APPLICATION FORM FOR

CHANDIGARH UNIVERSITY STAFF CONCESSION

SESSION 2020-2021

Student UID/Account No …………………………… Date: ………………………….

Student Name _________________________________________________

Father Name ________________________________________________

Mother Name ________________________________________________ Student

Photograph
Course:- _____________________ Relation with employee: ____________

Address :-______________________________________________________

Contact No:- (Student) _________________(Parents) ______________

Email ID (Student) ____________________________________________

University Staff Member Detail

Name Date of Joining E code Designation with Regular/Adhoc/

Department Contract Basis

** ATTACHED ID CARD OF EMPLOYEE.

Condition for Continuation of Concession:-

The student admitted under the above scheme shall not have E, F or I grades in any course.

(Signature of Student /Parents)

OFFICE USE ONLY
HR Remarks:- _____________________________________________________________
HR Remarks: - __________________________________________________________________________

Remarks: - ____________________________________________________________________________

%age of Concession:- ______________ (Generally 50% of Academic fee for the course approved in the
policy)

Dealing Hand Asst Registrar Deputy Registrar/ Registrar