Admission Form Printed on 9/9/2023 2:01:05 PM

CHECK LIST

Program Name : Master of Business Administration- (HR/Finance/Marketing/ International

Business/Entrepreneurship)
Account No. : 12333668

Documents:- Yes No
10th Mark Sheet [ ] [ ]

12th Mark Sheet [ ] [ ]

Graduation [ ] [ ]

Diploma [ ] [ ]

Character [ ] [ ]

Migration [ ] [ ]

Provisional [ ] [ ]

Others [ ] [ ]

Photographs (5) [ ] [ ]

SC-Certificate [ ] [ ]

Domicile-Certificate [ ] [ ]

Income-Certificate [ ] [ ]

Adhar Card-Student [ ] [ ]

Adhar Card-Father [ ] [ ]

Adhar Card-Mother [ ] [ ]

Bank Account [ ] [ ]

Pending if any (Remarks) .........................................................................

Eligible/Not Eligible Admission

Employee Code:
Dealing Hand
Asstt. Registrar Office Supdt

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 Admission Form Printed on 9/9/2023 2:01:05 PM

Student Account No :12333668 Prospectus No : Enquiry No :9711910

Student Personal Detail Admission Process Detail

Gender Male University CHANDIGARH UNIVERSITY
Date Of Birth 08 Aug 2000 Course for Admission MBA:::MB301

Blood Group B+ Under Lateral Entry No

Religion Hinduism Semester 1
Name Amandeep Singh Migrated No
Mother's Name Urmila Country India
Father's Name Ajit Singh Hostel Facility No
Category GEN Transport Facility

Nationality Indian Transport Route NA

Annual Income 275000.00 Program Fee 125000.00 INR

From where did you first hear about us: Broucher Aadhar Card Number 712840903563

Student Contact Information

Permanent Address Correspondence Address
VPO Hadwa, District- Jind(Haryana) VPO Hadwa, District- Jind(Haryana)
Country India Country India
Pincode 126113 Pincode 126113
City Jind City Jind

District Jind District Jind

State Haryana State Haryana

Type Mobile No Landline No Office LL No Email Id Education Level Occupation

Student 9671550218 NA NA amandeswal354@gmail.com NA NA
Father 9306405295 NA NA NA NA

Student Qualification Details

Degree University Board Total M.Obtained CGPA % Year Main Subjects Status School Name
10th CENTRAL BOARD OF 500 440 8.8 88 2015 Science, math, Declared RISHIKUL SR SEC SCHOOL
SECONDARY EDUCATION english, hindi (PANIPAT)
10+2 HARYANA BOARD OF 500 412 0 82.4 2017 Physics, Declared VIVEKANAND SR SEC SCHOOL
SCHOOL EDUCATION chemistry, maths (JIND)
, hi
Graduation Children’s University 0 0 0 0 0 Pending CHANDIGARH UNIVERSITY
(S.A.S NAGAR)

Student Exam Details

Exam Name Exam Rank Score Passing Year

Counselor Signature Parents/Guardians Signature OR Student Signature

Ajit Singh Amandeep Singh (12333668)

CHANDIGARH UNIVERSITY Printed on 9/9/2023 2:01:05 PM

Account No : 12333668 Date for Registration : : Sep 8 2023 12:10PM

Program : MBA:::MB301 Program Fee : : 125000.00 INR

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Did you appear for any National/State ent rance test(s)? Yes / No ......................................................
Mention the Name and Percent Score of the Test you want to be considered: ..........................................................
(Please attach a photocopy of your test score.)
Please mention if you have any achievements in Sports/ Co-curicullar activities at the National/ International/ State Level

_____________________________________________________________________________________________________

DECLARATION BY STUDENT

• I do hereby declare that particulars given in this registration form are complete, correct and true to the best of my knowledge
and belief.
• I understand that my registration is provisional for admission to the University, subject to the fulfillment of eligibility conditions
and verification of documents.
• I will produce all required original documents on or before 30th June 2023. If I fail to submit required documents on the
stipulated date and fail to pay full fee my admission will stand cancelled
• If at later stage my documents are found to be fake, I will be solely responsible for legal consequence and will not claim any
refund of fee/ seat from the Institute/ University on any account whatsoever.
• I am not suffering from any contagious or chronic disease abd medical fit to study in Chandigarh University .
• I am aware that my post matric scholarship amount will be credited under the DBT process by the state/Center Govt to my
account. I will be bound to pay it to the university within one week from the receipt of the amount.

___________________ ___________________________
Student’s Signature Signature of Parent/Guardian

Father's Name: Ajit Singh Mother’s Name: Urmila

Designation: ..................................................................... Designation: ....................................................................

Office Address: ................................................................. Office Address: ................................................................

....................................................................................... ......................................................................................

Note: Please attach:

I) Photocopies of Detailed Marks Sheets (Graduation, 10+2, Matric, Diploma, Character, Migration, etc
ii) Four Passport size photographs
_____________________________________________________________________________________________________
FOR OFFICE USE ONLY

Step – 1. I have checked the eligibility conditions applicable in the above said course and the candidate agrees to fulfill these
conditions.

(Admission Counselor)

Step – 2. I have received fee amount vide Receipt No. .......................... dated .......................... Amount .......................... from
the student and balance fee .......................... will be paid on or before ...........................

(Admission Incharge)

Step – 3. I have received fee amount vide Receipt No. .......................... dated .......................... Amount ..........................

(Cashier)

Step – 4. The Admission has been approved after verification of original documents.
Pending documents (if any) ..............................................................

(For-Registrar)

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 UNDERTAKING OF CYBER CRIME

I, Amandeep Singh S/o, D/o Ajit Singh registered for admission in Course Master of Business Administration-
(HR/Finance/Marketing/ International Business/Entrepreneurship) Batch 2023 Sem 1 for academic session 2023-2024 at
Chandigarh University, do hereby undertake that:

1. I am aware that Cyber Crime is strictly prohibited and unlawful act by the law.

2. I will not indulge in any kind of Cyber crime including Cyber-Stalking, Dissemination of Obscene Material , Defamation,
Hacking, Cracking, E-Mail Spoofing, SMS spoofing, Carding, Cheating and Fraud, Child Pornography, Assault by Threat,
Intellectual Property Crimes, Cyber Squatting, Cyber Vandalism, Transmitting Virus, Cyber Trespass, Cyber Terrorism, Cyber
Warfare, Possession of Unauthorized Information.

3. I am aware that the infringement of the above undertaking makes me liable for disciplinary action as deemed fit by the
University rules including punishment in the form of expulsion from classes, University campus and the hostel.

4. I have fully understood that if I am found guilty of cyber crime then I shall be punished as per the provisions of Section 66-A
of Information Technology Act, 2008 and may be punished with imprisonment up to 3 years alongwith fine under the court of
law.

Date:…………………………… (Signature of Student)

Name……………………………………………

I,…………………………………………………………have carefully read and clearly understood the content of the above
undertaking, I do hereby undertake that I shall be jointly responsible if my son/ward is found indulging in any act of indiscipline
or misconduct or ragging or cyber crime. The University may take any disciplinary action against my son/ward.

(Signature or Parent/Guardian)

Date:…………………………………… Name…………………………………………………….

Relation………………….……………………………..

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UNDERTAKING FORM MANDATORY TO BE UNDER UGC REGULATIONS ON CURBING THE MENACE OF RAGGING IN
HIGHER EDUCATIONAL INSTITUTIONS, 2009

AFFIDAVIT BY THE STUDENT

I, Amandeep Singh s/o, d/o Ajit Singh has taken admission in course Master of Business Administration-
(HR/Finance/Marketing/ International Business/Entrepreneurship) session 2023-2024 student of Chandigarh University,
Gharuan, Mohali, do here undertake on this day 8 month Sep year 2023 the following :-

1. That I have read and understood the directives of the Hon’ble Supreme Court of India on anti ragging and the measures
proposed to be taken in the above references (available on the website “www. cuchd.in”). I have, in particular, perused clause 3
of the Regulations and am aware as to what constitutes ragging.

2. That I understand the meaning of Ragging and know that ragging in any form is a punishable offence and the same is
banned by the Court of law.

3. That I have not been found or charged for my involvement in any kind in any kind of ragging in the past. However, I undertake
to face disciplinary action/legal proceeding including expulsion from the University if the above statement is found to be untrue
or the facts are concealed, at any stage in future. I have also, in particular, perused clause 7 and clause 9.1 of the Regulation
and am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

4. I hereby solemnly aware and undertake that:

a. I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations.
b. That I will not participate in or abet or propagate through any act of commission or omission that may be constituted as
ragging under clause 3 of the Regulations.

5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the Regulations, without
prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force.

6. That I shall not resort to ragging in any form at any place and shall abide by the rules/laws prescribed by the courts, Govt. of
India and the University authorities for the purpose from time to time.

Signature of Student
I hereby fully endorse the undertaking made by my child/ward.

Signature of Mother/Father and or Guardian

Witness:

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 UNDERTAKING FROM STUDENTS FOR NON SUBMISSION OF DOCUMENTS

(TO BE GIVEN BY CANDIDATES WHOSE RESULT OF QUALIFYING EXAM IS NOT DECLARED OR WHO HAD ANY
COMPARTMENT/ BACKLOG)

“I Amandeep Singh s/d/o Sh Ajit Singh bearing UID/Account No. 12333668 had taken provisional admission in Master of
Business Administration- (HR/Finance/Marketing/ International Business/Entrepreneurship) Course in the session 2023-
2024, do hereby solemnly undertake that I will produce the proof of passing of my Qualifying examination with the minimum
percentage of marks required on or before 30 Sep 2023, failing which my admission shall stand cancelled.

Dated: ............................ Signature of candidate

Signature of Parent/Guardian

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 CHANDIGARH UNIVERSITY
…
ACKNOWLEDGEMENT SLIP
Account No : 12333668 Date ............................

Received Original documents against temporary Account No. 12333668 pertaining to Mr./ Ms Amandeep Singh son/
daughter of Sh Ajit Singh admitted to course Master of Business Administration- (HR/Finance/Marketing/
International Business/Entrepreneurship) Session: 2023-2024.

Submitted Document: Pending Document:

1. ............................................................................ 1. ..........................................................................

2. ............................................................................ 2. ..........................................................................

3. ............................................................................ 3. ..........................................................................

4. ............................................................................ 4. ............................................................................

5. ............................................................................ 5. ............................................................................

Any Other: .............................................................. Any Other: .............................................................

Name of the Dealing person with E-Code:

Signature and date : .........................................

CHANDIGARH UNIVERSITY
…
ACKNOWLEDGEMENT SLIP
(Parents Copy)
Account No : 12333668 Date ............................

Received Original documents against temporary Account No. 12333668 pertaining to Mr./ Ms Amandeep Singh son/
daughter of Sh Ajit Singh admitted to course Master of Business Administration- (HR/Finance/Marketing/
International Business/Entrepreneurship) Session: 2023-2024.

Submitted Document: Pending Document:

1. ............................................................................ 1. ..........................................................................

2. ............................................................................ 2. ..........................................................................

3. ............................................................................ 3. ..........................................................................

4. ............................................................................ 4. ............................................................................

5. ............................................................................ 5. ............................................................................

Any Other: .............................................................. Any Other: .............................................................

Name of the Dealing person with E-Code:

Signature and date : .........................................

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