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DEPARTMENT OF LIFE LONG LEARNING AND E(New Emerging Areas Building, Adjoining Botany Deptt. Panjab University, Cha

PANJAB UNIVERSITY, CHANDIGARH

NOTICE

FREE UGC/NET CLASSES

The Department of Life Long Learning and Extension, Panjab Universi

going to start Free UGC/NET Coaching for SC/ST/BC/OBC (Non-c

minority community students in the month of February, 2013 in the D

candidates are requested to give their name in the office of DLLLE.

shall provide coaching for Paper-I to all the students and in paper-II & I

regular students are interested in and request for the coaching.

For favour of display on Notice Board please

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DEPARTMENT OF LIFE LONG LEARNING AND EXTENSION

PANJAB UNIVERSITY, CHANDIGARH (INDIA) - 160014

Phones: 0172-2541359, 2534336

ADMISSION FORM

FREE Coaching for UGC/NET Examination for SC/ST/BC/OBC (non-creamy layer) & Minority

Communities.

1. Name (in Block Letters) : ____________________________________________

2. Fathers Name : ____________________________________________

3. Mothers Name : ____________________________________________

4. Date of Birth : ____________________________________________

5. Address for Correspondence : ____________________________________________

____________________________________________

6. Permanent Address : ____________________________________________

____________________________________________

7. Ph./Mob./E-mail : ____________________________________________

8. Name of the optional Subject for

UGC/NET.

: _____________________________________________

9. Category: SC/ST/BC/OBC (non-creamy layer) or Minority Communities ___________________

Please attach attested copy of the certificate of Reserved Category you belong to, copy ofCharacter Certificate and copies of the examinations passed.

Admission will be cancelled if Reserve Category Certificate is not attached. Department reserve the right to cancel the admission if the student is continuously not attending

the classes.

10. Educational Qualifications

Sr.

No

Examination Passed University

/Board/Year

Marks Obtained %age of Marks

1.

2.

3.

4.

5.

DECLARATION: I declare that I have carefully read the instructions and state that the entries made by me in this

form are correct to the best of my knowledge and nothing has been concealed. I understand that my admission is

liable to be cancelled if any of the statements made by me above is found incorrect.

Date:Place: Signature of candidate

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