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ApplicationForm

The document is an application form for admission to the Bachelor of Arts (ICDEOL) course at Himachal Pradesh University for the 2023-2024 session. It contains the applicant's personal details like name, father's name, address, contact information, educational qualifications and other details. The applicant, Puneet Bansal, provides information about passing the 12th grade from HP Board in 2021 and 10th grade from HP Board in 2019. He applies for admission under the Scheduled Caste category and declares that the information provided is correct to the best of his knowledge.

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40 views

ApplicationForm

The document is an application form for admission to the Bachelor of Arts (ICDEOL) course at Himachal Pradesh University for the 2023-2024 session. It contains the applicant's personal details like name, father's name, address, contact information, educational qualifications and other details. The applicant, Puneet Bansal, provides information about passing the 12th grade from HP Board in 2021 and 10th grade from HP Board in 2019. He applies for admission under the Scheduled Caste category and declares that the information provided is correct to the best of his knowledge.

Uploaded by

kameshwar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HIMACHAL PRADESH UNIVERSITY, SHIMLA - 171005.

APPLICATION FORM FOR ADMISSION TO Bachelor of Arts (ICDEOL) COURSE FOR THE SESSION
2023-2024

1. Registration No. : 371297438

2. PCP Center Name : SHIMLA

3. Name of the Course : Bachelor of Arts (ICDEOL)

4. Name : PUNEET BANSAL

5. Father's Name : dila ram

6. Mother's Name : hemlata devi

7. Mobile No. 9459841318

8. Address for Correspondence (IN CAPITAL LETTERS) :

Village/City VILL. MALAWAN, PO. MANGOO, TEH. ARKI, DISTT. SOLAN HP , Post office MANGOO ,
Tehsil ARKI , District Solan ,

Pin Code- 171102

9. Permanent Home Address (IN CAPITAL LETTERS) :

VILL. MALAWAN, PO. MANGOO, TEH. ARKI, DISTT. SOLAN HP Pin Code- 171102

10. Email-Id : [email protected] 11. Aadhaar No. : 326631246464

11. Date of Birth : 02 May 2004

Age as on 31st December of this year : 19 yrs. 2 Months

12. High School (Matric) Mark-Sheet No.: 19/C005/17415

13. Nationality : Indian 15. Gender : Male

14. University/Board from which you have passed +2 H.P Board


examination/ Diploma ? :

Other's Details :
15. Are you a Bonafide Resident of Himachal Pradesh? : HP State

16. Are you ward of HPU Employee ? : No

17. Select your Elective Subject 1? : History

18. Select your Elective Subject 2 ? : Hindi

19. Select your MIL(Compulsory) Subject ? : Hindi

20. Select your AECC- ll Core Compulsory Subject ? : Hindi

21. Do You Belong to Religious Minorities? : No OTHERS

22. Do You Belong to? : Rural


23. Are you Physically Challenged ? : No

24. Do you have disability 40% or above ? : No

25. Your Category : Scheduled Caste (Main)

26. Details of Fee Deposited Amount : Rs. 500.00 Dated : 05/10/2023

27. Academic Qualifications :

Result Examination Name of the Passing Credits/Marks Maximum Marks Credits/ Exam
Status Passed University/Board Year Obtained (not for the % Marks Roll No.
candidate with
CGPA)
Passed Matric or HP BOARD 2019 440.00 700.00 62.85 1911018
Equivalent 340
Passed +2 or its HP BOARD 2021 251.00 500.00 50.00 2143484
Equivalent 047

28. Were you ever disqualified/suspended by the University or any other institution from No
attending classes or appearing in any exam ? If yes, give Details :

Details :

I hereby declare that the entries made by me above are correct to the best of my knowledge. I am conscious that if any of
the entries are found to be incorrect, my admission is liable to be cancelled. I have read carefully the Handbook of
Information and I undertake to abide by the rules of the University. I have gone through the rules and regulations of the
University and I hereby solemnly affirm that I will not indulge in any kind of ragging/ indiscipline and if I am found guilty of
any offenses, I will have no claim against the order of the rustication/ expulsion / Cancellation of my admission from the
University .I further undertake that in the event of my ineligibility at the time of counseling / admission, I shall have no
claim for admission and as such my candidature is liable to be cancelled for which I am solely responsible.

Date Student Signature

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