Panjab University, Chandigarh

Online Examination Form for Under Graduate Examination May 2021

No need to submit this form to Panjab University .

Candidate Type Private Candidate (Full Subjects)

Application No. 2141018333

Regd./PUPIN NO. 32200004202

Category Scheduled Caste

Centre of Examination Ludhiana

Name of Candidate RAJOLI

Father's Name OM PARKASH

Mother's Name RANI DEVI
Date of Birth 21-03-2002 PaymentType: Bank
Txn No. IGALCLTYG6
Aadhar NO. 991389721504 Name RAJOLI
Gender Female Amount(Rs) 1575
Deposit Date 10-05-2021 00:00:00
Nationality Indian Branch Code 742
Working in Government/Public
Sector
No
Mobile 6280705277
Email ID
Correspondence Address #175A,RAJGURU NAGAR EXTENSION,LUDHIANA
Permanent Address #175A,RAJGURU NAGAR EXTENSION,LUDHIANA
Course Information:
Course Bachelor of Arts
Semester 2
Current Subject(s) 1. English (Compulsory) [ENG]
2. Punjabi (Compulsory) [PBC]
3. Hindi (Elective) [HIN]
4. History [HIS]
5. Sociology [SOC]
Previous Information:
Course Bachelor of Arts
Semester/Year 1
Result Result Awaited
Roll No. 20001315
Passing Year 2020
University Panjab University, Chandigarh
Subject(s) ENG,PBC,HIN,HIS,SOC
Other Details:
Applied for Re-Evaluation No
Blind/Permanently disabled from
writing
No
Is UMC No
Is Environment Exam Passed No
Applied For Environment Exam No
Place:
Date: 10-05-2021 Full Signature of Candidate
 Panjab University, Chandigarh
Certificates
(For College/ Department of Evening Studies/University school of Open Learning Candidates)(Strike
out which is not applicable).

Certified That :
1. The candidate has remained on the rolls of this College/Department for the full academic year preceding the examination.
2. The candidate has passed, at least one academic year previously (except in compartment cases, appearing
simultaneously), the lower examination with the required subjects and % age of marks on the basis of which he/she is
eligible to appear in the exam.
3. The candidate has attended not less than 75% of the full course of lectures delivered to his/her class in each of the
paper being offered for examination.
4. The candidate has attended not less than 75% of periods assigned to practical work in each science subject or
Psychology, Home Science or in the case of Geography, Map work and Practical and 80% each in the subjects of
Physical Education and Defence and Strategic Studies.
5. The candidate has obtained at least 25% marks in the aggregate of all the combined results of (a) the house
examination held in November/December and (b) the internal assessment based on three monthly class tests held in
August, September and October respectively.
6. This college has duly been granted affiliation by the Panjab University which is valid upto date in the Course(s) being offered by the
candidate in his/her examination form and the number of candidates admitted and being sent for examination is within the strength sanctioned
by the University for the Course/Session.
7. The candidate bears a good moral character, that he/she has filled in and signed this examination form in my presence and has further
satisfied by production of authentic documents, that the statements made by him/her in the form are correct.

Place:_________________
(Full Signatures of the Principal/Chairperson Deptt. of
Evening Studies/University School of Open Learning with
official stamp)

Dated:_________________

Full Name of the Principal of the College/Chairperson

(Name of the College/Department with official Stamp)
__________________

Certificate for Late College Students (Colleges/University School of Open Learning/Evening Studies)
I certify that the applicant : -
(a) has previously appeared in the examination under Roll No.________________________ in Session________________ Year
_____________.
(b) has completed the prescribed course of lectures/practicals etc in the college or has been on the rolls of the Department of Evening
Studies/University School of Open Learning from July 20__ to April, 20__ in the subject/s offered by him/her and has paid continuation fee of
Rs. 40/- vide Receipt No.____________ Dated_______________.

(c) bears a good moral character.

(d) has signed the examination form in my presence and satisfied me by production of authentic documents and the statements made by
him/her are correct.

Full Signature of the Principal of the College/Chairperson

Date:_________________
U.S.O.L./D.E.S. (Last Attended) (With Official Stamp)
 Certificate for Private Candidates (other than late college students) (Items not applicable may be struck off)
I Certify that :
(i) I know the applicant personally. He/she bears a good moral character. His/her attested photograph is affixed. He/she has signed this
examination form in my presence and has satisfied me by production of authentic documents that the statements made by him/her in the form
are correct.
(ii) The applicant has been in continuous service since ______________________________ and will continue to be
as such till the commencement of the examination. He/She has completed at least 3 year service on 30th November
preceding the year of examination
(a) Name of Institution/Organisation/Deptt.___________________________________(b) Date of Joining
________________ (c) Rank/Designation ________________________
(iii) He/She has not been a regular student of an affiliated college during the academic year preceding the
examination.
(iv) There is no Evening College/Evening Classes in any college at the place where the applicant is employed OR he
was not granted departmental permission to join the Evening College/Evening Classes by the employer due to the
nature of his duties (Attach certificate) OR that the applicant was not granted admission in the Evening
College/Evening Classes by the Principal. In case there are more than one Evening College/Classes, this certificate
may be obtained from all of them.(This certificate is not needed by women candidates).
(v) For Defence Personnel Only: (a) he/she is a bonafied (permanent) resident of _______________District in the
State of Punjab/Haryana/Himachal Pradesh/Chandigarh (U.T.) _________________________
(b) He has been working in the ____________________ State since (Month)______________
(Year)______________ and will continue till the commencement of examination.

Note : Teacher of Govt. Primary/Middle/High School should get their forms attested by the Distt. Education Officer/Circle
Education Officer.

(Signatures & Stamp of the Head of

Institution/Organisation/Deptt. where candidate is
employed or any other attesting authority)
Name of the Attesting Authority(in Capitals)
Designation:_________________
Dated: _________________

CHECK LIST OF DOCUMENTS/INFORMATION (To be supplied by the Private Candidates Only)

If you did not attach the following documents,you may be declared Not Eligible.
1. Have you passed the qualifying examination from this University? Yes/No. If yes, there is no need to attach the original Detailed Marks Card.
2. (a) Have you passed the qualifying examination from the Board/University/Council other than Panjab University? Yes/No
(b) If yes,attach the Original Detailed Marks and Migration Certificates from the Board/University/Council.
3. Have you got your examination form attested by a competent authority as prescribed by the Panjab University?Yes/No
4. Have you filled in all the columns of the examination form properly and that no column has been left blank?Yes/No
5. Have you attached three copies of your latest passport size photograph from one and the same negative?Yes/No
6. Have you attached the SC/ST/BC certificate issued by the competent authority (if applicable)?Yes/No
7. Have you paid late fee, additional fee, special fee etc. (if any)Yes/No
(Full Signature
Date _________________
of Candidate)
(For Office Use only)

Not
Eligible _________________
Eligible_________________

Eligible Subject to_________________ Reasons_________________

Dealing Official A.S.O. O.S.E. Dealing Official A.S.O. O.S.E. A.R.E