ACCREDITED BY NAAC ‘A’
(AFFILIATED TO JNTUK, KAKINADA)
POST GRADUATE COURSES
PALNADU ROAD, NARASARAOPET- 522601
E-Mail: Tel : 08647-225753/7799339980
Application for admissionInto ……………………………………………20………….. / ICET Rank
Name of the Candidate
(In Block Letters)
Date of Birth
(DD/MM/YYYY)
Nationality
Religion / :
:
:
: / PHOTO
Details of Father/ Guardian / Father Name / Occupation / Annual Income
Candidate’s
Address for Communication / Present / Permanent
Category to which the Candidate
Belongs ( Put a tick in the box) / OC / BC / A / B / C / D / NCC / Sports / PH / Local / Non-Local / Any Other
ST / SC
Details of the
qualifying Examination / Degree / Period of study / College and
University / Year of Passing / Class and Percentage / Total Marks of all the Three Years
To be filled by the office
1. Course Admitted
2. Date of Admission
3. Admission Number
4. Fees receipt No.
5. Verified by / :
:
:
:
: / Principal’s Orders:
ADMIT/REJECT
Signature of the Principal
DECLARATION
I hereby solemnly and sincerely affirm that the statements made and information furnished by me in the application form and also in all the enclosures herein submitted by me are true and correct. I have not suppressed any information. Should it, however, be found that any information furnished therein is fraudulent, incorrect or untrue in material particulars, I realise that I am liable to criminal prosecution and I also agree to forego my seat or dismissal from the College.
I agree to obey the rules and regulations of the College now in existence and such other rules as may be made by the College authorities from time to time. I agree further to accept my transfer certificate at any time without notice if my progress or conduct in the college examinations and tutorial and lecture classes is not satisfactory in the opinion of the Principal of the College.
I have gone through the prospectus and noted that the courses are run in the College on self-financing basis and therefore, in the event of my discontinuance, I agree to pay the full fees for all the years of the course, unless otherwise the vacancy caused by my discontinuance is filled by another candidate and the college may retain my certificates until the arrears are paid.
Signature of the Parent / Guardian Signature of the Candidate
Date:
INSTRUCTIONS
1. All the columns in the application form must be filled up by the candidate in his/her own hand writing.
2. Any defect or false representation of information results in the rejection of admission.
3. All admissions are subject to the approval of University / APSHE.
4. Fees once paid shall not be refunded.
5. Enclose copies of the following statements:
a) Entrance Test Rank Card and Hall Ticket
b) Secondary School Certificate
c) Caste / Sports / NCC / NSS / physically handicapped / Ex-serviceman Certificate
d) Provisional Certificate of the qualifying examination
e) Marks Statements of the qualifying examination
f) Transfer and Conduct Certificates
The candidate should submit the original certificates at the time of admission. The Candidates of other Universities should submit migration certificate at the time.
Sri Subbaraya & Narayana COLLEGE
POST GRADUATE COURSES
PALNADU ROAD, NARASARAOPET
UNDERTAKING
I ...... hereby declare that I am interested in joining...... course to be held during the academic Year ...... in
Sri Subbaraya & Narayana College, Narasaraopet.
I will abide by all the rules and regulations of the college laid down from time to time. I will fulfill the condition of securing not less than 75% of attendance in theory classes and 90% of attendance in practical classes as per the rules and regulations of the University, failing which, I may not be allowed to continue the second year course of study.
All admissions are subject to the conditions stipulated by the College and University from time to time.
Any false representation made in the application results in summary dismissal of the candidate from the College with the forfeiture of the fee paid.
Fee once paid will not be refunded under any circumstances.
I am aware that the college works between 9-30 a. m. and 5-00 p. m., and I am also aware that no supplementary examinations will be held.
I declare that I will abide by these conditions and will not raise any objections regarding these conditions against
Sri Subbaraya & Narayana College, Narasaraopet or University.
I have gone through the prospectus and noted that the courses are run in the College on basis and therefore, in the event of my discontinuance, I agree to pay the full fees for all the years of the course, unless otherwise the vacancy caused by my discontinuance is filled up by another candidate and the College may retain my certificates until the arrears are paid.
Station: Signature of the Candidate
Date:
S.S. & N. COLLEGE, NARASARAOPET - 1 -