(New Emerging Areas Building, Adjoining Botany Deptt. Panjab University, Chandigarh)
shall provide coaching for Paper-I to all the students and in paper-II & III if more than 10 regular students are interested in and request for the coaching.
Chairperson
For favour of display on Notice Board please
DEPARTMENT OF LIFE LONG LEARNING AND EXTENSION PANJAB UNIVERSITY, CHANDIGARH (INDIA) - 160014
Phones: 0172-2541359, 2534336 ADMISSION FORM
FREE Coaching for UGC/NET Examination for SC/ST/BC/OBC (non-creamy layer) & Minority Communities. 1. 2. 3. 4. 5. Name (in Block Letters) Fathers Name Mothers Name Date of Birth Address for Correspondence : : : : : ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ 6. Permanent Address : ____________________________________________ ____________________________________________ 7. 8. 9. Ph./Mob./E-mail : ____________________________________________
10. Sr. No 1. 2. 3. 4. 5.
Name of the optional Subject for : _____________________________________________ UGC/NET. Category: SC/ST/BC/OBC (non-creamy layer) or Minority Communities ___________________ Please attach attested copy of the certificate of Reserved Category you belong to, copy of Character Certificate and copies of the examinations passed. Admission will be cancelled if Reserve Category Certificate is not attached. Department reserve the right to cancel the admission if the student is continuously not attending the classes. Educational Qualifications Examination Passed University /Board/Year Marks Obtained %age of Marks
DECLARATION: I declare that I have carefully read the instructions and state that the entries made by me in this form are correct to the best of my knowledge and nothing has been concealed. I understand that my admission is liable to be cancelled if any of the statements made by me above is found incorrect.
Date: Place:
Signature of candidate