Rajiv Gandhi Memorial Govt.

College - Joginder Nagar, Joginder Nagar,

Distt. Mandi (H.P.) - 175015

CANDIDATE APPLICATION FORM

Candidate Detail

Application ID: RGMGC/BLS/2023-24/877

CANDIDATE PHOTO

User ID: 2307902

Name: Shabnam

Course Applied: B.Sc - Life Science (Zoology) - 1st Year

MobileNo: 6230726537

Registration Date: July 24, 2023, 1:30 p.m.

Core/Elective Subjects Details

Subject Pool Course Modules

• Comparative Anatomy and Devel. Biology of Vertebrates + Practical

[DSC] (ZOOL102)
Core Main(DSC-1)

• Animal Diversity + Practical [DSC] (ZOOL101)

• ATOMIC STRUCTURE, BONDING, GENERAL ORGANIC CHEMISTRY

+ Practical [DSC] (CHEM101TH)

• STATES OF MATTER, CHEMICAL KINETICS & FUNC. ORG.

CHEMISTRY + Practical [DSC] (CHEM102TH)
Core Compulsory

• Biodiversity (Microbes, Algae, Fungi and Archegoniates) + Practical

[DSC] (BOTA101)

• Plant Ecology and Taxonomy + Practical [DSC] (BOTA102)

AECC1 • ENVIRONMENTAL SCIENCE [AECC] (ENVS2AECC02)

AECC2 • Writing Skills [AECC] (ENGAECC104)

Personal Profile

Gender Female Date Of Birth Feb. 12, 2006

Blood Group B+ MobileNo 6230726537

Category General Religion Hindu

AdhaarNo 822250501241 MaritalStatus Single

Ladwan,
City:Joginder nagar,
Permanent Address Tehsil:Joginder nagar,
District:Mandi,
Himachal Pradesh - 176123
Ladwan,
City:Joginder nagar,
Correspondance Address Tehsil:Joginder nagar,
Ditrict:Mandi,
Himachal Pradesh - 176123

IRDP No Sports No

NCC No NSS Yes

Cultural Quota No HP Bonafide Yes

Single Girl No Gap after 12th No

Handicapped No

Clubs And Societies Sibling Bro/sis College RollNo ,

Parents/Guardian Info

Father Name Prithvi raj Mother Name Meera devi

Parent/Alternate Mobile 8894549637 Guardian Name Prithvi raj

Academic Records

Matriculation Examination Details

Board Year of Passing Roll No. Stream Percentage

HPBOSE 2021 2112974011 As Per General Stream 72.29

10+2/DIPLOMA Examination Details

Board Year of Passing Roll No. Stream Percentage

HPBOSE 2023 2342974035 MEDICAL 69.60

DOCUMENTS UPLOADED DIGITALLY

Certificate Uploaded

Character Certificate Yes

Photo: Yes

Signature: Yes

Matric Certificate Yes

10+2 Certificate: Yes

NSS Certificate: Yes

HP-Bonafide Certificate: Yes

DECLARATION

I hereby declare that all the information stated in this application are true and I have read the prospectus available on the website and I shall be
abide by the terms and conditions therein. In the event of distortion of any fact like Category, Qualification, Age, Date of Birth, Nationality etc.
filled in my application form, I understand that I will be denied admissions to College and if already admitted, my admissions acquired is liable
for cancellation. I allow the college administration to send SMS on my given Mobile Numbers. Further, I promise to abide by rules and norms of
discipline of the Govt. College.

Signature