1.	 Programme Applied For :
(for programme list see the Information Brochure)
2.	 Details of Qualifying Entrance Examinati...
7.	 Educational Qualifications:
Examination
Passed
Name of The
Stream
Name of the School / College
and Board / University
...
Jagan Nath University
Sir,
I wish to apply for admission to Jagan Nath University, Haryana and promise to abide by the Rul...
Rules & Regulations
Non-Refund of Fees
The fees once paid are not refundable for any reason whatsoever.
Only Security Depo...
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Jagan Nath University Application Form

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Here you can find out application form for admission.

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Transcript of "Jagan Nath University Application Form"

  1. 1. 1. Programme Applied For : (for programme list see the Information Brochure) 2. Details of Qualifying Entrance Examination : Name of Qualifying Examination Month & Year Score/Rank 3. Personal Details : Name (Mr. / Ms.) : DD MM YY (Years) (M/F) (Married/Unmarried) Date of Birth : Age : Gender : Marital Status : Category :   Nationality : 4. Contact Details : Correspondence Address : ............................................................................................................................................................. .............................................................................................................................................. Pin Code : PhoneNo:.........................................  MobileNo:..............................................  Mail ID:.............................................................. Permanent Address : ....................................................................................................................................................................... .............................................................................................................................................. Pin Code : Phone No : ............................................................................  Mobile No : .................................................................................... 5. Details of Contact Person Incase of Emergency Name : ..............................................................................................................  Phone/Mobile No. : ........................................... Address:................................................................................................................................................................................................. .................................................................................................................................................................................................................. 6. Parents Details : Parent’s Name (Father & Mother) Occupation Phone No Mobile No Mail ID Affix your recent Passport size photograph not earlier than 6 month Note: • Please read the form carefully before filling it. • Fill the form in capital letters. • Attach the required documents (Xerox copy) as mentioned in educational qualification. • Attach the Result/Score/Rank of qualifying examination (if applicable). Form No. JUNCR/2013- Registration No. (to be given by the office) Application for Admission
  2. 2. 7. Educational Qualifications: Examination Passed Name of The Stream Name of the School / College and Board / University Year of passing Subject Studied Marks Obtained Maximum Marks % of Marks 10th 12th Graduation Post Graduation Any other Qualification 8. Awards and Achievements (if any) : ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. 9. Participation in Extracurricular Activities : ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. 10. From where did you come to know about Jagan Nath University, Haryana. Friend’s/Family Newspaper Radio/T.V. Magazine Please specify the name of magazine / newspaper Any other (Please specify) : ___________________________________________________________________________ 11. Employment History : Work Experience:Yes      No      (If,YesTotalExperience:Years.................................  Months.................................. Organization / Company Detail : Name of Company Address Duration Designation Nature of Work Salary Drawn 12. Payment Details (applicable for downloaded forms only): DD No. DD Date Amount Name & Address of Bank
  3. 3. Jagan Nath University Sir, I wish to apply for admission to Jagan Nath University, Haryana and promise to abide by the Rules & Regulations of the University. I certify that the information given by me in this application form is correct and complete to the best of my knowledge and belief. I understand and agree that misrepresentation, concealment or omission of any fact will justify the denial or cancellation of my admission, or expulsion from the University. I further declare that I shall submit myself to the disciplinary jurisdiction of the University. I have read and understand all the terms and condition for the admission mentioned in the prospectus and agree to abide by them. Signature of the Applicant Declaration: Place: __________________ Date:___________________ Place: __________________ Date:___________________ Parent’s Declaration I undertake that my son/daughter ________________________________________ applying for admission to __________________________________ course will be subjected to the University Disciplinary Rules and Regulation. I further undertake to pay all the dues of the University in time. Signature of the Parent Admission We recommended the applicant for provisional admission to _________________________________________________ after having verified his/her original certificates and accept prescribed fees from the applicant. However, his/her admission is subject to the approval of the Governing Body of the University. Admission Incharge Registrar Specimen Signature of the candidate Course Applied for : Test Centre : Date : Name : Mr./Ms. _________________________________________________________________________ Date of Birth : __________________________________________________________________________ Father’s Name : Mr. ______________________________________________________________________ Address : _______________________________________________________________________________ _________________________________________________________________ Pin Code Ph. No. ____________________________________ Mobile No. _________________________________ Acknowledgement Invigilators Signature Affix your recent colour passport size photograph Admit Card Form No. JUNCR/2013- (Students Copy*) *Kindly retain this copy for future use Turn back for Rules and Regulations
  4. 4. Rules & Regulations Non-Refund of Fees The fees once paid are not refundable for any reason whatsoever. Only Security Deposit will be refunded after making necessary adjustments as required. Cancellation of Admission Jagan Nath University reserves its right to cancel the admission of admitted student under any of the following circumstances: • If the fee is not deposited by the stipulated date. • If the candidate fails to join a particular programme by the stipulated date, after the fee has been paid. • If the candidate fails to furnish the proof of the stipulated minimum qualification. • If any student is found to be misbehaving or any other issue regarding discipline at any point of time. Attendance Minimum 75% attendance is compulsory to complete the course. Jurisdiction Any dispute pertaining to admission or any other matter concerning a student or alumnus of Jagan Nath University shall be subject to the jurisdiction of the Haryana Court only. Limitation Clause No dispute shall be raised after the expiry of 30 days from the date on which the process of admission and / or selection is completed. Agreement Clause All admitted students shall be bound by the above mentioned Rules & Regulations of Jagan Nath University. University Campus State Highway 22, Bahadurgarh-Jhajjar Road, Jhajjar, Haryana -124507 Phone: 01276-215749 Information Centers JIMS, Community Centre, Sector-3, Rohini, Delhi-110085 Ph:011- 45184152/53/54 JIMS, MOR Pocket 105, Kalkaji, New Delhi-110019 Ph:011- 40619200 E-Mail Email ID: admission@jagannathuniversityncr.org www.jagannathuniversityncr.org

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