Dear Sir / Madam
   
I wish to enrol myself in your college for ______________________________
 
(Name of course)
   
In Classroom Coaching Correspondence Course
   
MY PERSONAL DATA IS AS UNDER :
 
 
  Name : _________________________________________________________________________________
  (IN CAPITAL LETTERS)
   
  Father's / Guardian's Name : ________________________________________________________________
 
 
_______________________________________________________________________________________
 
 
Date of Birth : ___________________________________ Sex :   Mail Femail
 
 
Address for communication : _________________________________________________________________
  (IN CAPITAL LETTERS)
 
_______________________________________________________________________________________
 
  _____________________________________________ Pin .______________________________________
       
Ph. : (Resi.) ___________________________________ Off . ______________________________________
(Father/Guardian's)
   
Last Examination Passed (University / Board Level) _______________________________________________
 
Percentage of marks obtained in last examination passed (Board / University Level) ________________________
           
Do you Beiong to SC/ST/OBC/Minority (If yes, please specify ) : _____________________________________
 

Any Other information _____________________________________________________________________

(You deem fit to mention )    
  _____________________________________________________________________
       
       
       
Date : _______________
_______________________
________________________
 
Signature of Candidate
Signature of Father/Guardian
       
       

..............................................................................................

   
For enrolling in classroom coaching enclose Demand Draft/Money Order Receipt (Rs, _________________ DD/Mo receipt No. ___________ ) in favour of "Sachdeva New P.T. College", with this form and complete the following columns and deposit it / mail it to the Centre you would like to enrol with. In case of correspondence course mail it to Co-ordinator at 526, Industrial Estate, Patparganj. Delhi-92
       
       
Name of the Bank / Post Office : ______________________________________________________________
       
Draft / M.O. Number : ______________________________________________________________________
 
     
Date : _______________
Amount : _______________
Amount : _______________________________
 
(In Figures)
(in words)
 
 
 
 
INSTRUCTIONS
 
     
1.
This Enrolment Form is key part of the admission process. Complete it carefully, accurate answers to the questions are extremely important. In case of incomplete or false information the candidature is liable to be cancelled. Admission granted on the basis of false information will be ipso-facto, null and void.
 
     
2.
Enrolment Form not accompanied by remittance or incomplete from will not be entertained.
 
     
3.
The roll number and the result of Examination should be intimated to the Centre Administrator/
Co-ordinator, for compilation of results as soon as possible.
 
     
4.
The student should set aside some time of the study of notes provided by this institution, and study the notes provided to him/her carefully and diligently.
 
     
5. The material given to student is our copyright and is meant for his/her use only.  
     
DECLARATION  
     
I hereby apply for admission to ____________________ of Sachdeva New P.T. College and I
declare that
(Name of Course)
 
 
 
     
*
All the information given by me in the Enrolment Form is true and complete to the best of my
knowledge and belief.
 
     
*
I have read the form and the instructions thoroughly and agree to abide by the requirements,
contained therein.
 
     
*
I will intimate to the College my roll number of the Examination I intend to appear and my result
as and when I receive it.
 
     
The college reserve the right to use my photograph for publication of results.  
     
Date : _______________
______________________
_________________________
 
Signature of Father/Guardian
Signature of Student
 
     
#############################################################################################
     
 
For Office Use Only
 
     
 
Fee Receipt No. : _____________________
Date :
_____________________
       
For Rs. :
_____________________
Balance if any :
_____________________
 
     
     
THE COPIES OF ACADEMIC CERTIFICATE AND MARK SHEETS
SHOULD BE ATTACHED TO THIS FORM
 
BEFORE MAILING/SUBMITTING READ THIS FORM AGAIN AND MAKE SURE THAT YOU
HAVE COMPLETED ALL ITEMS AND COMPLIED WITH ALL REQUIREMENTS
 
 

 
Enrolment Number : ______________________ Date of Enrolment : ___________________
 
     
 
 
 
   
   
       
     
   
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