ST. THOMAS COLLEGE - BHILAI

Ruabandha , Bhilai, Dist: Durg, Chhattisgarh-490006.

Admission Form

Academic Details

SI.NO. Name of Institution Board/University Name Of Exam Roll No Year Result Division & Percentage Attachment
1
2
3
4
5
6
7
8

Total Percentage of the Qualified Examination Main Subject

Name Class Stream Permanent Address Phone No

Extra Curricular Activities, If So Give Details

School Level State National International Attachment
Sports
Cultural
Literary
NCC
NSS/Scouts Guide

Parent Details

Address Details

Other Details

DECLARATION/UNDERTAKING FROM THE STUDENT

I, Mr./Ms Class: Section:Student of St. Thomas College, Bhilai.
Phone No.(Whatsapp Number Compulsory):
Address(Permanent Home Address):,

Do hereby undertake the following

  1. I, hereby, declare that, the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records.
  2. I, hereby undertake to inform the Institute, about any changes in information submitted by me, in the Application form and any other documents, including change in addresses and Phone Nos., from time to time.
  3. I, hereby, undertake to present the original documents immediately upon demand by the concerned authorities of the Institute.
  4. I, hereby, promise to abide by the rules and regulations of admission, discipline, attendance, fee deposits and fee withdrawal of the Institute and also to follow the Code of Conduct prescribed for the students of the Institute (www.stthomascollegebhilai.in), as in force from time to time and subsequent changes / modifications / amendement made thereto. I acknowledge that, the Institute has the authority for taking punitive actions against me for violation and / or non-compliance of the same.
  5. I understand that, 75% attendance in classes is compulsory and I commit myself to adhere to the same. I also understand, in case my attendance falls short, for any reason, the competent authority of the Institute may take such punitive action against me, as may be deemed fit and proper.
  6. I, hereby declare that, I will neither join in any coercive agitation / strike for the purpose of forcing the authorities of the Institute to solve any problem, nor I will participate in any activity which has a tendency to disturb the peace and tranquility of campus and / or Hostel' premises.
  7. I, hereby declare that, I will not indulge in, or tolerate ragging, in any form, even in words or intentions, and I accept to give an undertaking in the prescribed format for the same.
  8. I, hereby declare that, I shall be solely responsible for my involvement in any kind of undesirable, indisciplinary activities outside the campus, and shall be liable for punishment as per the law of the land. I, further understand that, the Institute shall in no way provide any support to me and will not be held responsible for my any such action.
  9. I, further declare that, my admission may be cancelled, at any stage, if I am found ineligible and / or the information provided by me are found to be incorrect.

Date:

Signature of Student:

DECLARATION / UNDERTAKING FROM THE PARENTS

I Mobile No ( Father / Mother/ Guardian) hereby fully endorse the above undertaking / declaration given by my child / ward. And I will endeavour to induce my child / ward to do his / her best to observe the above stated undertaking in words & spirit.

Place :

Signature of Father / Mother / Local Guardian:

Date:

VERIFICATION

Applicant is found eligible for admission on .

Documents to be Submitted









FOR OFFICE USE ONLY


VERIFIED BY:

Name:

Signature:

APPROVED BY:

Signature of Principal :

As per UGC DO No.1-3/2007(CPP-II) Dated 06.12-2016 the percentage of refund of aggreage fees will be as follows:
S.No Percentage Period
1 100 15 days before the formally noticed last date of admission
2 80 Not more than 15 days after the formally noticed last date of admission
3 50 More than 15 days but less than 30 days after formally noticed date of admission
4 0 More than 30 days after formally noticed last date of admission