DECLARATION AND UNDERTAKING BY THE APPLICANT

I hereby declare that all information furnished in this application are true, complete and
correct to the best on my knowledge and belief. In the event of any information being found
fault or incorrect or ineligibility being detected after the admission at a later stage, I fully own
the responsibility of my candidature for the course applied for being treated as cancelled and I
may be debarred/any action as per rule and regulation can be initiated against me.

I further undertake that I will not involve myself in any ragging activities in the college
and hostel premises, failing which criminal case will be filed against me.

Signature of Father/Legal Guardian Full signature of Applicant

Date: Date:
ACKNOWLEDGEMENT SLIPIndex No. allotted

(OFFICE COPY)

(To be filled in by the applicant) For Office Use

Name of the applicant:

1. Course Applying for:

B.A.,B.Ed:
B.Sc,B.Ed (PHYSICAL SCIENCE)
B.Sc, B.Ed(BIOLOGICAL SCIENCE)

2. Bank Draft/DD No. .Date.Amount..

Date of Receipt:

Receiving officer

ACKNOWLEDGEMENT SLIP Index No. allotted

(OFFICE COPY)

(To be filled in by the applicant) For Office Use

Name of the applicant:

1. Course Applying for:

B.A.,B.Ed:
B.Sc,B.Ed (PHYSICAL SCIENCE)
B.Sc, B.Ed(BIOLOGICAL SCIENCE)

2. Bank Draft/DD No. .Date.Amount..

Date of Receipt:

Receiving officer