Govt.

Rajindra College Bathinda

Admission Form (2019-20) Application/Form No: 71206-37733
Admission Class: BA Sem-I
Category Applied: Scheduled Caste/ Scheduled Tribe
UNIVERSITY APPLICATION ID:
PERSONAL DETAILS College Applicant ID: 190300038831
Applicant's Name: GURMEET SINGH
Father's Name: BALDEV SINGH Mother's Name: GEBO KAUR
Father's Occupation: Labour/Sweeper/Maid Father's Mob:
Annual Income: 50,001 to 1,00,000 Gender: Male
Caste: SC Religion: Sikh
Guardian:
Date of Birth: 20-Aug-2000 Blood Group: B+
Mobile No: 9876844128 E-Mail ID: gurmeetgurmet485@gmail
.com
Registration No: Medium: Punjabi
Aadhar No: 832835581244 Parking:
PERMANANT ADDRESS
Nationality: INDIAN Area Type: Rural
Address Line 1: 17/A Address Line 2:
City / Village: SINGHEWALA Tehsil: Malout
District: Muktsar State: Punjab
Country: India PIN Code: 152113

MISCELLANEOUS
Gap Case: No Criminal Case: No
Punjabi Passed In Matric: Yes
SUBJECT PREFERENCE
1: English 2: Punjabi 3: Economics
4: History 5: Political Science 6: Punjabi (Literature)
7: Geography

LOWER EXAM DETAILS

Exam Name Board / Univ. Year- Roll No Obt. Max. %age
Month Marks Marks
10+2 Arts PSEB, MOHALI 2019-04 2019498983 326.00 450 72.44
MARKS & WEIGHTAGE DETAILS
Marks in Lower Exam: 326.00 / 450 - Marks in Related Subject: N/A
72.44%
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BANK ACCOUNT DETAILS

Bank Name: Central Bank of India
Bank Account No: 3477051756 Bank Branch: BADAL
IFSC Code: CBIN0280333 MICR Code: 152016287

DECLARATION BY APPLICANT
I declare and affirm that:
1. I have read all rules and regulations in the prospectus and will abide by them.
2. All the facts and figures filled in this form are true to my knowledge and belief. If any of these is
found to be false then my name may be struck off from college rolls.
3. I will not enroll in any other course or institute or job.
4. I take admission on my own risk and responsibility. If University does not approve my admission I
will not lay any claim against the college.
5. I will ensure at least 75% attendance.

Applicant's Signature
DECLARATION BY FATHER / GUARDIAN
1. I have read all rules and regulations in the prospectus and will abide by them.
2. I will pay all due fee and funds of my son / daughter.

Father/Guardian's Signature
ADMISSION COMMITTEE RECOMMENDATIONS

Member 1 Member 2 Member 3 Member 4

It is certified that the applicant is found to be eligible for provisional admission and is recommended
to be admitted as per specified merit / category. I have checked all documents and merit.

Convener's Signature

Principal's Signature