ADMISSION FORM YEAR 2022


Phase 2, Mohali, Sector 54, Chandigarh. Punjab 160055, India | Tel: 9914433199, 0172-2264566
Website:www.gjimt.ac.in, Email:gjimt@gjimt.com | Approved by AICTE and Affiliated to IKG PTU


  • STEP 1

    PAY YOUR FEES


  • STEP 2

    Submit your transaction details


  • STEP 3

    Fill Admission Form


  • STEP 4

    Upload your documents


  • STEP 5

    Submit your form


  • STEP 6

    Inform Your Tele Counsellor and Obtain GJIMT Team ID for Online Classes.





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    Course & Stream


    How you came to know about Gian Jyoti? Please tick (✓)

    Print MediaFriend/RelativeInternetSocial MediaSchool Rating Magazines
    GJIMT Alumni Name Course Batch
    Consultant Name

    Please fill up the form in CAPITAL LETTERS. Tick Mark the relevant box, as applicable

    Personal Particulars

    Student Name Blood Group Date Of Birth Student Aadhaar No Father's Name Father's Occupation Father's Annual Income Father's Aadhaar No Father's Contact No Father's Email ID Mother's Name Mother's Occupation Mother's Annual Income Mother's Aadhaar No Mother's Contact No

    Address (Present)
    House No
    Street No/Sector No/Lane No
    City
    State
    Pin Code

    Address (Permanent)
    Same as Present
    House No
    Street No/Sector No/Lane No
    City
    State
    Pin Code

    Nationality: IndianOther

    If other, then country name

    Gender: MF Is Hostel Required: YN Category: GenSCSTOBC

    Other

    Academic Qualifications
    Exam Passed Stream Name of the School/College Board/Univ. Session Marks Obt./Max Marks (%age)
    10th Class
    10+2 Class
    Diploma
    Graduation
    Any Other
    Entrance Examination
    Exam Passed CMAT Any Other
    Roll No.
    Rank
    Total Work Experience Year/s Achievement/Award
    Organization:
    Designation:


    Do you have any serious ailments? If yes, please specify
    Club(s), which you would like to Join, ✓ at least three Clubs:

    Finance ClubMarketing ClubHR ClubIT ClubR&D ClubLiterary ClubSports ClubCultural ClubRotaract ClubEDI CellNCCNSS

    S.No. Document Y/N Remarks
    (For office use)
    S.No. Document Y/N Remarks
    (For office use)
    1 10th DMC YN 9 Income Certificate YN
    2 10+2 DMC YN 10 Medical Certificate (IKGPTU format) YN
    3 Graduation Mark Sheets 1st / 2nd / 3rd YN 11 Gap Year Affidavit (If Any) YN
    4 Entrance Exam Score Card YN 12 Five Additional Photographs YN
    5 Migration Certificate YN 13 Category Certificate (If Any) YN
    6 Aadhaar Card YN 14 Undertaking (Affidavit) for Course Continuation. YN
    7 Character Certificate YN
    8 Residence Certificate YN 15 Any other YN
    Document Verification and Eligibility check is handled by:

    Name & Signature
    Declaration

    I do hereby declare that particulars given in this admission form are complete, correct and true to the best of my knowledge and belief. I understand that if this information and document provided are incorrect/false at any later stage, my candidature for admission to the_____ degree course shall stand cancelled and may be debarred from IKG PTU examinations .I understand that admission provided is provisional in nature till University approves my admission in the due course of time. I fully understand that the fee being deposited is neither adjustable against any other fee/person nor refundable on any account whatsoever.

    I declare that I have not given any capitation fee/Donation to the institute for my admission. I fully understand that ragging amounts to criminal offence and will not indulge in ragging during my stay in the institute and will adhere to all the rules and regulations of the Institution. I further understand that in order to be eligible to appear in end semester examination of any subject, I must attend not less that 75% of the aggregate scheduled periods of theory as well as practical in that subject during the course of the semester.

    If I have taken admission under Govt. Scholarship Scheme, then I fully understand that I have to complete the course in permissible time duration by all means. If I am unable to complete the course due to some unavoidable circumstances then my scholarship stands forfeited and I will be liable to pay the complete course fee on my own.


    Student's Signature

    Name
    Mobile No.

    Signature of Parents/Guardian

    Name Designation
    Office Address Contact Details

    FOR OFFICE USE ONLY
    Semester Fee Scholarship Amount (If Any) Fee to be Paid
    Remark
    Semester wise fee details (in case of scholarship)
    Sem 1 Sem 2 Sem 3 Sem 4 Sem 5 Sem 6
    Semester wise Hostel fee details
    Sem 1 Sem 2 Sem 3 Sem 4 Sem 5 Sem 6
    FOR ACCOUNTS SECTION

    Fee Deposited as per following details

    Semester Fee Hostel Fee
    Amount Receipt no. Amount Receipt no.
    (Accounts Officer)
    Recommended for Admission

    GM/Dean/Director
    Approved/Not Approved

    (Chairman)