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PUNJABI UNIVERSITY, PATIALA the recent


(Established under Punjab Act No 35 of 1961) Photograph
ADMISSIÌN FORM
Fo BaLL.B. Part-yRegular Courses
Session:
Roll No. (To be allotted by the University).
I. Name of the Course (Par/Semester)
2. Papers to be taken in this Class

4.

3. Registration No.:
4 Name of the Applicant: (Capital Letters):
5. Father/Guardian Name: (Capital Letters):

6. Date of Birth: Nationality


7. Whether seat in Hostel is requited

8. Have you stayed in a Hostel, last year? if so, give details:


9. Permanent Address:

M.No.
10. Subjects with results (with options, if any) of the previous class:
Result
Pass/Re-appear
2... ................. 3 4.

Undertaking
Slo., D/o. Sh.
age. years R/o

District State. hereby declare/ certify that the above


information is true to the best of my knowledge and belief and nothing has been concealed therein. I am fully aware of the
fact that if the information given by me proves to be wrong, Iwill be punished under law and Iwill be summarily expelled
from the institution where I had got admission on the basis of the false information.

Date Signature of the Candidate

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