BFA prospectus 2013.cdr - Chandigarh

Sr. No.__________GOVERNMENT COLLEGE OF ART, CHANDIGARHApplication Form for Admission2013-2014Bachelor of Fine Arts (Four-Years Degree Course)Special Diploma Course for Hearing & SpeechImpaired and Mentally Challenged Persons (Four Year)Specializations :APPLIED ART/PAINTING/GRAPHICS(PRINT-MAKING)/SCULPTUREFOR OFFICE USE ONLYRoll No.Eligible/Not EligibleDeficiencies if any10+2Pass10+2DMCCCDOB(i) Registration No.In case candidate is already registered with any University then mention(ii) University with which registeredLast date for the receipt of Application Form for BFA/Special Diploma is 14.6.2013Note: Application form to be filled in by the candidate in his/her own hand.1.(A) U.T PoolGeneral PoolMark in relevant Box}Affix self attestedrecent passportsize photograph(B)For BFA, if reserved category to which you belong(Write in the box whether SC/ST/Defence/Handicapped/Freedom Fighter/Sports/NRI/Kargil Martyrs/Tuition Fee Waiver Scheme(C) Whether applying for Special Diploma Yes/No. If yes attach Certificate.1. Name of the Applicant in Block letters (use same spelling as in University/BoardCertificate)________________________________________________________________________________2. Mother’s Name:____________________________________________________________________________3. Father’s Name, Occupation & Ph. No.:________________________________________________________________4. Guardian’s Name and Address (if father deceased ) __________________________________________________________________________________________________________________________________________________________________________________5. Relationship of Guardian to applicant:_________________________________________________________6. Date of Birth: ( in words & figures) _________________________________________________________7. Sex (Male/Female):_________________________________________________________________________8. Nationality:________________________________________________________________________________9. State & District to which the candidate belongs State_______ District________________________________________10. Permanent Address with telephone No. _________________________________________________________11. Correspondence Address with mobile No.:______________________________________________________12. (a) School/College last attended:________________________________________________________________(b) Date of leaving:__________________________________________________________________________13. Aadhaar Card No of the Student/Applicant: _________________________________________________________________________________________14. Caste of the Student/Applicant:15. Email ID of theStudent/Applicant:16. Medium of Instruction for theory paper writein the box whether Hindi/English/Punjabi.17. Bank Account No. of the student/Applicant______________________________________________________18. IFSC Code _________________________________________________________________________________19. Name & Address of the Bank__________________________________________________________________20. Educational Qualification:-Name of Exam10+2 for BFAYear ofPassingName ofUniversity/InstitutionSpecialization/SubjectsMarksTotal Obtained` %age10 th for SpecialDiploma21. Permanent Address & Email of Parents _________________________________________________________________________________22 Family Photograph with name