GURU NANAK DEV ENGINEERING COLLEGE, LUDHIANA

(An Autonomous College Under UGC Act)

AICTE Approved ,NBA Accredited

Punjab Govt. Aided Status - Affiliated to PTU Jalandhar

From Ludhiana to....................……………………………………………………………................................

From............………………………………………………………………......................................to Ludhiana

Application form for Railway MST/Concession

1. Name (in Capital) : .....................................................................................

2. Father’s/ Guardian’s Name : .......……………………………………………………………………........

3. Date of Birth : …………………………………………………………………………….......

4. Date of Current Admission : …………………………………………………………………………….......

5. If Hosteller in which Hostel : ………………………………………………………………………….........

(name)Residing

6. Scholar No. / Class/ Branch : ……………………………………………………………………………......

7. Full Address as per Application : ……………………………………………………………………………......

given for admission (for MST/ …………………………………………………………………………….......

Rly. Concession) …………………………………………………………………………….......

8. Name of Nearest Rly. Station : ……………………………………………………………………………....

9. Period of MST/Rly. Concession : ……………………………………………………………………………....

10. My Identity Card is enclosed for

Verification of entries : …………………………………………………………………………….....

11. Mobile No of Student : ……………………………………………………………………………....

12. Email ID : …………………………………………………………………………….....

Signature of Student

For remark by concession Deptt./Guide/Exam. Supdt./ Prof. I/ c (Acad)/Hostel Warden

(FOR OFFICE USE ONLY)

I have checked the above particulars and found correct as per rules Necessary entry is

made in the register page No. …………………………………… Rly. Concession/ MST may be

issued.

I/c Rly. Con. I/c Academic Sect. Registrar The Reqd. Certificate/ MST Received the Certificate MST/

Rly. Concession.

No. ……………………………………. No. …………………………………….

Dated ………………………………… Dated …………………………………

I/c Concession signature of student