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Personal Details Academic Details Weightage Documents Upload Course Preference Declaration

Personal Information

Candidate Name HARJEET SINGH Date Of Birth 05/09/2003

Gender Male Blood Group

Marital Status Unmarried Aadhaar 270552493842

Number

Email ID harjeetsinghranike@gmail.com Mobile No 6280108197

Mother's Name AMRITPAL KAUR Father's Name BALDEV

SINGH

Mother's Occupation Labourer Father's Labourer

Occupation

Permanent Address VILL RANIKE TEH DHURI

Permanent Country India Permanent State PUNJAB Permanent District SANGRUR

Permanent Region Rural Permanent Pincode 148024

Correspondence Address VILL RANIKE TEH DHURI

Correspondence Country India Correspondence State PUNJAB Correspondence District SANGRUR

Correspondence Region Rural Correspondence Pincode 148024

Guardian's Name (If Any) Guardian's Mobile No.

Parental Income from all Sources 0 to 100000

Bank Name UNION BANK OF INDIA Bank Account Number 623502010005412

IFSC Code UBIN0562351 Bank Branch DHURI

Education Qualification

Exam Roll Result Passing Marks Total

Passed Univ/Board School/College Course/Stream No. Status Year obtained/CGPA Marks Percentage

Graduation Punjabi DESH BHAGAT B SC (Non- 411215 Result 2023 2310 3450 66.96
University, COLLEGE Medical) Awaited
Patiala BARADWAL
 CM Scholarship

You are eligible for CM Scholarship Scheme, do you want to avail this scholarship ? Yes

Whether you have already applied for or taking any other scholarship (State or Central Scheme)? No

Reservation Detail

Reservation Category SC/ST

Caste Category SC/ST

Caste Ramdasia Sikh

Are you a Resident of Punjab OR Do you have Punjab Domicile? Yes

Additional Detail

1 Do you need a hostel? No

3 Are You Cancer/AIDS/Thalassemia Patient? No

5 Are You NRI? No

6 Need Parking? No

7 Punjabi In Matric Yes

8 Are you a Kashmiri Migrant? No

9 Do you reside in Border Area ? No

Weightage Detail

1 Are you an NCC holder? No

2 Are you an NSS holder (Grade O/A ) Or (1st / 2nd position)? No

3 Advance Youth Leadership training camp No

4 Youth Leadership Training Camp No

5 Advanced Mountaineering No

6 Hiking Training No

7 Mountaineering No

8 Zonal Youth festival No

9 University Level Youth Festival No

 10 Inter University National Youth Festival No

Documents Attached

Document Name Document ID

10th  View

12th/Diploma  View

Character Certificate

Graduation  View

SC Certificate  View

Residence Certificate  View

Income Certificate  View

Choice of Course Preferences

Preference No. District Name College Name Course Name

1 SANGRUR Desh Bhagat College, Bardwal-Dhuri (Distt. Sangrur) Post Graduate Diploma in Computer Application (Self Financed)

Student Signature

Declaration

1. I declare that I have gone through the provisions of UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009 and Punjab
Educational Institutions (Prohibition of Ragging) Bill, 2013. I undertake that I will adhere to all the provisions mentioned therein and will not indulge in any
behavior or act that may be constituted as ragging under law.

2. I shall abide by all the rules and regulations of UGC/State Government/University/College in the matter.

3. I shall be held responsible for the consequences if the information/original scanned documents provided by me are found to be fictitious/bogus at any stage
and I understand that my registration/admission shall stand cancelled without any prior notice to me.

4. I submit that no criminal case is either pending or decided against me in any competent court of law in India.

I, HARJEET SINGH certify that I agree to pay a non refundable registration fee of Rs 200 for admissions. Further I submit that I will not raise any request of
refund/charge back for this payment in future.

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