Sei sulla pagina 1di 3

KAY JAY GROUP OF INSTITUTES

Admission Cum- Enrollment Form of ______________ Course For the


session _______

Name Of The Candidate

Fathers Name

Mothers Name

Date OF Birth

Nationality

Address

Phone Mobile
Category (Gen/Sc/OBC)
____________________
Other University course____________
____________________
Sr.No

Class

Punjabi university Regi. No


Regi. No. Of other university

Board/University

Session

Marks

%ag
e

KAY JAY GROUP OF INSTITUTES

Reference

Mobile

of Reference Person

Charges for the course as follows :Tuition Fee Of the Course (Per year)

_________________

Examination fee Of the Course (Per Sem)

_________________

Stationary Charges

_________________

Transport Charges (Per Year)

_________________

Total

_________________

Mode Of Payment
Education

:-

Cash or Bank DD in the favor of Kay Jay College Of


payable at Patiala.

Installment Detail

Date

1st
Installment
( At the time
of admission)
2nd
10-09-2015
Installment
3rd
10-12-2015
Installment
(2nd Year)

Amount Cash/DD/B
ank
Transfer

Signature
Of
depositor

KAY JAY GROUP OF INSTITUTES


4th
10-05-2016
Installment
(2nd Year)
Stationary
(Blank
Practical
Files)
Total Amount
Signature Of Student or Guardian
Principal/Admission In charge

Signature Of College

Documents Required :- (1) 10th Certificate in original (2) Graduation Degree and all Mark
Sheets (3) Migration if Required. (4) Eligibility Certificate if required.
Note :- (1) Fee once paid is not refundable. (2) After the due date late fee will be charged
from fee defaulter students.
*Reference /
Consultant Name
Consultant

Mobile

Signature of

Potrebbero piacerti anche