Institute Of Professional Studies, Roorkee, Uttarakhand : Online Admission Software

Phone :+91-9997457403
Email :ipsroorkee@gmail.com

Application Form

Class Applying for :

* Name:

* Father's Name:

Mother's Name:

* Gender:

* Category:

Sub Categoty :

Date of Birth:

Blood Group:

* Email :

* Mobile No. :

Whatsapp No. :

Parent /Father's Mobile:

Parent Email :

Family’s Annual Income:

* Permanent Address:

State:

PIN Code :

Nationality:

Religion :

Do you belong to Minority?

Local Address:

Last Examination Passed & Year :

Last School/Institute Name :

Univ. Enrollment No. :

Roll Number :

Guardian Name :

Relation with Guardian:

Details of Educational Qualification :

Exam Passed	Board/University	Stream	Year of Passing	% Obtained
10th
12th
Graduation
Post Graduation
Any Other Or Diploma

DECLARATION BY THE APPLICANT

I acknowledge to have fully read the prospectus and state that I have understood all the provisions indicated there in.
I certify that I qualify for the admission and will produce the original certificate/marks sheets as and when asked by the institute.
I understand that the program in which I am taking admission is a full time course and certify that during the study in this course I shall not be taking any part/full time engagement/admission elsewhere. I am aware of the attendance requirements and shall comply to it.
I here by certify that all the particulars stated by me in s application are true to the best of my knowledge and belief.
I understand that my admission is liable to be cancelled if I suppress or distort any information furnished in my applications.
I understand that the college has the right to add/delete/change the rules and regulation as and when required/sired by the institute’s management.
I understand that the fee (s) once paid will not be refunded.

Institute Of Professional Studies, Roorkee, Uttarakhand | Website : https://ipsroorkee.ac.in/ | Call : +91-9997457403 | Email : ipsroorkee@gmail.com
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