10/12/22, 3:16 PM S.M.J.N. (P.G.

) COLLEGE, HARIDWAR, UTTARAKHAND| Session 2022-23

Application Form for Admission (Session 2022-23)

App.No. : 2202120

Class : BCom 2nd Year ( Aided )

Subject : 1-Basic Business Finance & 2-Personal Management, 1-Cost Accounting & 2- Corporate Accounting, 1-Legal Aspect of
Business 2- Money Banking & Insu, --

Name : MANAS ASEEJA

Date of : 18-Jun-2003
Birth

Gender : Male

Category : GEN

Sub Cat :--

Mobile : 6397219913
No.

Father's Name : MR ASHOK KUMAR ASEEJA Father's Mobile :8006384857 Parents Email : manasaseeja123@gmail.com

Mother's Name : MRS MANJU ASEEJA Mother's Mobile : 7017979629 Nationality : Indian

Permanent Address : F-5 SANDESH NAGAR KANKHAL,HARIDWAR State : Uttarakhand

Guardian Name : MRS MANJU ASEEJA Relationship : MOTHER Guardian Mobile No.: 7017979629

Local Address : F-5 SANDESH NAGAR KANKHAL,HARIDWAR Religion : HINDU Do you belong to Minority ? : NO

Email : manasaseeja123@gmail.com Blood Group : A+ Aadhar No. : 354849187222

Have you Passed the Qualifying Exam from Uttarakhand ? : YES

Are you Resident of Uttarakhand ? : YES Duration of Residence : 19 YEARS Uttarakhand Region : Urban

Board/Univ.: SMJN PG COLLEGE HARIDWAR Last Examinations Passed : AWAITED Institute Last Attended : SMJN PG COLLEGE HARIDWAR Passing Year : 2022

Educational Qualification

Division With
Examination Year Institution/Board Subject Offered
%
High School 2019 CBSE maths,english,science,hindi,social science 85.4%
Intermediate 2021 CBSE Commerce with maths 78.6%
B.Com I 2022 SMJN PG COLLEGE POM,business environment,financial accounting,business statistics,business awaited
HARIDWAR,UTTARAKHAND economics,business law

Q1. Have you been caught using unfair means in any examination ? NO
Q2. Have you been punished for using unfair means in any examination ? NO
Q3. Have you applied for admission in any other course in any institution ? NO
Q4. Are you studying, at present, in any other course in any institution ? NO
Q5. Are you employed, at present, in any organisation (public or private) ? NO
Q6. Have you faced any legal trial for any offense ? NO

AFFIDAVIT TO BE FILED AND SIGNED BY THE STUDENT AND COUNTER SIGNED BY FATHER/MOTHER/GUARDIAN

I,MANAS ASEEJA S/o.D/o.Mr./Mrs./Ms.MR ASHOK KUMAR ASEEJA, solemnly, declare that all information provided by me in this application for admission are true to
the best of my belief. I have also carefully read and fully understood the rules and regulations of the Central Government / UGC /Government of Uttarakhand / HNB
Garhwal University and the college. I hereby undertake that

1. I shall abide by all the rules and regulations of the above-mentioned authorities.
2. I have selected course after careful thought and will not request for any change after recommendation by the admission committee.
3. I shall achieve the target of 75 per cent attendance in every course separately and will appear in all internal and external examinations.
4. I shall not indulge myself in any act of indiscipline and ragging.
5. I have filled online & attached affidavits for not indulging in ragging of any type and at any level.

I hereby agree that if found guilty of any aspect of ragging, indiscipline,violation of rules and regulations and providing false information given in this form, I may be
punished as per the provisions of the government/university/college. I hereby also agree that if my admission is found against rules and regulations, I shall have no
objection for cancellation of my admission thereof.

Signed this _________________ day of _______________ month of _____ year _____

MANAS ASEEJA Countersigned by Father/Mother/Legal Guardian of Applicant

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10/12/22, 3:16 PM S.M.J.N. (P.G.) COLLEGE, HARIDWAR, UTTARAKHAND| Session 2022-23
Date.............

Undertaking By Candidates

I MANAS ASEEJA of course BCom 2nd Year ( Aided ), hereby affirm and state as the document and other information submitted by me to the college are true to the
best of my knowledge and belief. I understand that if any document or information is found to be false, admission shall be liable to get cancelled and fee deposited will be
forfeited.

MANAS ASEEJA

Payment Reciept

Payment Type : Prospectus/Registration Fee Amount : 220

FOR OFFICE USE ONLY

Recommended /Unrecommended for Admission

Princip

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