Department of Lifelong Learning

Guru Nanak Dev University, Amritsar

Admission Form 2023-24

Form Locked on : 01-04-2024 Email ID :

Form Printed on : 01-04-2024 02:45:56 PM
02:45:55 PM dhamipunnu@gmail.com
Fee Deposit detail Student ID :11384 Roll No. :
Payment Type : Transaction Ref. No. : Transaction Date :28-03-2024
Fee Deposited(INR) : 700.00
Online 113228760460 11:36:58 AM
Application No. :CCAC96124
Name of Course/Diploma/Crash Course : Ten Days Crash Course in Accounting (Theoretical and Practical)
Counselling Date/ Time : 01-04-2024/10:00:00 AM Venue : Lifelong Learning Department

Personal Information
Name : Jungdeep singh Date of Birth : 16-12-2004
Domicile : Punjab Category : General
Gender : Male Present Occupation :
Email : dhamipunnu@gmail.com Candidate Mobile : 8264584265
Blood Group : B Positive Nationality : Indian
Aadhar No. : 706841413753 Registartion with GNDU : CCAC96124
Father's Name : Harpreet Singh Father's Mobile No. : 8264584265
Mother's Name : Satnam kaur Mother's Mobile No. : 8264584265
Father's Occupation : Shopkeeper Mother's Occupation : House wife

Academic Details
Passed Marks Total
University Subjects Session/Year Roll No. Percentage Result
Exams Obtained Marks
Punjabi, English, Hindi,
Matric PSEB Mathematics, Science, Social 2021 1021323695 573 650 88.15 Pass
Studies
10+2 PSEB Non-medical 2023 2022004392 384 500 76.80 Pass
Attested Copies of Detail Marks (DMC's), Certificates, Character certificates/Affidavit should be attached with this
form.
Contact Information
Correspondance Address : D17/1249 kartar nager chh.
Permanent Address : D17/1249 kartar nager chh.
Other Information
Institute Last Attended : 10th and12tg
Emergency Contact No. : 8264584265

Declaration : I hereby declare that information filled by me in this form is correct and complte to the best of my knowledge
and I shall hold myself responsible for any false entry. I will pay fees and all other dues on due dates. I understand to abide by
the rules/discipline of University/Department. I also agree that i have checked the eligibilty criteria as per prospectus. I fully
understand that fees once paid by me in any of the course can neither be refunded nor adjusted against any other course.

01-04-2024 02:45:56 PM
Date
Signature of Parents/Guardian Signature of Candidate
Note : Candidates must bring his/her all original testimonials along with the requisite fee at the time of counselling for
admission.
Only for Office use
Merit number ____________Course/ Diploma __________________Group __________Shift __________Date of Admission____________
Course Eligibility and Particulars/Details filled by the student in the application form are checked and verified with the Original
Documents/Certificates and attached photocopies produced at the time of admission.
Verified By
Checked By Programme Assistant Director