Combined Application Form

8- Address of Correspondence:

City:

Pin Code:

9- Permanent Address:

City:

Pin Code:

10- Date of Birth:

Day	Month	Year

11- Gender:

Male Female

12- Category:

GEN OBC SC ST MIN

13- Religion:

14- State of Domicile:

Uttarakhand Other Name Of State:

15- Nationality.

16- Aadhar No (If any)

17- Annual Family Income:

Exam Passed	Board/University	Subject	Marks		Remarks
Exam Passed	Board/University	Subject	Marks Obtained	Full Marks	Remarks

DECLARATION

1. hereby declare that I carefully read and understand the instruction of admission and particulars mentioned in the application form are true and correct to the best of my knowledge and belief If any information given by me found incorrect. I shall abide by the decisions of the University authorities.

2. Registration for the mentioned course will be valid only when payment of tuition fee realized in the accounts.

3. I shall abide by all the rules and regulation of the University to maintain discipline and harmony in the campus.

4. I shall not indulge in any act of Ragging and act against the dignity of elders and women.

5. I will keep my campus clean free from plastic element to save environment.

I hereby declare that my ward will not indulge in any act of ragging and shall not cause or cause to do such act/s that may disturb the dignity of any person/s in the campus. Rules and regulation of the university will be binding on my ward and me.

Signature of Father

Signature of Mother

Signature of Student

FOR OFFICE USE ONLY

Admission

Granted

Admission

Waiting

Rejected

Admission in-charge

Registration No.:

Receipt No.:

Date of Admission

Day	Month	Year

Course Code

Enrollment No

13- Date:

Following self-attested copies of documents enclosing herewith:

10th Mark Sheet (from recognized board)
12th Mark Sheet (from recognized board)
10th Pass Certificate (from recognized board)
12th Pass Certificate (from recognized board)
Graduation Marks Sheet
Post Graduation Marks Sheet
Domicile (for permanent residents of Uttarakhand) and claiming Government facilities.
Annual Income Certificate
Transfer certificate / Migration Certificate (original)
Character Certificate
10 Passport Size Photographs
Proof of entitlement for a particular reservation category (SC/ST/OBC/MIN Certificate)
Pre-Qualifying test score card (if any)
Passport copy (for Foreign Nationals/PIO/NRI)
Aadhar Card
Any other document required

HIMALAYAN GARHWAL UNIVERSITY

APPLICATION FORM

DECLARATION

FOR OFFICE USE ONLY