For Office Use Only: Roll No: ........................ Journal No: ........................ Deposit Date: .......................
Khalsa College for Women, Ludhiana
Civil Lines, Ludhiana. Phone: 0161-2420987
Admission Form (2020-21) Application / Form No: 1053-1305
Class Name: BCom Sem-I Category: General
PERSONAL DETAILS Applicant ID: 200300002507
Applicant's Name: SWATI SHARMA
Father's Name: KULDEEP SHARMA Mother's Name: URMILA SHARMA
Father's Occupation: Business/Self Father's Mob: 9814822416
Employed
Annual Income: 1,50,001 to 2,00,000 Gender: Female
Caste: General Religion: Hindu
Guardian's Name:
Date of Birth: 30-Sep-2002 Blood Group: B+
Mobile No: 9814877456 E-Mail ID: swatisharma75759@gmail
.com
Registration No: Medium: English Paste your
recent
Aadhar No: 519873249958 Parking: Motorcycle/Scooter passport size
PERMANANT ADDRESS
unattested
photo here
Area Type: Urban Nationality: INDIAN
Address Line 1: HOUSE NO B-2 2039/1,ST Address Line 2: BASANT NAGAR , SHIV
NO 1 PURI
City / Village: LUDHIANA Tehsil: Ludhiana (East)
District: Ludhiana State: Punjab
Country: India PIN Code: 141008
MISCELLANEOUS
Gap Case: No Criminal Case: No
Punjabi Passed In Matric: Yes
SUBJECT PREFERENCE
1: English and Business 2: Interdisciplinary Psychologies for 3: Micro Economics
Communication Managers
4: Principles and Practice of 5: Principles of Financial Accounting 6: Punjabi-Compulsory
Management
LOWER EXAM DETAILS
Exam Name Board / Univ. Year- Roll No Obt. Max. %age
Month Marks Marks
10+2 Commerce ICSE, NEW DELHI 2020-07 6737454 422.00 500 84.40
MARKS & WEIGHTAGE DETAILS
Marks in Lower Exam: 422.00 / 500 Marks in Related Subject: 244.00 / 300
Has Honours Subject / Class: No NCC/NSS Level: /
Roll of Honour: No University Colour: No
Youth Festival Position:
Continued on page 2 ...
KCWLDH / 200300002507 / 1053-1305 / SWATI SHARMA / BCom Sem-I / GN / Page 2
BANK ACCOUNT DETAILS
Bank Name: Allahabad Bank
Bank Account No: 50523801095 Bank Branch: SHIV PURI
IFSC Code: ALLA0212626 MICR Code:
DECLARATION BY APPLICANT
1. Certified that the particulars given above are correct to the best of my knowledge.
2. I have noted that it is compulsory to attend 75% lectures and secure 25% in aggregate in Pre-semester exams to
quality for the final examimaton.
3. I am aware that the Principal has the right to detain my roll no., if I do not fulfil the conditions required to be eligible for
appearing in the final exam.
4. Certified that I am applying with the permission of my Parents/Guardian.
5. Certified that I have not been disqualified by any board/university.
6. Certified that I am not seeking admission in any other recognized institute at the same time.
7. I pledge to bear good moral character and will not participate in any anti-social activities.
8. Certified that in case a board/university refuses to grant me admission, I will not lay claim against the college.
Applicant's Signature
DECLARATION BY FATHER / GUARDIAN
1. I have read all rules and regulations in the prospectus and will abide by them.
2. I will pay all due fee and funds of my son / daughter.
Father/Guardian's Signature
ADMISSION COMMITTEE RECOMMENDATIONS
Registered with Panjab Uni. Chandigarh: No Type: New Admission Fee Concession: YES / NO
Member 1 Member 2
It is certified that the applicant is found to be eligible for admission and is recommended to be admitted as per specified
merit / category. I have checked all documents and merit.
Convener's Signature
Principal's Signature
(Tick the certificates attached)
* Attested photocopy of Date of Birth Certificate
* Four passport size recent photographs.
* Self Attested photocopy of DMC's of examinations passed from Matriculation onwards.
* Self Attested photocopy of Passing out Certificate of 10+2.
* Self Attested photocopy of SC/ST/BC/ any other reserved category.
* Self Attested photocopy of Character Certificate from the institution last attended.
* Self Attested photocopy of Gap Year Certificate (if applicable)
* Self Attested photocopy of Roll No. cum Registration No. of B.A.1 / B.Sc. 1/ B.B.A. I/ B.C.A. I/ B.Com I for students
seeking admission in II or III year or in any Post-Graduate class.
* Students from other university should submit migration certificate at the time of admission
* The students must bring their original documents at the time of admission.
* Self Attested photocopy of Aadhar Card.
Note: A student who is absent from the college for more than 10 days continuously (without leave or prior information)
shall find her name struck off from the college rolls. She shall have to seek re-admission with the permission of the
Principal.
ANNEXURE - I, PART - I
UNDERTAKING BY THE CANDIDATE/STUDENT
1. I SWATI SHARMA S/o. D/o. Mr./Mrs./Ms. KULDEEP SHARMA have carefully read the law prohibiting ragging and
the directions of the Supreme Court and the Central/State Government in this regard.
2. I have read a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Education Institutions, 20O9.
3. I hereby undertake that
- I will not indulge in any behavior or act that may come under definition of ragging.
- I will not participate in or abet or propagate ragging in any form.
- I will not hurt anyone physically or psychologically or cause any other harm.
4. I hereby agree that if found guilty of any aspect of ragging. I may be punished as per the provisions of the UGC
Regulations mentioned above and/or as per the law in force.
Signed on:20-08-2020 e-Mail: swatisharma75759@gmail.com
Signature: Mobile (Father): 9814822416
Name: SWATI SHARMA Mobile (Mother):
Mobile (Applicant): 9814877456
Address: HOUSE NO B-2 2039/1,ST NO 1 BASANT NAGAR , SHIV PURI LUDHIANA, Tehsil: Ludhiana (East), District:
Ludhiana, State: Punjab, PIN: 141008
ANNEXURE - I, PART - II
UNDERTAKING BY THE PARENT/GUARDIAN
I .................................................................. F/o, M/o, G/o SWATI SHARMA have carefully read the law prohibiting ragging
and the directions of the Supreme Court and the Central/State Government in this regard as well as the UGC Regulations
on Curbing the Menace of Ragging in Higher Educational Institutions, 2009.
2. I assure you that my son/daughter/ward will not indulge in any act of ragging.
3. I hereby agree that if he/she is found guilty of any aspect of ragging, he/she may be punished as per the provisions of
the UGC Regulations mentioned above and/or as per the law in force.
Signed on: 20-08-2020
Signature:
Name: e-Mail:
Address: Mobile: 9814822416
