previous Semester Particulars
T
E
Sem. I Roll No.___________Session___________Sem. II Roll No.____________Session_____________
Sem. III Roll No.__________Session___________Sem. IV Roll No.____________Session_____________

N
Sem. V Roll No.___________Session___________Sem. VI Roll No.____________Session_____________
Sem. VII Roll No._________Session___________Sem. VIII Roll No.___________Session_____________

R
Sem. IX Roll No.__________Session___________Sem. X Roll No.____________Session_____________
10. Are you appearing in the RP/RT/RTI/Compartment of lower examination also? Yes/No if yes indicate the name

E
of Examination_____________Subject________________Roll No._____________Session____________

T
11. Date of declaration of the last Examination Result______________________________________________
12. Indicate if any disqualification was incurred in any University examination or if any enquiry is pending in a case

I N
of alleged use of unfair means, tick Yes/No, if yes Name of Exam_________________Year/Session_____
Roll No._______ University/Board._______________________________________________
13. 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__________
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.
_______________________
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.
(whatever/wherever applicable delivered to his/her class) and (b) he/she secured requisite
Space for 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. & Town iii) the candidate appearing in III Semester examinations has passed the 50% courses of II Semester
Plng.& examinations. (a) the candidate appearing in V Semester examinations has passed the 50% courses of
For faculty of I, II, III and IV Semester examinations. (b) the candidate appearing in VII Semester examinations has
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.
For faculty
iv) (a) candidate has satisfied me by production of authentic documents about his eligibility to join B.A./
of Laws LL.B. (FYIC)/B.A./LL.B.(Hons. FYIC)/B.L./LL.B. (b) has been on the rolls of Deptt. of Laws/College
during 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 of v) the candidate has attended, in each subject, not less than 75% of the lectures in theory paper and 85%
Arch. & Town of the planning practice workshops and attended the educational tours and town planning seminars, as
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)

 Roll No Slip

gurU n`nk dyv wUnIvristI, EMimRqsr wUnIvristI rol nM: .....................

(vyrvy pRIiKE`rQI duE`r` Bry j`x)
_______smYstr________pRIiKE` ______201__
rol nMbr _____________________________ (qsdIk Sud`) (qsdIk Sud`)
pRIiKE`rQI d` n`m _______________________ nvIN Poto nvIN Poto
ipq` d` n`m ___________________________ gUMd n`l icpk`A gUMd n`l icpk`A
m`q` d` n`m ___________________________
kyNdr ______________________________

______________
pRIiKE`rQI dy hsq`^r pR I iKE`rQI nU M ieh k`rf
kMtrolr (pRIiKE`v~) sMB`l ky r@Kx` c`hId` hY Eqy
pRIiKE` dOr`n iksy vI idn kyNdr .................................
mMgx qy idK`aux` c`hId` hY|
sMbMDq klrk sMbMDq sh`iek (sYkSn_______)

 cut from here 

Please fill in the following slips for correspondence address
Roll No. to be filled in by the office

Roll No. ______________________ Roll No. ______________________

Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________
Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________

Roll No. ______________________ Roll No. ______________________

Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________
Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________

Roll No. ______________________ Roll No. ______________________

Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________
Name ______________________________
Father's Name ________________________
Address _____________________________
____________________________________
Pin Code ____________________________