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    Tamralipta Mahavidyalaya: Tamluk:: Purba Medinipur Form No. Subject: Roll No.: Session: 2019-2020

    Uploaded by

    Junnu Rain Khan
    The document is an application form for admission to post-graduate courses at Tamralipta Mahavidyalaya in Purba Medinipur, West Bengal. It requests information such as the applicant's personal details, educational qualifications, category, and other necessary documents. The applicant must declare that they will abide by the college rules and not engage in ragging. The parent or guardian must also give a declaration acknowledging the application and agreeing not to ragging. The college provides instructions on the admission process and lists the required documents to be submitted with the application form.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Tamralipta Mahavidyalaya: Tamluk:: Purba Medinipur Form No. Subject: Roll No.: Session: 2019-2020

    Uploaded by

    Junnu Rain Khan
    49 views4 pages
    The document is an application form for admission to post-graduate courses at Tamralipta Mahavidyalaya in Purba Medinipur, West Bengal. It requests information such as the applicant's personal details, educational qualifications, category, and other necessary documents. The applicant must declare that they will abide by the college rules and not engage in ragging. The parent or guardian must also give a declaration acknowledging the application and agreeing not to ragging. The college provides instructions on the admission process and lists the required documents to be submitted with the application form.

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    The document is an application form for admission to post-graduate courses at Tamralipta Mahavidyalaya in Purba Medinipur, West Bengal. It requests information such as the applicant's personal details, educational qualifications, category, and other necessary documents. The applicant must declare that they will abide by the college rules and not engage in ragging. The parent or guardian must also give a declaration acknowledging the application and agreeing not to ragging. The college provides instructions on the admission process and lists the required documents to be submitted with the application form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views4 pages

    Tamralipta Mahavidyalaya: Tamluk:: Purba Medinipur Form No. Subject: Roll No.: Session: 2019-2020

    Uploaded by

    Junnu Rain Khan
    The document is an application form for admission to post-graduate courses at Tamralipta Mahavidyalaya in Purba Medinipur, West Bengal. It requests information such as the applicant's personal details, educational qualifications, category, and other necessary documents. The applicant must declare that they will abide by the college rules and not engage in ragging. The parent or guardian must also give a declaration acknowledging the application and agreeing not to ragging. The college provides instructions on the admission process and lists the required documents to be submitted with the application form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    TAMRALIPTA MAHAVIDYALAYA

    Form No.
    TAMLUK :: PURBA MEDINIPUR
    NAAC Accredited ‘A’ Grade College Subject:
    Roll No.:
    APPLICATION FORM Session: 2019-2020
    For admission to M.A./M.Sc./Other Courses

    To Affix recent
    The Principal passport size
    Tamralipta Mahavidyalaya coloured
    Tamluk, Purba Medinipur. photograph
    PIN – 721636.

    Sir,
    I beg to apply for admission to the Post-Graduate Course in …………………………………………… as a
    regular student for the session 2018-2019. (Subject)

    Yours faithfully,

    …………………………………………….
    Signature of the applicant
    Date:………………………….

    1. Name (in block letters) :

    2. Father’s /Spouse’s Name :

    3. Mother’s Name :

    4. Statement of Marks obtained at different examinations :

    Name of the Board/Council/ Subject(s) Year of Total Marks Percentage Div./


    Examination University Passing Marks obtained of Marks Class
    (1) (2) (3) (4) (5) (6) (7) (8)
    Madhyamik or
    Equivalent

    H.S. or Equivalent

    B.A./B.Sc./
    Hons. in …………..

    5. Date of Birth :

    6. Permanent Address :
    (with PIN code & Telephone/Mob. No.)

    7. Whether SC/ST/OBC-A/OBC-B /PWD : Gen SC ST OBC-A OBC-B PWD


    Pl. tick the appropriate box
    8. Whether Persons with Disability (PWD)
    Yes No
    (if yes, then PWD%…….
    Category of PWD……)

    9. Claim for (sports/culture) Quota :


    (if yes, then mention level: International/National/ Yes No
    State with supporting documents)
    10. Whether willing to appear at Entrance Test (Open Competition): Yes /No

    Yes No

    11. Sex :
    Male Female
    12. (i) Father’s /Mother’s/Spouse’s annual income :
    (ii) If BPL category, pl. attach certificate :
    13. Nationality :
    14. Religion :
    15. (i) Registration No. of this University : No……………… Year ………………

    (ii) Name & Registration No. of the University :


    last attended
    (In case of student migrating from other University)
    16. Any other information
    (with supporting documents) :

    DECLARATION BY THE STUDENT


    1. I do hereby declare that (a) all items of information provided in this form are true to the best of my
    knowledge and belief. If proved otherwise, I shall be punished as per rule; (b) I shall be a bonafide
    student of the institution and I shall not be engaged in any employment or any other work or course
    of study elsewhere during the course for which I am applying. If proved contrary, my admission shall
    be liable to be cancelled; (c) If any of the above statements is incorrect or if it is found that I have in
    any way contravened the provision of the rules and regulations relating to the eligibility for
    prosecuting Post Graduate study or relating to the eligibility for taking the University Examination
    after such study, my admission will liable to be cancelled and I shall not be entitled to get refund of
    fees paid by me; (d) I bind myself to abide by the code of conduct and discipline as may be enforced
    by the authorities from time to time; (e) If I do not attend lectures for 10 (ten) consecutive teaching
    days from the date of commencement of classes without prior information and valid reasons, my
    admission will be treated as cancelled; (f) I shall attend at least 75% of the total classes held in all
    Semesters.

    2. I do hereby undertake that (a) I will not indulge in any behavior or act that may come under the
    definition of ragging; (b) I will not participate in or abet or propagate ragging in any form; (c) I will not
    hurt anyone physically or psychologically or cause any other harm; (d) I hereby agree that if I am
    found guilty of any aspect of ragging, I may be punished as per the provisions of the UGC
    Regulations and/or as per the law in force.
    ………………………………………
    Signature of the applicant with date
    DECLARATION BY THE PARENT/GUARDIAN

    1. I declare that (a) information given by my ward is correct; (b) In the event of his/her being admitted
    to the institution, I shall pay all his/her dues, if any, till the completion of the course.

    2. I do hereby undertake that (a) my son/daughter/ward will not indulge in any act of ragging; (b) if
    he/she is found guilty of any aspect of ragging, he/she may be punished as per the provisions of
    UGC Regulation and/or as per the law in force.

    ……………………………………………….
    Signature of father/mother/guardian with date

    OFFICE USE

    Roll No.:
    ADMITTED

    Compared
    Principal
    Tamralipta Mahavidyalaya
    Signature of H.O.D./Course Co-ordinator

    Form No.

    Received an Application Form from ……………………………………………………….. for admission to


    M.A./M.Sc. in …………………………….……………………of Tamralipta Mahavidyalaya for the
    session 2019-2020. (Subject)

    ……………………………………………………
    Date: ………………… Signature of Receiving Assistant
    & Office Seal
    Past your recent
    passport size
    photo if you are
    willing to seat
    the Entrance
    test for 40%
    seat.
    No separate information will be sent to the candidate. The Merits Lists of the candidates for the
    different courses will be displayed on the Notice Board of the Tamralipta Mahavidyalaya and
    website specifying the date(s) for counselling and admission. Counselling and admission will be
    held on the same day.

    Any one failing to get himself/herself admitted on the specified date for any reason whatsoever will lose
    his/her right to admission and the vacancy will be filled up from the Merit List on the date of counselling.

    List of Documents to be sent to Tamralipta Mahavidyalaya

    1. Application Form (PAGE-1, PAGE-2 and PAGE-3)


    2. Self Attested Copy of all Marks Sheets
    3. Self Attested Copy of the Graduation Registration Certificate
    4. Self Attested Copy of the Birth Certificate (Ex. Madhyamik Admit)
    5. Self Attested Copy of the SC/ST/OBC-A/ OBC-B/ Minority Certificate (If applicable)
    6. Self Attested Copy of the PWD Certificate (If applicable)
    7. Self Attested Copy of the Sports/Cultural Certificate (If applicable for Sports/Cultural quota)
    8. Self Attested Copy of the BPL Certificate (If applicable)
    9. Supporting documents (If applicable for any other information)

    ……………….

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