To

Dean Student Affairs (DSA)

Punjab Engineering College (Deemed to be University)

Chandigarh – 160012

Date- 31 March, 2024

Subject- Application for Certificate of Appreciation (COA) in the CULTURAL Category.

Respected Sir,

This is about the notice inviting applications for the award of Certificate of Appreciation. I hereby,
apply for the same in the CULTURAL Category. My details are as follows:

Name: Jasjot Singh

SID: 22103039

Father’s Name: Mr. Surinder Singh

Branch: CSE

Year: 2nd

I wish to state that I have consistently organized/participated in events for Cultural Events of PEB in
Bhangra and various events. Therefore, I am applying for the Certificate of Appreciation. The
application and verification letter are enclosed. I declare that the details provided in the application
(Form-A) are true and correct to best of my knowledge. I would be grateful if you would kindly
consider my application.

Thanking You

Yours sincerely,

(Signature)

Name: Jasjot Singh

SID: 22103039

Contact -9914555402

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Punjab Engineering College
(Deemed to Be University)

Extra-Curricular Activities
Awards
Application Form
2023 - 2024

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 PERSONAL INFORMATION

Student Name: Jasjot Singh Father’s Name: Surinder Singh

Name of the Branch: CSE Student ID: 22103039 UG/PG: UG

Home Address: Village Jawaharpur, Temporary Address (if different): Same as

Home Address
SAS Nagar (Mohali)

Telephone Number: 9914510402 Mobile Number: 9914555402

E-mail: jasjotsingh.bt22cse@pec.edu.in

jasjotsingh1527@gmail.com

Activity for which Award Has been Activity No.: Activity Name:
Applied
PUNJABI EDITORIAL BOARD
CULTURAL CLUB

Type of Award Applied For (Say YES/NO) Institute Colour: COE COA

NO NO YES

Has any disciplinary action been taken against you? Please mention if yes.

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 SUMMARY OF ACTIVITIES

No. Name of Group Position / Officership/Activity Duration Marks

(Club / Society /
Other)

UG/PG: 1st Year

1 WORKSHOP ATTENDED January 2023

2 DASTAK PERFORMER BHANGRA 31 March, 2023

No. Name of Group Position / Officership/Activity Duration Marks

(Club / Society /
Other)

UG/PG: 2nd Year

1 ORIENTATION PERFORMER BHANGRA 18-24 August, 2023

2 WORKSHOP ORGANIZER BHANGRA 20 September, 2023

3 DASTAK ORGANIZER BHANGRA 19 October, 2023

4 PUNJABI CREATIVE - 23241 August – December

EDITORIAL BOARD 2023

5 PUNJABI CREATIVE - 23242 January – May

EDITORIAL BOARD
2024

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No. Name of Group Position / Officership/Activity Duration Marks
(Club / Society /
Other)

UG/PG: 3rd Year

NIL

No. Name of Group Position / Officership/Activity Duration Marks

(Club / Society /
Other)

UG/PG: 4th Year

NIL

Total Marks

Name of the Verifying Officer

Signature of the Verifying Officer

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Final Recommendation (To be filled by O/I)

SID: Student name:

The Award is Recommended for: ☐Institute Colour

☐ Certificate of Excellence
☐Certificate of Appreciation

Name of Recommending Officer

Designation of Recommending
Officer

Signature of Recommending
Officer

*In the case when Chief Advisor position doesn't exist, O/I will be the
recommending officer.

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 Form B
Extra-Curricular Activities Awards
Recommendation for Institute colour/Certificate of Excellence/Certificate of
Appreciation (To be filled by O/I)

Category in which Institute Colour is recommended Marks

Student Affair Council

Career Development &Guidance Cell (UG and PG)

Hostels

Cultural Clubs

Technical Societies

PECfest

Sports

NSS

NCC

All Rounder

Passing Out PG

Organizational Activities

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Recommendation for the Award in the order of Merit

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S.N Name of Father's SID Bran Year-wise Marks
o. student Name ch
I II III IV Total

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Name of Recommending O/I Designation of recommending O/I

Signature of Recommending O/I

Date:

Notes:

1) Forms incomplete in any respect will not be accepted.

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