UG Application Form 2013

7/28/2019 UG Application Form 2013

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DD No. _________ (Rs. 1000/- for General Category and Rs. 750/- for SC/ST/PH)

Dr. Yashwant Singh Parmar University of

Horticulture and Forestry, Solan -173230 (HP)

Application Form

Academic Session 2013-14

FOR OFFICE USERoll No. & COE _________________________________

Category _________________________________

Checked by _________________________________

-------------------------------------------------------------------------NOTE: READ INSTRUCTIONS GIVEN IN THE PROSPECTUS

---------------------------------------------------------------------------------------------------1. Applied against general seat/ self-financing seat

(Please mention clearly)

2. Name of the Candidate __________________________________________

3. a) Fathers Name __________________________________________

Occupation __________________________________________

b) Mothers Name __________________________________________

4. Nationality ________________ 5. Gender: Male/ Female

6. Date of Birth __________________________________________

7. Permanent Address 8. Address for Correspondence

__________________________________ ____________________________________

__________________________________ ____________________________________

__________________________________ ____________________________________

Pin Code_____ Phone No ___________ Pin Code_______ Phone No __________

Write carefully Yes or No in appropriate boxes and attach relevant certificates.

9. Are you bonafide/domicile resident of Himachal Pradesh? (See Form-I)

10. Do you belong to Scheduled Caste (SC)? (See Form-IV)11. Do you belong to Scheduled Tribe (ST)?(See Form-V)

12. Do you belong to Other Backward Classes (OBC)? (See Form-III)

13. Have you passed your High School Examination from a school located in

rural area? (See Form-II)

14. Do you belong to IRDP/ BPL family?

15. Are you a ward of serving/ ex-defence personnel?

16. Are you a ward of serving/ retired CAPFs personnel?

17. Is your father a Gallantry Award winner? (See Form-VI)

18. Are you a single girl child?

19. Are you a person with disability (PH)?

Latest Photo

duly attested


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20. Do you belong to displaced family whose land has been acquired for

establishment of Dr Y S Parmar University of Horticulture & Forestry?

21. Have you represented your District or University or State or Country in

Sports/ Games/ NCC/ other co-curricular activities?

22. Have you been dropped/ suspended/ expelled/rusticated or refused

admission in any University/ Educational Institution in India?

23. Is any criminal charge pending against you?24. Education from 10

thClass onwards

MarksExam.

passed

Name of Board Name of School Yr. of

passing Max.

Marks

Marks

Obtained

10th

12th

25. Experience (for inservice candidates only)

Instt./Dept./Univ. Post held Pay Date of joining Date of Leaving

Declaration: I solemnly declare that the statements made by me in the form are complete and true

to the best of my knowledge and belief and I accept liability for action under the rules and

regulations of the University for any mis-statement or concealment of facts.

Signature of Applicant

Signature of Parent/ Guardian

Signature of Attesting Officer (with office seal)

---------------------------------------------------------------------------------------------------------------------

NOTE:

1. The attested copies of all the relevant certificates are required to be attached with application formotherwise claim shall not be entertained.Please see format of various certificates before makingclaim for reservation. The category of the candidate shall not be changed under any circumstances

after declaration of result of entrance test.2. Single girl child means the only child that too a girl.3. The checklist for submission of application form:

i) Application Form and Admit Card duly filledii) Attested copy of High School Certificate (10th Class)iii) Attested copy of 10+2 level certificate showing details of marks obtained (exempted in

case of candidates appearing in March/ April, 2013)

iv) Attested copy of SC/ ST/ OBC/ PH Certificate (If Applicable)v) Attested copy of certificate having passed 10th class from rural area on prescribed format/

belonging to IRDP/BPL family (If applicable)

vi) Attested copy of the certificate of serving/ ex-defence personnel/serving or retired CAPFspersonnel/single girl child/ ward of displaced family (If applicable).

vii) Attested copy of certificate showing District/ University/ State/ Country representation insports/ games/ other co-curricular activities (If applicable).


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Dr Yashwant Singh Parmar University of

Horticulture & Forestry, Nauni-Solan (HP) - 173230

(Academic Session 2013-14)

Admit Card for appearing in the Entrance Test

for admission to Undergraduate Programme only

(UGET-2013)

(To be assigned by the office)

1. Name _______________________________________2. Fathers Name _______________________________________3. Address for Correspondence ____________________________________

____________________________________

Pin Code _________ _________

1. Date of Written Test: 16th June, 2013 (Sunday)2. Reporting Time in the examination hall: 10.30 AM3. No entry after: 11.30 AM4. Cannot leave before: 12.30 PM5. Venue:

_______________________________(Please mention clearly)

Choice of Venue:

College of Horticulture, University Campus, Nauni-Solan College of Forestry, University Campus, Nauni-Solan Guru Gobind Singh Public High School, Mandi (HP) Swami Vivekanand Senior Secondary School, Ram Nagar, Mandi (HP) KLB DAV College for Girls, Palampur District Kangra (HP)

Signature of the Applicant REGISTRAR

Latest photo

duly attestedRoll No.


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INSTRUCTIONS FOR CANDIDATES

1. This Admit Card is issued provisionally subject to the condition that ifineligibility is detected at any stage, candidature will be cancelled.

2. No entry is permitted to examination hall without Admit Card.3. Cell Phones, pagers, calculators are strictly prohibited.4. Do not carry any article into the Examination Hall.5. Do not attempt to give/ obtain irregular assistance of any kind.

Impersonation will invite strict action.

6. Do not put any stray marks on the answer sheet.7. Any attempt to remove pages from question booklet or note down

questions will result in cancellation of candidature and expulsion.8. Improper conduct will entail expulsion.9. Change of answer sheet is not permissible.10. For each correct response, one mark will be awarded. Zero mark will be

given for questions not attempted, wrong answer. Any answer havingmore than one entry will be treated as wrong answer.

11. The university reserves all rights to verify identity and genuineness ofeach candidate.

12. Preserve this Admit Card until completion of admission process andproduce it before the counseling committee at the time of counselling.

13. Failure to comply with these instructions will entail expulsion/cancellation of candidature or appropriate legal action.


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Horticulture & Forestry, Nauni- Solan (HP) -173230

ACKNOWLEDGEMENT CARD

This is to acknowledge receipt of your downloaded application for admission to

Undergraduate Programme(s) for the Academic Session 2013-14. Please quote application

number allotted in all correspondence.

Central Diarist

Office of the Registrar-----------------------------------------------------------------------------------------------------------------

Note: Please write your mailing address on reverse of this card.

ON INDIA GOVERNMENT SERVICE

To

_____________________________________________

_____________________________________________

_____________________________________________

From:

The Registrar


Horticulture & Forestry, Nauni, Solan (HP) 173 230

Postage

stamps of

Rs. 5/-


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SPECIMEN FORMAT OF CERTIFICATES TO BE SUPPLIED BY THE CANDIDATE

FOR CLAIMING RESERVATION

---------------------------------------------------------------------------------------------------

PROFORMA OF CERTIFICATE FOR BONAFIDE/ DOMICILE RESIDENT OF

HIMACHAL PRADESH

FORM-I

Certified that Mr/ Ms ____________________________________ son/daughter of Shri

_______________________________________ resident of Village/ town ___________ Post

Office ________________ Tehsil ______________ District _________________ is a bonafide

Himachali having his/ her permanent home in Himachal Pradesh.

OR

1. A Government Employee residing in Himachal Pradesh for a period of 20 years or above;or

2. Residing in Himachal Pradesh for a period of 25 years or above; or3. Having his permanent home in Himachal Pradesh but living outside Himachal Pradesh on

account of his occupation.

Signature with Stamp

Tehsildar/ SDO (Civil)/

SDM

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FORM-II

PROFORMA OF CERTIFICATE FOR HAVING PASSED HIGH SCHOOL FROM

RURAL AREA OF HIMACHAL PRADESH

It is certified that ______________________________________ son/ daughter of Shri

_________________________________ has passed his/ her 10th/ High School Examination from

______________________________________ (Name of the School) which is located outside the

limits of Municipal Corporation/ Municipal Council/Nagar Panchayat/ Cantonment Board.

Signature with stamp of the

SDM/ Executive Magistrate


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FORM-III

CERTIFICATE OF OTHER BACKWARD CLASSES

Tehsildar___________

District ____________

SEAL

It is certified that ___________________________________ Son/ daughter of Shri

________________________________ resident of village/ town _____________________ Post

office _________________ Tehsil ______________________ District ______________ belongs

to _________________________ community which is recognized as Other Backward Class

(OBC) by the Himachal Pradesh Government.

Shri ___________________________________ and his/ her family ordinarily reside in

village/ town ______________________ Post office _____________________ Tehsil

______________ District _____________________ of Himachal Pradesh.

Date__________________ Executive Magistrate

NB:

1. The term Ordinarily used here will have the same meaning as in Section 20 of theRepresentation of the Peoples Act, 1950.2. Where the certificate is issued by Gazetted Officers of the Union Government or State

Government, they should be in the same form but countersigned by the District

Magistrate or Deputy Commissioner. (Certificates issued by Gazetted Officers and

attested by District Magistrate/ Deputy Commissioner is not sufficient).

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FORM-IV

CERTIFICATE OF SCHEDULED CASTE


District ____________

SEAL



office _________________ Tehsil ______________________ District ______________ OF

Himachal Pradesh State belongs to ____________ caste which is recognized as Schedule Caste by

the Himachal Pradesh Government.






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FORM-V

CERTIFICATE OF SCHEDULED TRIBE


District ____________

SEAL



office _________________ Tehsil ______________________ District ______________ OF

Himachal Pradesh State belongs to ____________ Tribe which is recognized as Schedule Tribe by

the Himachal Pradesh Government.





---------------------------------------------------------------------------------------------------

FORM-VI

WARDS OF GALLANTRY AWARD WINNER

Certified that ________________________________________ son/daughter of Shri

_________________________________________ who is serving/ ex-defence personnel belongs

to Village/ town _________________ Post office _______________ Tehsil __________________

District _________________ and his rank is/ was / was not awarded any gallantry awards. The

particulars of the Gallantry Award granted to him are as under:

Name of the Award: _______________

Year of Grant: ____________________

Dated: __________________________

Signature with Stamp

Commanding Officer/

Deputy Director,

Zila Sainik Board


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FORM- VII (i)

PROFORMA OF THE CERTIFICATE FOR THE WARDS OF DISPLACED FAMILY

Certified that _______________________________________ son/ daughter of Shri

__________________________________________________________son/ legal heir of Shri

________________________________ resident of Village _________________ Post

Office_______________________Tehsil_____________________District _______________

whose land comprised of Khata No./Khatauni No. ____________________ Khasra No.

___________________ area _______________ was acquired for the establishment of the Dr

Yashwant Singh Parmar University of Horticulture & Forestry, Nauni, Solan (HP).

Sub-divisional Magistrate

FORM-VII (ii)

PROFORMA OF THE AFFIDAVIT/ UNDERTAKING TO BE FURNISHED FOR

ADMISSION AGAINST SEAT RESERVED FOR WARDS OF DISPLACED FAMILY

Affidavit by Parent

I _________________________________________ Son/ Daughter of Shri__________________________________ resident of Village _________________, Post Office

__________________________________ Tehsil ____________________ District

___________________ Himachal Pradesh do hereby undertake that my son/ daughter

____________________ has applied for admission to Undergraduate Programme in the Dr

Yashwant Singh Parmar University of Horticulture & Forestry for the Academic Session 2013-14

and that the benefit of reservation available for the wards of displaced families has never been

extended to any member of my family. I also affirm that in case the declaration is found to be

untrue, I am aware that the admission of my son/ daughter is liable to be cancelled.

Declared, this _____ day of ______month of ______ year.

Signature of the deponent

Name_________________

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no

part of the affidavit is false and nothing has been concealed or mis-stated therein.

Verified at __________ on this the ___ day of _____ month ____ year.

Signature of the deponent

Solemnly affirmed and signed in my presence on this the ________ day of ______ month

of __________ year after reading the contents of this affidavit.

Oath Commissioner

Documents

UG Application Form 2013