S.C.D.

GOVERNEMNT COLLEGE, LUDHIANA

(Admission Form for Certificate Courses, affiliation to JGNPSOU)
1. Name of the Course in which admission is sought:
………………………………………………………………………………………………..
2. Name of the Student: ……………………………………………………………………….
3. Father’s Name: ……………………………………………………………………………..
4. Mother’s Name: …………………………………………………………………………….
5. Date of Birth: ……………………………………………………………………………….

6. Gender (Tick the correct option): Male □ Female □ Other □

7. Marks in matriculation: Marks Obtained Total Marks

PSEB CBSE ICSE Any other

8. Board from which passed:
(Tick the correct option)
9. Year of Passing: ………………………………………………………………………………
10. Marks in Senior Secondary (If Marks Obtained Total Marks
Passed):

11. Name of School in which studying/studied Senior Secondary:

………………………………………………………………………………………………...

12. Highest qualification obtained: …………………………………………………………….

13. Whether an old student of the college: Yes No

i) Class: ……………………………………………………………………………………….

ii) Roll No: ……………………………………………………………………………………

iii) Year: ……………………………………………………………………………………...

Note: Please attach self-attested copies of Date of birth certificate, detail marks of Matriculation
Examination and detail Marks of Senior Secondary Examination (if passed).