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CAREER POINT Pl HIGHER EDUCATION INSTITUTIONS For Ofice Use Only: KOTA | HAMIRPUR ‘sisson Granted CU CSS Om =— ee dee eee tise Signatory Tick the campus you wish to join Admission Level] First Year [Colle Transfer [] Lateral Entry ‘Mode of Study C] Ful-Time C1ParTime Cero horned ae Course: Campus [1 Kota (Raj) Hamirpur (HP) i Aix your Specialization/Branch th evar peteenes) {ates passport sie photograph (Sol Aste) 1 a 2 5 a @ EN UNeeelenene Sudan Name (eect psas ne cantestes allrg exis) Fate's Nome Motes Name Date fit na |W loonie Gender Mae Forte Categoy Gn SG STK 8d Gp Pain Foren Farin pate see COUPE Ee Aes oy Pe Site County Mobile (Student) « STD Code = PN, Ema st) Esra Part Eee Class Year of Passing | Medium | % of Marks ‘or COPA, Mater © 0 on eivaert iP or Fabre Diora a Ean Gokaiono East Der “Foray Soe CSTs [Fash deta on th basso bch you sealing fer aris] parisons []éwanetans 1] eens siting ams etme: E]uemin []simorer —— EJorucsrr Jota Hetmeetoms Fer MBA Oe Gow Cvs Eps Cote fen fore Jone Jone For manner Reed Poq, — []NET Ose Clouser Cote Camo uner feat: Dera]. wate] oscred Pocono PU ST (Crane rey Egil Sea Te) CPU RET GaP es Rasch Eta Tat) Buna re unc rishi ithe parca of achiever in spertctaand ter ce-coricub ates Level (College Particular of Atty Year ‘StteMation) ‘Achiovemont with Remarks any) CE Ge inary eonbom abonontyon: Jin [Je as any ds Yes Thon Dota of Disciplinary Action Year Cn eee HomeTown ual Townstip oy ‘Are you Related to any person employed with Career Pint Unversity Yes): Name of Employed Person Designation Febtion ‘Aro you Related to Student of Caoor Pont University (it Yor: Name of taort cozse Name Fattion Name of tert couse Name Fobtion EMPLOYMENT HISTORY OF CANDIDATE (if Applicable, Attach experience certificate) Wiork Experience? |if "Yes" total years of work experience | sind Fon Last Desgnation yes No | Yeas Monts Fultere Farce Dette of currents job Organisation Name Adress of Organisation iy ua ADDITIONAL FACILITY REQUIRED Hostel Ys Ne “Transport ve Noyes Boning Poin os COMET ed Education Loan ves Ne Govt. Scholar ves No (ead a a 5 5 6 ™ Asa prospect ter of ett, [conf that understand a accept my sbloaton a5 a stdert af hs Insite and cry tat Lam accepted and sect | vill tiga by the stovsos of tha Act, States, Regulations, Ursrancas ules fhe het, 2 amed, arena afta rar ie tative nay er and mana, watoert ray rine onty feats as "Rules Rego", nde tat it woud be otatry an my pr 0 patpate in varus acoder, co-cuieu ard eta eric act irc But ratte 0 research, waning, nds vss, senna, study tous, parents ad the Actes ino outside the Campus. easizedanarged bythe Insitute on foyer ofthe fee and charges prescribed forthe pupose o tense as ‘cored tyne stints om meta ne lund that dng stay at stu, ive seen tacadeic stuses ad athe cx-curlr and exra cucu acts ard aul ne iveve rsa in any act hati egal, ant-seial ant-atnl ard may aus anylirdofharmteanc-studet tach, satay parsn Indra hate tuto wh rtut rr irtraton mayo oxtg charges ard may ergeso adtoal charges ander fo, moray te Insitute may tke deisos to altechange varus fcties provided oo be provide te tite, |shll beable compensite fee damages caused by me ote propa of ‘the Insts ete aloe or jy wih ahars ana tut ise to ake ticpiay acon agaist me ints respect as parte us 8 regulation of esis, _Altargl and ietangle mattis dveloped by nial jy with thar) dng ory sty ate Inite icra bat tot dnt to Boks, sofware, nw techs, fomube, nates, sides rapers, CD, ferns, srawigs,sintings, photographs, sutures, desis, rade, audos, videos, fins et. wir be th propery of teste ad al its ele eayigh’s, plan, tatorars, alc propety ght, pblsig slg tearsfeing, paring wit, assgnig to, tradeasing,tecastng pining ee shal fe wth the tut witout ry compensation to me The stitute stall witout my spect consent be eile o use my personal ard ote detals valli any or sch oglpupses dingy sya he stad vonsbretrs doom appeoiae, unde tht woul nt be sober hs imple ton an ape of any at, aed, dsp ete jst because tat any documento infrmatan required tobe suitain ay forts nite or be read andundrstcd by 1 oy parentslguardan at he tie of my aiisson and even thr as rot beens ea, undated, signed ar submited ar tas been comet o fevaly omitted to oe 30 rod, udertons, signed or submited ithe elbuatalyruritetoraly arterce wise braingonmeforalthe practical o (10) mm) 7) (13) i) 15) 16) pupases [echt that ar medely tanh wo communcabane serous diseases hott offs, ny sort of ace athrwise asa ebay ray ‘wpondsvcincursty te stuteonny ener ar hes or 0386 personaly ot ctherwse, duetoan/reason dung my stayatthe lsat [ages tat wel chee talking of epson raed by hstute ines but ot edo aise cncalstor, expen arrestin or ‘healer faci ye letize case hve Bean ound gy of any sore dscbadaneormiscondut of any othe ues aeguatons, vila nly ob toa thes tnarad penal aconas pa test code ct cardct ut woulals faethe lalate asparth bw ofthe nd andi tat cael saat have ny ight ta cin for rurd af fos anther amour pad totes, Fogrettatl shal studyatthe situ forthe canplete duration of te progr opto for ad if de to ary ean ave ftaw at any tine before the camplatn ot program sal bere ora nd frend, however ‘woul be ale apy the sue alle outer da in espe fe charges atheconcmedacatemi yet, Te stu esanes the ight to ame amend, reve, repealnd sire the uk Regulators, asand when cee: ard sale my uty okasp myst ‘wl yrsed ane td wth the mere ules 6 eguions ae aplcable ‘rortinata teeth tite halla eae espowbleoirmae ma separtel nay ana nhs regard. [aretha woul aheretotho at-agig pokey ofthe stun Incas of any valstion bye, he stitution may ake an apropt acton against meas beating requbatons 2000 Uthat salle final nding one. are tht the Hone Cour appcabe for Kata visicton weul be te ony cauttahandlal eisptsarsing ot of rin espect of allaraderic and other rattrsofallindperangtoelnstutinary spac ages shat sal study at tue forte cealte craton |ehallmantan ‘ner 75% attendance inanylcourses aig which th stitute may aka anyactn tat shall fa "oar tht in esac fay areresan eaves, tht hs et oun caved rer inespect ofl he rats, rot exesshprovied hee, the stitute ‘ray ak an appopnte doin hat sal be fal and bg en me all camecoeaod lamanere ofthe University thet the fes deposits fundabe, Sora of Apart Pe | the unersgnedhereby oclrethst, 1) Alloformaton heey subnet and stated erg th cours of atissansngrelted tee tothe best ory hrawbge andes carpe, tue anda ‘eae anal siporing snd armen t thio sib o stu are author. undertake a woe ibe allsors dir acon a tte i ‘Siratura of Const ray deat take against einlcing but rat restited to cacalaton oy admission. ulson rrustcaton ad ater aciensas per apalcabl es, ncas the

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