YEAR 200__  -200__    

Exam Session :  _____

Swaran Education Council

(Valid & Reg. under Central Govt Act 1860 & M.S Govt Bpt Act 1950)

 To,

President Swaran Education Council,

I wish to pursue the course & examination

Organized by Swaran Education council

Kindly accept the application form and

allow me for examination at……………... ….Centre

To be filled in capital letters

1. Name of student  :_____________________________________________

(As in birth certificate & other official Records)

1. Father’s/Husband’s Name:  _________________________________________
2. Mother’s Name:___________________________________________________
3. Date of Birth (D/M/Y) __   /___ /___ In words __________________________
4. Sex  :    (    )Male   (     )Female
5. Nationalty (    )Indian (    )other if other plz mention _______
6. Territory (     )Rural (    )Urban  
7. Marital status:    (      )Married   (     )Unmarried
8. Category: - General (      ) / SC (      ) / ST(      ) /OBC (      )

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1. Mailing Address (For dispatch of Material) __________________________________ ______________________________________________________________________________ ____________________________ ____________________  City_________ District__________ Pin _________

1. Permanent Contact Address ________________________________________ ______________________________________________________________________________ ____________________________ ____________________  City_________ District__________ Pin _________ STD Code_______ Resi No ________,  _________, _____________Office No____________ Mo________________

1. Have you ever applied previously for any course or examination from Swaran education council if yes, mention previous

         Name of the examination  ………………………..Part ……………. Year …………                             .        Enrollment No ………………………..  Roll No ……….

1. Previous Qualification in detail (Enclose attested copies of all Certificates)

Other Qualifications if any ___________________________________________

1. Medium of Study & Examination English /Hindi /Punjabi or any other _______

1. Subjects Chosen(& Additional Subjects if any as mentioned in the Prospectus)course code if known 1____ _____ _____________________2____ __________________ _____

3____ _____ _____________________4____ _____ _____________________

 5____ _____ _____________________ 6____ _____ _____________________

7____ _____ _____________________8______________________ _____ _____

 9____ _____ _____________________10____ _____ _____________________

11____ _____ _____________________12____ _____ _____________________

13____ _____ _____________________14_____ _______________________

15____ _____ _____________________

Specialization applied for (if any)   ___________________

                     I/we have carefully read & understood about the Rules, Regulations / Recognition & eligibility criteria etc of the Course conducted by the institute and after fully satisfying myself /ourselves this application is submitted. I am/ we are aware that the course is Autonomous in nature & institution does not confer a degree. I understand that institute reserves the right to change / modify these rules, regulations & curriculum from time to time & I agree to abide by them. All the information provided by me/ us is true to the best of my knowledge. Legal action can be taken against me/ us if any information is found incorrect or misleading. 

__________________                                                   _________________

Student’s Signature.                                  Signature of Parent’s/ Guardian’s

                    I/we will obey the rules & regulations of the institution. & I/we understand that Fees and other charges ones paid are neither refund able nor transferable against any other course or student I/we shall not be entitled to get refund of any fees. In case of any dispute I/we, agree to abide by the decision of the institution’s president or the decision of the Arbitration committee appointed by the president under the Arbitration cancellation act, 1996 direct intervention of the court will not be permissible. Legal dispute if any will be solved only by the court located were the trust/ society is registered & at no other place.   

__________________                                                   _________________

Student’s Signature.                                  Signature of Parent’s/ Guardian’s

Detail of Fee

1. Amount in Words____________________  In Figures _________
2. D.D Number________________  Dated___________________
3. Name of the bank _____________________________________

List of Documents Attached

1                                                                   2
3                                                                   4

5                                                                   6

7                                                                  8

Any Other   _______________________________________________

Forwarding certificate

  I hereby certify that Mr./Miss/Mrs ____________________________________ Son of/ Daughter of / Wife of __________________________ is a bonafied student of the center .His/ Her Photo, signature & documents have been verified & He /she has been found eligible to appear in the above mentioned examination after fulfilling all the conditions as laid down by the institution.

                                                  _________________

                                 Signature of Coordinator

Name of Coordinator/ Centre___________

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No Objection certificate by Employer

Consent of leave by the employer

This is to Certify that

Mr. /Mrs. / Km……………………………… ………………… S/o, D/o, W/o Shri …………………………………..………….…..

is working in this organization. He / she have been permitted to attend the examination from date…………….to date…………

He will be granted the leave for his examination

Place…………

Date…………

Seal & Signature of

 Manager/ or other authorized person with designation

Office Adresss………….…………………….

………………………………………………

……………………………………………..

Std Code (………..) Phone…………………..,

Mo……………………………………….