Maharana Pratap Govt.
College, Amb
STUDENT ADMISSION FORM
Session 2024-25
Student Detail
Student ID: 2207087 Please affix your
passport
Name Ridhanshi size photograph here
Email ID: ridhanshi66thakur@gmail.com
Programme: BCA - Bachelor of Computer Applications
Semester / year 5th Sem
Session 2024-25
Admission Date: Aug. 4, 2022, 12:17 p.m.
University Roll No. 6220010041 College Roll No. 22BCA028
Parents / Guardian Info
Father’s Name (As per matric certificate) MANGLESH SINGH Father occupation PRIVATE JOB
Mother’s Name (As per matric certificate) BABITA RANI Mother occupation HOUSEWIFE
Father’s Mobile no.(mandatory) Whats App No.
Guardian/Parent Mobile no. MANGLESH SINGH Guardian Relation
Personal Profile
Gender Female Date of Birth Oct. 14, 2004
Nationality Indian Mobile No. 8626920368
Programme (UGC CBCS) Details
Nature of Course Course Title
Core Compulsory Computer Oriented Statistical Methods + Practical Lab - X (BCA0505)
Management Information System (BCA0503)
Operating System (BCA0501)
ASP Dotnet Technologies + Practical Lab - IX (BCA0504)
eCommerce (BCA0502)
Categories As Per Roster
Admission Category General Religion Hindu
Blood Group Marital Status Single
Aadhar Card No. 522657477821 Sports No
IRDP No NSS No
NCC No Cultural No
Single Girl Child No Physically handicapped / (PH) Disabled (with percentage) No
HP Bonafide Yes Gap after 12th No
Address
Permanent Address Correspondence Address
Vill VILL TATEHRA PO OEL TEH Tehsil GHANARI Vill VILL TATEHRA PO OEL TEH Tehsil GHANARI
GHANARI DISTT UNA GHANARI DISTT UNA
City GHANARI District UNA City GHANARI District UNA
State Himachal Pradesh Pin 177206 State Himachal Pradesh Pin 177206
Code Code
Academic Records / Documents
Exam Session Roll No. Name of Maximum Marks Percentage Subject Name of School /
Passed University / Marks Obtained Offered College of study
Board
Matric 2020 2014458021 HPBOSE 700 632 90.29 As Per SWAMI
General VIVEKANAND
Stream PUB.SR SEC
SCHOOL GAGRET
10+2 2022 2244458034 HPBOSE 500 433 86.60 NON- SWAMI
MEDICAL VIVEKANAND
PUB.SR SEC
SCHOOL GAGRET
DOCUMENTS UPLOADED DIGITALLY
Matric Certificate Yes
10+2 Certificate: Yes
HP-Bonafide Certificate: Yes
Anti Ragging Declaration
I promise that I will not indulge in Ragging or any form of violent behaviour. Neither will I tolerate being ragged
or subjected to violence. I understand that if I am accused of Ragging, the responsibility is on me to prove that
I am not guilty.
म वादा करता/करती हूँ िक म रै गग या िकसी भी कार के हसक यवहार म शािमल नह होऊँगा/होऊँगी। न ही म रै गग या हसा का शकार होना बदा त
क ँ गा/क ँ गी। म समझता/समझती हूं िक अगर मुझ पर रै गग का आरोप लगाया जाता है, तो यह सािबत करने क ज मेदारी मेरी है िक म दोषी नह हू।ं
Anti Ragging Registration Number : 18001805522
UNDERTAKING
Note: Online admission is provisional subject to physical verification of the original documents. If any
discrepancy found/ false information furnished by the candidate then his / her admission will stand cancelled and
fee deposited will not be refunded. Further it is certified that:
i) All the particulars stated above are correct.
ii) I am applying for the admission with the consent of my Parents/Guardian who promises to pay my college
dues regularly.
iii) I will not take part in any political, anti-social and anti-national activities.
iv) I will not indulge in any act of ragging, indiscipline and violence and that if found guilty of such offences I
will have no claim against the order of my rustication/expulsion /suspension from the College/University.
v) I will be regular in my attendance and will complete 75% of lectures delivered, failing which I shall not be
entitled to take university examination.
vi) I will appear in house examination and fulfill the condition of eligibility. Any punishment to which my
son/daughter/ ward shall be liable if found guilty of ragging, will be acceptable to me.
Signature of Parent/Guardian Signature of the Student
VERIFICATION
This is to be 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 cancealed or misstated therein. Verified at (Place) .................................... on this
the (day)
...................................... of (month) ......................................, year.
To be countersigned by the Principal/Convener of the concerned Signature of
Committee. Deponent
FOR USE OF ADMISSION COMMITTEE
Enclosures/Entries verified
Member of admission committee Convener(Admission Committee)
(1) Verified by : Mr_HarjeetS (2) Approved by : MS_MonikaJ __________________________
(For Use of Scrutiny Committee)
Recommended for admission Admit
Signature of Senior member of Committee
Principal
(For Office use only)
Fee received vide receipt no : _________ Date : ________
Signature of Dealing clerk
