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Admission Form

The document is an admission application form for Arni University located in Kathgarh, Indora, Kangra, Himachal Pradesh. It requests information such as the applicant's name, gender, category, nationality, date of birth, address, contact details, educational qualifications, entrance exam scores, and a certificate of eligibility signed by the applicant. It will be used to register applicants for admission to courses at Arni University which was established by the Government of Himachal Pradesh in 2009.

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patel ketul
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25 views

Admission Form

The document is an admission application form for Arni University located in Kathgarh, Indora, Kangra, Himachal Pradesh. It requests information such as the applicant's name, gender, category, nationality, date of birth, address, contact details, educational qualifications, entrance exam scores, and a certificate of eligibility signed by the applicant. It will be used to register applicants for admission to courses at Arni University which was established by the Government of Himachal Pradesh in 2009.

Uploaded by

patel ketul
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ARNI UNIVERSITY

KATHGARH, (INDORA), KANGRA, HIMACHAL PRADESH-176401


“Arni University established by Govt. of H.P. through Arni University (Establishment & Regulation)
Act No.23 of 2009 and Notified vide Notification No. EDN-A-Ka(1)-23/2007 Dated 03.11.2009” Paste recent passport
Notified by UGC as University under section 2(f) of UGC Act, 1956 size photograph here
vide notification no. 8-5/2010 (CPP-I/PU) dated 03/03/2010

ADMISSION APPLICATION FORM


FOR ACADEMIC YEAR __________

Registration ID :_______________________________________________________________________ Signature of Applicant


(To be given after admission)
NAME OF THE COURSE APPLIED FOR: ________________________________________________
Tick (Ö) where applicable. Fill the form in Black/Blue ink in BLOCK LETTERS only.
1. NAME OF THE APPLICANT (as in high school or equivalent certificate)

2. MOTHER'S NAME (as in high school or equivalent certificate)

3. FATHER'S NAME (as in high school or equivalent certificate)

4. GENDER 5. (a) CATEGORY 6. NATIONALITY 7. DATE OF BIRTH

Male Female Gen SC ST OBC PH Ex Ser Indian Other Date Month Year
5. (b) RELIGION

8. PERMANENT ADDRESS :

City Tehsil
District Pincode
State
9. (a) CONTACT NO. OF APPLICANT 9. (b) CONTACT NO. OF PARENTS
Country Code Mobile No. Country Code Mobile No.

10. EMAIL ADDRESS (Only in Capital letters)

11. AADHAR CARD NO


12. APPLICANT’S EDUCATIONAL QUALIFICATION:
SR. NO. DEGREE / DIPLOMA BOARD YEAR SUBJECT DIVISION PERCENTAGE
1. 10th
2. 12th
3. Graduation
4. Post-Graduation
5. Others
13. NAME AND SCORE of National / State Level Entrance Test (if appeared) (IIT MAIN / JEE / CAT / MAT / CMAT / GATE)
Name of Entrance Test Score / Marks
14. Certificate That: I am eligible to take admission in above mentioned course / programme.

Date: ........................................................ Signature of Applicant: ........................................................


I hereby certify that to my personal knowledge, the information furnished by me in the application for admission is correct. Any incorrect information shall lead
to strict action against me including cancellation of admission any time during/after the course.

Date: ........................................................ Signature of Applicant: ........................................................


*THE REGISTRATION IS PROVISIONAL AND SUBJECT TO FULFILLMENT OF ELIGIBILITY NORMS AS PRESCRIBED IN PROSPECTUS.

For Office Use Only


Registration Fee: Rs. .................................................................... Receipt No. ....................................................................
Facility Record:
Hostel & Mess : Yes / No ........................................................... Bus : Yes / No.................................................................
Location : ................................................................................................................................................................................................................................

Date: .............................................. Signature .......................................................... Admission Officer Name..................................................................

Reference: ...............................................................................................................................................................................................................................

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