Sr. No. ...................... Enrolment No. UNIVERSITY SCHOOL OF OPEN LEARNING PANJAB UNIVERSITY, CHANDIGARH ENROLMENT FORM : SESSION 2013-14 (To be filled in by the Student in his/her own hand) Affix latest unattested passport size photograph (Do not staple) A. Appl ication for Admi ssion to Clas s _______ ______ ____Semest er _Prefered T erm end Examinat ion Centre ________(See l ist of Citi es on page No. 60 where exam. centres are created) B. If old student, give your previous Enrl. No._____________________ Class___ /Se mes te r__ ___ _Session : _____ _ Regd. No./Pupin No. (i f any) : _C. 1. Name (in Capit al Lette rs) (Leave a box blank in diff erent parts of the name) 2. Father’s Name (i n Ca pi tal Letter s) 3. Mother’s Name (i n Ca pi tal Le tt er s) 4. Date of Birth : DD MM YY 5. Nation ality ........................................... 6. Sex M/F 7. Cate gory GEN/ SC/S T/BC 8. Domi cile : Rural /Urb an 9. State ____________________1 0. Married : Y es/No _ ____ 11. Worki ng : Y es/No 12. Annual Income : _13. Addres s for Correspondence(in capital letters) (Leave a bo x bla nk in di ffere nt p arts of the name) Pin Code 14. Phone (with code) ________________ 15. Mobile No. _______________ 16. e-mail id _________________________D. Optio n for receiving Stu dy Materi al : Personal Coll ectio n By Regi st ered Post Please tick mark ( √ √ √) E. 1. Have you studied Punjab i u pto 10th Class ? Yes/No :____ ____2. Have you pass ed the Enviro nment Educat ion and Road Safet y Examin ation ? Yes/No :____ ____F. If simultaneously appearing, must quote the course and University _______________________/__________________________G. Fee remitted Rs._______________ Draft No./SBI, P .U. Counter Receipt No. ____ Date___________Attached original Receipt/D. D. H. Subjects Opted : Subjects Opted : Medium : 1. –––––––––––––––––––––––––– 5. –––––––––––––––––––––––––– English 2. –––––––––––––––––––––––––– 6.–––––––––––––––––––––––––– Hindi 3. –––––––––––––––––––––––––– 7.–––––––––––––––––––––––––– Punj abi 4. –––– ––– –––– –––– –––– –––– –––8.–––––––––––––––––––––-------–––––Previous Exam. Subjects Studied Max. Marks %age Session Roll No. Uni./Board Name of Passed Marks Obtained & Y ear School/College 10+2 B.A./B.Com. etc. M.A./M.Com. etc. Any othe r Exam. (for office use) I. If the qualifying examination passed from other Board/ University/Council etc, attach the original Detailed Marks Card and Migration Certificate.
J. 1. If member of Scheduled Caste/Tribe/BC attach original certificate from Revenue Officer of the District concerned not below therank of Tehsildar to become eligible for admission to the course by getting concession of 5% marks on the basis of caste etc.
2. In case of a blind candidate/permanently disabled candidate for writer appropriate certificate issued by the competent authoritymust be submitted.
K. DECLARATION AND UNDERTAKING BY THE STUDENT
I, _________________________ son/daughter of _____________________________am seeking admission to Class ___________
for the session 2013-2014 solemnly declare and undertake that : I have gone through the prospectus carefully and shall abide by the rules and regulations contained therein;
I understand that my admission is provisional and is subject to the final approval of the Panjab University;
I have not been disqualified by any University / Board;
I fulfil all the eligibility conditions laid down by the University to appear in the Annual /Semester System Examinations as mentioned in theProspectus;
If I fail to fulfil these conditions, I may be detained from appearing in the University Examination and I shall not make any claim whatever.thereof and
I shall not participate in any activity detrimental to the interests of the USOL and Panjab University.
_______________________________ Dated ________________ Signature of the Student
L. CHARACTER CERTIFICATECertified that Student _____________________________son/daughter of Shri____________________________bears a good moralcharacter.
____________________________________ __________________________________________ Name of attesting authority Signature of Gazetted Officer/Sarpanch/Head of the
(in Block Letters) Institution last attended with date and office seal
M . CHECK LIST for documents attached Please tick ( √√√√√ ) the relevent box.
2. Duly filled both Examination Forms (Form A & B)* for the students of Semester Systerm, Roll Number Cards and envelopes.
3. Duly filled Examination Form-A, Roll Number Card, Enrolment Card and envelopes for Annual System.
4. Original D.M.C./Degree of the qualifying examination on the basis of which you are seeking admission
5. Migration Certificate (in original).
6. SC/ST/BC certificate if required for fresh admission. (in original).
7. Character Certificate from the Principal of the School/College last attended (only for fresh admission).
8. Original-pay-in slip / Bank Draft / Cash Receipt be attached.
9. In total ten photographs are required. six/seven photographs are to be pasted at the appropriate placed andthree/four photographs be enclosed in envelope writing your name & class.
10. Attached any other document/s____________________________________________
*Note : For Semester System Students. To fill and submit as under :
1. Fill both Examination Forms ‘A and B’.
2. All envelopes, Roll No. Cards and Enrolment Card.
Signature of Parents/Guardian Signature of the Student
FOR OFFICE USE
1. Relevant particulars checked from Result Gazette/Certif icates/Notification and found eligible for admission to ____________________________________________________________________________________________________
2. Not found eligible (give reasons) ______________________________________________________________________
Session 2013-2014Enrolment No. _______________________Mention City Code for preference of Examination Centre_________________________
Important Instructions :(i) Read the instructions carefully before filling the examination form.(ii) The candidate must fill the examination form in his/her own hand in Capital Letters.(iii) Use only Black or Blue ball point pen. Use white ink to cover the mistakes.(iv) If the qualifying examination passed from other Board/ University/Council etc, attach
the original Detailed Marks Card and Migration Certificate.
(iv) Leave a box blank in different parts of the name.
(A) Examination Detail : (1) Class _______________________________ (2).Category Code SC/ST/BC
(3) for Semester System Year (4) for Annual System Year
(5) State ____________________ (6) Registration No./PUPIN No (Allotted from PU only)
(B) Personal Detail : (1) Sex Code [M/F]
(2) Candidate’s Name:
(3) Father’s Name:
(4) Mother’s Name:
(5) Subjects Offered : Subjects Offered : (6) Medium :
1. –––––––––––––––––––––––––– 2. –––––––––––––––––––––––––– English
3. –––––––––––––––––––––––––– 4. –––––––––––––––––––––––––– Hindi
(i) Member of Scheduled Caste / Tribe/Backward class.......................................................................
(ii) Blind/permanently disabled for writing.......................................................................................
(iii) Indicate, if any disqualification was incurred in any University Examination or if any enquiry is pending in a
case of alleged use of unfair means etc. say : Yes/No........................... If Yes, mention University/ Board.....................................................Year/Session...........................Roll No..........................Action taken................................
SOLEMN DECLARATIONS
(1) I have not passed this or any other equivalent examination from this or any other university.
(2) I have filled in the form in my own hand after careful study of the instructions and the U.S.O.L. Prospectus/Syllabus
pertaining to the year and session of the examination.
(3) The statements made by me in this Examination Admission Form are correct and true.
(4) I have submitted the examination form and fee for my re-appear examination / deficient/compartment/ additionalsubject of lower examination separately (as a private candidate) .
(5) I accept liability for action under the rules and regulations of the University for any mis-statement or concealment of
facts.
(6) I have not been disqualified by any University/Board.
has passed, not less than one academic year previously, the _______________ examination of thePanjab University or any other examination recognised equivalent there to of any other University/Board.
is appearing simultaneously in lower examination in the Compartment/Deficient Subject of _________.
has remained on the rolls of the Department for the academic year preceding examination.
has satisfied the USOL by producing authentic documents that the statement made by him/her in this
application are correct.
bears a good moral character.
Dated_____________ Assistant Registrar for Chairperson
(i) Read the instructions carefully before filling the examination form.(ii) The candidate must fill the examination form in his/her own hand in Capital Letters.
(iii) Use only Black or Blue ball point pen. Use white ink to cover the mistakes.(iv) If the qualifying examination passed from other Board/ University/Council etc, attach
the original Detailed Marks Card and Migration Certificate.
(v) Leave a box blank in different parts of the name.
(A) Examination Detail :
(1) Class ______________________________________ (2).Category Code SC/ST/BC
(3) for Semester System Year (4) State ________________________
(5) Registration No./PUPIN No (Allotted from PU only)
(B) Personal Detail : (1) Sex Code [M/F]
(2) Candidate’s Name:
(3) Father’s Name:
(4) Mother’s Name:
(5) Subjects Offered : Subjects Offered : (6) Medium :
1. –––––––––––––––––––––––––– 2. –––––––––––––––––––––––––– English
3. –––––––––––––––––––––––––– 4. –––––––––––––––––––––––––– Hindi
(i) Member of Scheduled Caste / Tribe/Backward class.......................................................................
(ii) Blind/permanently disabled for writing.......................................................................................
(iii) Indicate, if any disqualification was incurred in any University Examination or if any enquiry is pending in a case of
alleged use of unfair means etc. say : Yes/No...........................If Yes, mention University/ Board..............Year/ Session...........................Roll No..........................Action taken................................
SOLEMN DECLARATIONS
(1) I have not passed this or any other equivalent examination from this or any other university.
(2) I have filled in the form in my own hand after careful study of the instructions and the U.S.O.L. Prospectus/Syllabuspertaining to the year and session of the examination.
(3) The statements made by me in this Examination Admission Form are correct and true.
(4) I have submitted the examination form and fee for my re-appear examination / deficient/compartment/ additional
subject of lower examination separately (as a private candidate) .
(5) I accept liability for action under the rules and regulations of the University for any mis-statement or concealment offacts.
(6) I have not been disqualified by any University/Board.
has passed, not less than one academic year previously, the _______________ examination of thePanjab University or any other examination recognised equivalent there to of any other University/Board.
is appearing simultaneously in lower examination in the Compartment/Deficient Subject of _________.
has remained on the rolls of the Department for the academic year preceding examination.
has satisfied the Department by producing authentic documents that the statement made by him/her in
this application are correct.
bears a good moral character.
Dated_____________ Assistant Registrar
for Chairperson University School of Open Learning
UNIVERSITY SCHOOL OFUNIVERSITY SCHOOL OFUNIVERSITY SCHOOL OFUNIVERSITY SCHOOL OFUNIVERSITY SCHOOL OFOPEN LEARNINGOPEN LEARNINGOPEN LEARNINGOPEN LEARNINGOPEN LEARNINGPANJAB UNIVERSITY,
Study Programmes & Support Services & Co-Curricular Activities 8-12
Eligibility for Admission (UG & PG Courses) 13-23
Subjects (UG & PG Courses) 24-37
Guidlines for Submission of Forms & Payment of Fee 38-40
University Examination 45
Schedule of Personal Contact Programmes (PCPs) 49-50
Please address your querries and complaints to :
ProfessorProfessorProfessorProfessorProfessor Lalit K. Bansal Lalit K. Bansal Lalit K. Bansal Lalit K. Bansal Lalit K. Bansal E-mail : [email protected]
Chairperson Tel. & FAX No. :0172-2541143University School of Open Learning Website : http://usol.pu.ac.inPanjab University CHANDIGARH - 160014
