Phase 2, Mohali, Sector 54, Chandigarh. Punjab 160055, India | Tel: 9914433199, 0172-2264566
Website:www.gjimt.ac.in, Email:firstname.lastname@example.org | Approved by AICTE and Affiliated to IKG PTU
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Student Name Blood Group O+AB+A +B+O-AB-A-B-Don’t Know Date Of Birth Student Aadhaar No Father's Name Father's Occupation Father's Annual Income Less than 1 Lakh1-2.5.0 Lakh2.5-5.0 Lakh5- 7 LakhAbove 7 Lakh Father's Aadhaar No Father's Contact No Father's Email ID Mother's Name Mother's Occupation Mother's Annual Income Less than 1 Lakh1-2.5.0 Lakh2.5-5.0 Lakh5- 7 LakhAbove 7 Lakh Mother's Aadhaar No Mother's Contact No
Street No/Sector No/Lane No
Same as Present
Street No/Sector No/Lane No
Gender: MF Is Hostel Required: YN Category: GenSCSTOBC
Finance ClubMarketing ClubHR ClubIT ClubR&D ClubLiterary ClubSports ClubCultural ClubRotaract ClubEDI CellNCCNSS
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.
Fee Deposited as per following details