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Father's Name (Exactly as per Matric Certificate) GULSHAN MEHTA /गु लशन मे हता
Mother's Name (Exactly as per Matric Certificate) UMA MEHTA /उमा मेहता
Sex Female
Email ID kanika3556@gmail.com
Have you been disqualified by this University/Board form appearing in any examination? No
Permanent Address
Correspondence Address
House no.152 Ward no.5 P.O Nagrota Bagwan Teh Nagrota Bagwan
House no.152 Ward no.5 P.O Nagrota Bagwan Teh Nagrota Bagwan
Distt.kangra 176047
Distt.kangra 176047
DECLARATION
I solemnly declare that the above particulars have been filled by me and are correct to the best of my knowlegde and
belief and in any case of any discrepancy found therein subsequently at any stage I shall be responsible for the
consequences arising out there from and liable to disqualify by the University.
Candidate's Signature
Note : Normal Date and Examination fee without late fee has been shown in the form(PDF), Late fee if any applicable
will be charged by the concerned college as per the Exam fee schedule notified by the University. Kindly submit the
hard copy of regular students examination form in the concered college well before the last date for dully verification
and counsigned by the concerned colleges Principal. The college authority will submit the course-wise branch-wise
lists of students so generated after online verification of students records alongwith the verified and countersigned
exam forms and consolidated exam fee in the O/o the Asstt Registrar(Exam.), Himachal Pradesh Technical University,
Campus at Govt. Polytechnic- Baru, PO-Mohin, Distt. Hamirpur (H.P) Pin-177030 . within the stipulated period.
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Himachal Pradesh Technical University http://apps.indiaresults.com/hp/hptu/examination-forms-registrations-201...
Certificate No-I
Certified that:-
i. He/She has attended regularly the prescribed courses for the relevant semester and attended not less than 75% of lectures including
tutorials, Drawing work, Practical work in laboratories/workshop and survey field in each subject of the examination and has fulfilled all
conditions lay down in the ordinance in force
ii. He/ She have passed the examination which makes him/her eligible for admission to this course as provided in the ordinance.
iii. He/ She have worked diligently throughout the period and have obtained pass marks in all the session and his/her conduct and
behavior has been satisfactory.
iv. He/ She has satisfied me by production of authentic documents that the particulars filled in by him/her overleaf are correct and has
signed this Admission form in my presence and has paid the Admission Fee.
v. He/ She have passed all the lower semester examinations.
vi. He/She is appearing in this examination simultaneously along with __________________________________ semester
examination.
vii. He/ She has passed __________ Semester Examination and Passed/Re appear.
(Strike off Column V or VI which is not applicable)
I further certify that the candidate has been on Roll of this College throughout the semester period preceding the
examination and is eligible to appear in the examination, under the Rules.
Date:- Principal
Important Note: - Before attestation, the authority may kindly ensure that the entire particulars filled by the candidate
have been checked and verified an their end, particularly in column 5 & 7 overlies.
Certificate No-II
(For Late College/Re-appear candidates)
Certified that:-
i. The candidate has completed the prescribed course of lectures in the month & Session year 20____ and is eligible to appear as ex-
student having fulfilled the conditions laid down under the ordinance. He/She is a good moral character, and the statement given by
him/her overlief is corrent and he/she has signed this Admission Form in my presence.
ii. The candidate appeared as college candidate last month of and placed under Re-appear in the Paper(s)
Date:- Principal
Particulars and eligibility checked, Discrepancy if any, entered at page in the Discrepancy Register.
Eligible/Not Eligible
1. 2.
Signature of the Officials concerned
Assistant Supdt. (Exams)
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