COLLEGE CODE: 0371

APPLICATION FORM FOR ADMERIT GYAN JYOTI SCHOLARSHIP

Affix your recent stamp size photo for ID card.

Photo should not extend outside the box.

Form No.__________________

INSTRUCTIONS

COURSE APPLIED FOR

1. Please read the instructions/regulations clearly.2. Please fill the form in clear handwriting, in CAPITAL letters. Use only black ball point pen/gel pen to fill the form.3. Do not staple, mark or write anywhere on this sheet other than where you have to.4. The photograph should not exceed the border of box.

Course for which scholarship is sought : BCA BBM BMCA BScIT

Name of applicant as in birth certificate or marks card of Std. X exam (IN CAPITAL LETTERS) :

Complete address for correspondence (do not repeat name) :

Father’s Name:

Mother’s Name:

City : State : Pin :

Father’s Occupation:

Category: SC ST OBC GEN Minority OthersFather’s Phone/Mobile :

Date of Birth :

D D M M Y Y Y Y

Gender : M— Male F- Female

PERSONAL DETAILS

EDUCATIONAL DETAILS

Details of Educational Qualifications (From Std X onwards) :

Name of Qualifying examination Year of passing Board / Institution / University Class / Division / Grade Percentage / GPA

Result awaited / Percentage of marks obtained in 10+2 / Intermediate Maths :

Registration No:

Intermediate Exam details :

Subjects taken in Intermediate: 1. ________________________2. ___________________________3._________________________4._____________________5.______________________

Roll No: Roll Code:

School / College Name:

Principal’s Name:

Matric/10th.

COLLEGE CODE: 0371

l The student shall bring Admerit Gyan Jyoti Scholarship admit card on the day of examination.l Only those students who have appeared in Inter / +2 exam in 2013 are eligible to appear for scholarship examination.l The student must bring his/her Inter Council/CBSE/ICSE/+2 ADMIT CARD as a proof that he/she is a bonafide student of +2/Inter.l The candidate must have secured atleast 60% marks in his/her matriculation/10th. examination.l The students will be shortlisted for interview round on basis of written test to be conducted at Admerit College.l The result will be published after 3 days of examination date on notice board of Admerit College.l The final list of successful students will be displayed on notice board and will be valid for a period of 10 days only from the date of result.l The scholarship will be valid only for candidates who enroll in any Govt. recognized college in Bihar. The scholarship will NOT be disbursed if a candidate

enrolls in any private college or outside Bihar.l This scholarship IS VALID ONLY FOR CANDIDATES ENROLLING IN BCA/BBM/BScIT/BMCA and not for any other course.l There will be 25 scholarships @ Rs.5000/- each for candidate enrolling in Govt. recognized college in Bihar. For students enrolling in Admerit college, there

will be 50 scholarships @Rs.10,000/- each.l The decision of Admerit College Scholarship Committee will be final and binding in all respects.l This is not an exhaustive list of T&C. Complete list of the same is available in college.l If selected, the candidate may be asked to furnish original documents for verification.l The scholarship amount will be disbursed only after the candidate furnishes documents of his/her admission in a Govt. recognized college / Admerit College.l This Scholarship will be given only ONCE during period of study of the student.l The scholarship amount will be disbursed to the candidate ONLY by cheque/Demand Draft. No cash payments will be done. The candidate has to furnish

his/her bank account details for the same.l All legal disputes will be subject to jurisdiction of Patna courts only.

TERMS AND CONDITIONS Examination Fee: Rs.50/-

I have read and understood the terms and conditions above and I hereby agree to follow the same.

Signature of Candidate with date.

BCA BBM BMCA BScIT

Candidates Signature

ADMIT CARD

(For office use only)

Rules for examination centre

1. The candidate must come 30 minutes before scheduled time to examination centre.2. The candidate must carry this admit card for allowing entry into examination centre.3. Use of calculator / mobile phone is strictly prohibited in examination hall.4. The candidates are not allowed to leave examination hall once exam starts.5. The centre deserves the right to expel any student in case he/she is found using unfair means of any kind.

(Authorized Signatory)

(To be filled in by the Applicant)

Photograph

Name of Applicant :_______________________________________________________________________________

Course applied for :

Address :_______________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

intermediate exam Roll no.________________________________________________________________________

Date : ___________________________

Time : ___________________________

Exam Venue : Admerit College

Opposite Loyola High School, Beside Nutan Vidya ComplexPatliputra Kurjee Road, PATNA - 800010.

Phone : 93043-99989.

Form No.__________________________

Examination Fee: Rs.50/-

COLLEGE CODE: 0371

www.admerit.orgwww.facebook.com/ADMERITPATNA

l The student shall bring Admerit Gyan Jyoti Scholarship admit card on the day of examination.l Only those students who have appeared in Inter / +2 exam in 2013 are eligible to appear for scholarship examination.l The student must bring his/her Inter Council/CBSE/ICSE/+2 ADMIT CARD as a proof that he/she is a bonafide student of +2/Inter.l The candidate must have secured atleast 60% marks in his/her matriculation/10th. examination.l The students will be shortlisted for interview round on basis of written test to be conducted at Admerit College.l The result will be published after 3 days of examination date on notice board of Admerit College.l The final list of successful students will be displayed on notice board and will be valid for a period of 10 days only from the date of result.l The scholarship will be valid only for candidates who enroll in any Govt. recognized college in Bihar. The scholarship will NOT be disbursed if a candidate

enrolls in any private college or outside Bihar.l This scholarship IS VALID ONLY FOR CANDIDATES ENROLLING IN BCA/BBM/BScIT/BMCA and not for any other course.l There will be 25 scholarships @ Rs.5000/- each for candidate enrolling in Govt. recognized college in Bihar. For students enrolling in Admerit college, there

will be 50 scholarships @Rs.10,000/- each.l The decision of Admerit College Scholarship Committee will be final and binding in all respects.l This is not an exhaustive list of T&C. Complete list of the same is available in college.l If selected, the candidate may be asked to furnish original documents for verification.l The scholarship amount will be disbursed only after the candidate furnishes documents of his/her admission in a Govt. recognized college / Admerit College.l This Scholarship will be given only ONCE during period of study of the student.l The scholarship amount will be disbursed to the candidate ONLY by cheque/Demand Draft. No cash payments will be done. The candidate has to furnish

his/her bank account details for the same.l All legal disputes will be subject to jurisdiction of Patna courts only.

TERMS AND CONDITIONS