DD No. _________ (Rs. 1000/- for General Category and Rs. 750/- for SC/ST/PH) Dr.

Yashwant Singh Parmar University of Horticulture and Forestry, Solan -173230 (HP) Application Form Academic Session 2013-14
Roll No. & COE Category Checked by FOR OFFICE USE _________________________________ _________________________________ _________________________________

Latest Photo duly attested

------------------------------------------------------------------------NOTE: READ INSTRUCTIONS GIVEN IN THE PROSPECTUS

--------------------------------------------------------------------------------------------------1. 2. 3. Applied against general seat/ self-financing seat Name of the Candidate a) Fathers Name (Please mention clearly) __________________________________________ __________________________________________ __________________________________________ __________________________________________ ________________ 5. Gender: Male/ Female __________________________________________ 8. Address for Correspondence ____________________________________ ____________________________________ ____________________________________ Pin Code_______ Phone No __________

4. 6.

Occupation b) Mothers Name Nationality Date of Birth

7. Permanent Address __________________________________ __________________________________ __________________________________ Pin Code_____ Phone No ___________

Write carefully Yes or No in appropriate boxes and attach relevant certificates. 9. Are you bonafide/domicile resident of Himachal Pradesh? (See Form-I) 10. Do you belong to Scheduled Caste (SC)? (See Form-IV) 11. Do you belong to Scheduled Tribe (ST)?(See Form-V) 12. Do you belong to Other Backward Classes (OBC)? (See Form-III) 13. Have you passed your High School Examination from a school located in rural area? (See Form-II) 14. Do you belong to IRDP/ BPL family? 15. Are you a ward of serving/ ex-defence personnel? 16. Are you a ward of serving/ retired CAPFs personnel? 17. Is your father a Gallantry Award winner? (See Form-VI) 18. Are you a single girl child? 19. Are you a person with disability (PH)?

20. 21. 22. 23.

Do you belong to displaced family whose land has been acquired for establishment of Dr Y S Parmar University of Horticulture & Forestry? Have you represented your District or University or State or Country in Sports/ Games/ NCC/ other co-curricular activities? Have you been dropped/ suspended/ expelled/rusticated or refused admission in any University/ Educational Institution in India? Is any criminal charge pending against you? Name of Board Name of School Yr. of passing Marks Marks Obtained

24. Education from 10th Class onwards Exam. passed 10th 12th 25. Experience (for inservice candidates only) Instt./Dept./Univ. Post held Pay Date of joining Date of Leaving Max. Marks

Declaration: I solemnly declare that the statements made by me in the form are complete and true to the best of my knowledge and belief and I accept liability for action under the rules and regulations of the University for any mis-statement or concealment of facts. Signature of Applicant Signature of Parent/ Guardian Signature of Attesting Officer (with office seal) --------------------------------------------------------------------------------------------------------------------NOTE:

1.

2. 3.

The attested copies of all the relevant certificates are required to be attached with application form otherwise claim shall not be entertained. Please see format of various certificates before making claim for reservation. The category of the candidate shall not be changed under any circumstances after declaration of result of entrance test. Single girl child means the only child that too a girl. The checklist for submission of application form: i) Application Form and Admit Card duly filled ii) Attested copy of High School Certificate (10th Class) iii) Attested copy of 10+2 level certificate showing details of marks obtained (exempted in case of candidates appearing in March/ April, 2013) iv) Attested copy of SC/ ST/ OBC/ PH Certificate (If Applicable) v) Attested copy of certificate having passed 10th class from rural area on prescribed format/ belonging to IRDP/BPL family (If applicable) vi) Attested copy of the certificate of serving/ ex-defence personnel/serving or retired CAPFs personnel/single girl child/ ward of displaced family (If applicable). vii) Attested copy of certificate showing District/ University/ State/ Country representation in sports/ games/ other co-curricular activities (If applicable).

Dr Yashwant Singh Parmar University of Horticulture & Forestry, Nauni-Solan (HP) - 173230 (Academic Session 2013-14) Admit Card for appearing in the Entrance Test for admission to Undergraduate Programme only (UGET-2013)
Latest photo duly attested

Roll No.
(To be assigned by the office)

1. 2. 3.

Name

_______________________________________

Fathers Name _______________________________________ Address for Correspondence ____________________________________ ____________________________________ Pin Code _________ _________

1. 2. 3. 4. 5.

Date of Written Test: 16 June, 2013 (Sunday) Reporting Time in the examination hall: 10.30 AM No entry after: 11.30 AM Cannot leave before: 12.30 PM Venue: _______________________________
(Please mention clearly)

th

Choice of Venue: College of Horticulture, University Campus, Nauni-Solan College of Forestry, University Campus, Nauni-Solan Guru Gobind Singh Public High School, Mandi (HP) Swami Vivekanand Senior Secondary School, Ram Nagar, Mandi (HP) KLB DAV College for Girls, Palampur District Kangra (HP)

Signature of the Applicant

REGISTRAR

INSTRUCTIONS FOR CANDIDATES

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

This Admit Card is issued provisionally subject to the condition that if ineligibility is detected at any stage, candidature will be cancelled. No entry is permitted to examination hall without Admit Card. Cell Phones, pagers, calculators are strictly prohibited. Do not carry any article into the Examination Hall. Do not attempt to give/ obtain irregular assistance of any kind. Impersonation will invite strict action. Do not put any stray marks on the answer sheet. Any attempt to remove pages from question booklet or note down questions will result in cancellation of candidature and expulsion. Improper conduct will entail expulsion. Change of answer sheet is not permissible. For each correct response, one mark will be awarded. Zero mark will be given for questions not attempted, wrong answer. Any answer having more than one entry will be treated as wrong answer. The university reserves all rights to verify identity and genuineness of each candidate. Preserve this Admit Card until completion of admission process and produce it before the counseling committee at the time of counselling. Failure to comply with these instructions will entail expulsion/ cancellation of candidature or appropriate legal action.

11.

12.

13.

Dr Yashwant Singh Parmar University of Horticulture & Forestry, Nauni- Solan (HP) -173230 ACKNOWLEDGEMENT CARD This is to acknowledge receipt of your downloaded application for admission to Undergraduate Programme(s) for the Academic Session 2013-14. number allotted in all correspondence. Please quote application

Central Diarist Office of the Registrar ----------------------------------------------------------------------------------------------------------------Note: Please write your mailing address on reverse of this card.

ON INDIA GOVERNMENT SERVICE

To

Postage stamps of Rs. 5/_____________________________________________ _____________________________________________ _____________________________________________

From: The Registrar Dr Yashwant Singh Parmar University of Horticulture & Forestry, Nauni, Solan (HP) 173 230

SPECIMEN FORMAT OF CERTIFICATES TO BE SUPPLIED BY THE CANDIDATE FOR CLAIMING RESERVATION --------------------------------------------------------------------------------------------------PROFORMA OF CERTIFICATE FOR BONAFIDE/ DOMICILE RESIDENT OF HIMACHAL PRADESH FORM-I Certified that Mr/ Ms ____________________________________ son/daughter of Shri _______________________________________ resident of Village/ town ___________ Post Office ________________ Tehsil ______________ District _________________ is a bonafide Himachali having his/ her permanent home in Himachal Pradesh. OR 1. 2. 3. A Government Employee residing in Himachal Pradesh for a period of 20 years or above; or Residing in Himachal Pradesh for a period of 25 years or above; or Having his permanent home in Himachal Pradesh but living outside Himachal Pradesh on account of his occupation.

Signature with Stamp Tehsildar/ SDO (Civil)/ SDM ---------------------------------------------------------------------------------------------------------------------FORM-II PROFORMA OF CERTIFICATE FOR HAVING PASSED HIGH SCHOOL FROM RURAL AREA OF HIMACHAL PRADESH

It is certified that ______________________________________ son/ daughter of Shri _________________________________ has passed his/ her 10th/ High School Examination from ______________________________________ (Name of the School) which is located outside the limits of Municipal Corporation/ Municipal Council/Nagar Panchayat/ Cantonment Board.

Signature with stamp of the SDM/ Executive Magistrate

FORM-III CERTIFICATE OF OTHER BACKWARD CLASSES Tehsildar___________ District ____________ SEAL It is certified that ___________________________________ Son/ daughter of Shri ________________________________ resident of village/ town _____________________ Post office _________________ Tehsil ______________________ District ______________ belongs to _________________________ community which is recognized as Other Backward Class (OBC) by the Himachal Pradesh Government. Shri ___________________________________ and his/ her family ordinarily reside in village/ town ______________________ Post office _____________________ Tehsil ______________ District _____________________ of Himachal Pradesh. Date__________________ NB: The term Ordinarily used here will have the same meaning as in Section 20 of the Representation of the Peoples Act, 1950. 2. Where the certificate is issued by Gazetted Officers of the Union Government or State Government, they should be in the same form but countersigned by the District Magistrate or Deputy Commissioner. (Certificates issued by Gazetted Officers and attested by District Magistrate/ Deputy Commissioner is not sufficient). ---------------------------------------------------------------------------------------------------------------------FORM-IV CERTIFICATE OF SCHEDULED CASTE Tehsildar___________ District ____________ SEAL It is certified that ___________________________________ Son/ daughter of Shri ________________________________ resident of village/ town _____________________ Post office _________________ Tehsil ______________________ District ______________ OF Himachal Pradesh State belongs to ____________ caste which is recognized as Schedule Caste by the Himachal Pradesh Government. Shri ___________________________________ and his/ her family ordinarily reside in village/ town ______________________ Post office _____________________ Tehsil ______________ District _____________________ of Himachal Pradesh. Date__________________ Executive Magistrate 1. Executive Magistrate

FORM-V CERTIFICATE OF SCHEDULED TRIBE Tehsildar___________ District ____________ SEAL It is certified that ___________________________________ Son/ daughter of Shri ________________________________ resident of village/ town _____________________ Post office _________________ Tehsil ______________________ District ______________ OF Himachal Pradesh State belongs to ____________ Tribe which is recognized as Schedule Tribe by the Himachal Pradesh Government. Shri ___________________________________ and his/ her family ordinarily reside in village/ town ______________________ Post office _____________________ Tehsil ______________ District _____________________ of Himachal Pradesh.

Date__________________

Executive Magistrate

--------------------------------------------------------------------------------------------------FORM-VI WARDS OF GALLANTRY AWARD WINNER Certified that ________________________________________ son/daughter of Shri

_________________________________________ who is serving/ ex-defence personnel belongs to Village/ town _________________ Post office _______________ Tehsil __________________ District _________________ and his rank is/ was / was not awarded any gallantry awards. The particulars of the Gallantry Award granted to him are as under: Name of the Award: _______________ Year of Grant: ____________________ Dated: __________________________

Signature with Stamp Commanding Officer/ Deputy Director, Zila Sainik Board

FORM- VII (i) PROFORMA OF THE CERTIFICATE FOR THE WARDS OF DISPLACED FAMILY Certified that _______________________________________ son/ daughter of Shri __________________________________________________________son/ legal heir of Shri ________________________________ resident of Village _________________ Post Office_______________________Tehsil_____________________District _______________ whose land comprised of Khata No./Khatauni No. ____________________ Khasra No. ___________________ area _______________ was acquired for the establishment of the Dr Yashwant Singh Parmar University of Horticulture & Forestry, Nauni, Solan (HP). Sub-divisional Magistrate FORM-VII (ii) PROFORMA OF THE AFFIDAVIT/ UNDERTAKING TO BE FURNISHED FOR ADMISSION AGAINST SEAT RESERVED FOR WARDS OF DISPLACED FAMILY Affidavit by Parent I _________________________________________ Son/ Daughter of Shri __________________________________ resident of Village _________________, Post Office __________________________________ Tehsil ____________________ District ___________________ Himachal Pradesh do hereby undertake that my son/ daughter ____________________ has applied for admission to Undergraduate Programme in the Dr Yashwant Singh Parmar University of Horticulture & Forestry for the Academic Session 2013-14 and that the benefit of reservation available for the wards of displaced families has never been extended to any member of my family. I also affirm that in case the declaration is found to be untrue, I am aware that the admission of my son/ daughter is liable to be cancelled. Declared, this _____ day of ______month of ______ year. Signature of the deponent Name_________________ VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or mis-stated therein. Verified at __________ on this the ___ day of _____ month ____ year. Signature of the deponent Solemnly affirmed and signed in my presence on this the ________ day of ______ month of __________ year after reading the contents of this affidavit. Oath Commissioner