The document is an application form for admissions at the Cordia Group of Institutes in Sanghol, requiring candidates to fill in personal and academic details, including information on their domicile status and annual income. It includes an undertaking by the candidate and their guardian regarding adherence to institution rules and regulations, as well as a declaration of the accuracy of the information provided. Additionally, it lists required documents for submission along with the application.

1. CORDIA GROUP OF INSTITUTES
SANGHOL, DISTT. FATEHGARH SAHIB
Application Form for Session __________
(TO BE FILLED BY THE CANDIDATE CAREFULLY IN BLOCK LETTERS ONLY)
College Name : ______________________________________________________
Course Opted :______________________________ Semester :________________ Photo
Entrance Test Roll No. ________________________________________________________
Marks ______________________________ Rank__________________________________
1. Name_________________________________________________________________________________
2. Father’s Name ___________________________________ Occupation_____________________________
3. Mother’s Name __________________________________Occupation_____________________________
4. Annual income from all sources ___________________________________________________________
5. Date of Birth __________________________________________________________________________
(As per Matriculation Certificate)
6. Are you a domicile of the State of Punjab Yes/No _______________________________________
7. Permanent Address ______________________________________________________________________
______________________________________________________________________________________
Phone No. __________________________________ Email _____________________________________
8. Correspondence Address ________________________________________________________________
_____________________________________________________________________________________
Phone No. __________________________________ Email ____________________________________
9. Academic Qualifications
Examination Institute Board/ Year of Roll Max. Marks % of Subjects
Passed Uni. Passing No. Marks Obtained Marks
Matriculation
Sr. Sec.
Graduation
Post-Graduation
Any other Class
10. Subjects:
1 6
2 7
3 8
4 9
5 10

2. I am seeking this admission purely on my own risk and responsibility. Any misinformation, wrong statement
and discrepancy detected at any stage would automatically result in the cancellation of my admission without
any notice.
I give an undertaking that I agree to abide by the rules and regulations of the institution and understand that the
misbehaviour of any kind with any student or any member of the staff or institution administration will lead to
disciplinary action and even to the cancellation of my admission.
I will not participate in any type of ragging. I will be liable for disciplinary action/legal proceedings/expulsion
from the institution if found guilty inside or outside the premises of the Institutes.
I certify that I am applying with the permission of my parent/ guardian/ husband.
I solemnly declare that the facts stated above are correct to the best of my knowledge and belief.
Date: Signature of Candidate
I promise that my daughter /ward named above will not take part in any activity prejudicial to the interests of the
institute and state. I further certify that I am in a position to pay his/ her institute dues regularly.
Signature of Father/Guardian
FOR OFICE USE
1. Category of admission_________________
2. Total marks__________________________
3. Certificates required (in any)
Received payment
Receipt No_______________________Dated_______________________
Admit
Clerk Convenor (Admissions) Director
ATTACH THE FOLLOWING CERTIFICATES
1. The Photostat Copy of marks sheets of matriculation, 10+2, Graduation, Post-Graduation etc. and an
attested photograph.
2. Character certificate issued by the Head of the institution last attended.
3. Certificate of merit for the meritorious performance in games or co-curricular activities.
4. University entrance test result and admit card.
5. Migration Certificate (in original) in case of candidate from other universities.
6. Certificate of Reserved Category claimed from competent authority.
7. Punjab Residence/ Domicile Certificate.