Bhargava Degree College, Samba

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Affiliated to the University of Jammu & Recognized by J&K Govt.

Admission Form 2018-19 B.A./ B.Sc Semester –I


Personal information (Admission Code )



Father Name


Mother Name


Guardian’s Name ------------------

Date of Birth






Blood Group


Resident of




Contact No:-


E Mail. ID


Permanent Address

Correspondence Address







Subject Combination:-

Compulsory Subject in Science ( Medical / Non- Medical ) :- Comm. English/ Hindi , E.V.S

Any two Courses to be chosen - Physics , Chemistry / Computer Application, Math , Botany


Compulsory Subject in Arts :

Gen. English / Hindi ,Comm. English/ Hindi , E.V.S

Any two Courses to be chosen :- Education , Math/ Sociology Pol. Science, Computer

Application, Economics/ Sanskrit,

Admission information

Preference First ________________________________________________________

Preference second _________________________________________________________

Preference Third ___________________________________________________________

For office use only

Admission Code __________________ Verification Code


Admission Fee ____________________ Late Fee

Total Fee INR

Date of Admission _______________________

Short Listed in ----------------------------------

Place :-

Note:- Submitt the admission form on or before 21-06-2018 and no claim of Admission after the date.

Declaration by the student :-

I solemnly declare that the information given above is true and authentic Besides, I undertake to abide by all the rules and regulation of the college and follow the instructions that shall be issued from time to time by the Principal.

Signature of student

Declaration by the Parent / Guardian
I, Father/ Guardian of __________________________ do hereby solemnly undertake that I shall be personally responsible for any misconduct by my son / daughter for any breach of college rules and regulations by him/ her.

Signature of Father / Guardian

For Admission Committee:
Admission recommended by the committee:-
Members -__________________________2___________________3__________________
Convener _______________________
Admission Approved :-
Date of Admission :----------------------------
Documents Required
The hard copy of the submitted admission form should be accompanied by the following documents :-
1. Marks certificate of 12th class (3 Photocopies ) 2. Provisional Certificate in original . 3. Character Certificate in original from the institution last attended. Students who have
passed their examination as private candidate will attach the character certificate issued by the first class Magistrate . Principal of an affiliate or constituent college / Concerned SHO of Police Station / Police / Gazatted Officer. 4. Matriculation Certificate (2 Photocopies Date of Birth) 5. Reserved Category Certificate, if any 6. Migration certificate and Transfer Certificate in original along with 2 attested photocopies( CBSE students) 7. Filled Eligibility Form 8. 3 Affidavit as per the format given the prospect. 9. Three Passport size photograph with signature on the back side .
Note:Students are required to produce all documents in original for verification at the time of Admission. Students with break in their academic career have also to submit Affidavit as given in prospect in addition to the above listed document.

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Bhargava Degree College, Samba