SSD WOMEN'S INSTITUTE OF TECHENOLOGY, BATHINDA

( 2003-2004)

APPLICATION FOR ENROLLMENT TO BCA/BMIT/PGDCA/M.Sc

(Please read the instruction and ordiance carefully before filling the application form)

Course you are seeking addmission to: BCA/BMIT/PGDCA/M.Sc

1. Name of the candidate

(In block letters with same spelling as in University/Board)

2. (a) Name and occupation of Father/Gardian/Husband

(b) Mother's name

3. Date of birth (in figures) date monthyear

4. Sex Male  Female

5. Nationality

6. Domicile

7. Parmanet address for correspondence    

8. Phone number

9. Local address for corespondence     

10. Category under which applied     

      
11. Will you stay in hostel  yes no

12.

13. Games you play

14. Distinction if any

15. Were you caught in UMC? if yes give year ClassRoll No

16. Whether getting any scholorship? If yes fron where?