GOVERNMENT OF NAGALAND KOHIMA COLLEGE, KOHIMA KOHIMA: NAGALAND ADMISSION FORMS FOR B.A &B.COM, SEM-I/II/III/IV/V &VI (HONOURS/PASS) COURSE Space for passport photograph of the Candidate (Colour) To, The Principal, Kohima College, Kohima Kohima: Nagaland Sir, I have the honour to apply for admission at Kohima College, Kohima in B.A. / B.COM .............Semester in the year.......................................... I have read the rules and regulations of the college, and promise to abide by it as specified in the pledge/ bond / Statutory Rules and Regulations. Further, I declare that the information given below is correct to the best of my knowledge and belief. Yours faithfully, (Signature of the Student) Name of the Student..................................................................................................................... (In block letters and as per HSLC record) Signature of the Father /Guardian ..................................................................................... Name of the Father/ Guardian (In Block Letters)........................................................................ 1. Present age as per the record in H.S.L.C ………………………………………………. 2. Gender (Male/Female) ………………………………………………………………… 3. Nationality ……………………………………………………………………………... 4. Religion ………………………………………………………………………………... 5. (A) Scheduled Tribe/Scheduled Caste/ Others………………………………………… (B) Tribe/Community …………………………………………………………………. 6. Name of the School/ College last attended …………………………………………..... Page 1 of 6 7. Aggregate Percentage of Marks of last Examination ………………………………... 8. Roll No…………………………Board/University………………………………….. 9. Registration with Nagaland University No…………………….Year…………… 10. Father’s/Husband’s Name……………………Occupation…………………………. 11. Mother’s Name………………………………Occupation………………………….. 12. Permanent Address: Village / Town...................................................................................................... Colony / Ward...................................................................................................... Post Office............................................................................................................ Police Station............................................................................................................. District.................................................................................................................. State...................................................................................................................... Telephone No...................................................Mobile.............................................. 13. Present Residential Address: Village / Town...................................................................................................... Colony / Ward...................................................................................................... Post Office............................................................................................................ District.................................................................................................................. State …………………………………………………………………………….. Telephone No................................................Mobile................................................ (Student’s contact number) 14. Local Guardian (In case of Father’s demise or Out-Stationed Parents) Name................................................................................................................... Designation.......................................................................................................... Relationship......................................................................................................... Address................................................................................................................ Telephone No ………………………….. Mobile …………………………….. Page 2 of 6 15. GENERAL GRADUATE PROGRAMME/COURSE 1) ARTS a) BACHELOR OF ARTS (PASS COURSE) 1. 2. Compulsory Subjects 1. English 2. Alternative English 3. Environmental Studies Elective Subjects (Tick any three) 1. History 2. Political Science 3. Economics 4. Education Sociology 5. Elective Tenyidie Elective English Functional English MIL Tenyidie b) BACHELOR OF ARTS (HONOURS COURSE) * Honours in Sociology is not offered. 1. 2. 3 Compulsory Subjects 1. English 2. Alternative English 3. Environmental Studies Elective Subjects (Tick any two) 1. History 2. Political Science 3. Economics 4. Education Sociology 5. Elective Tenyidie Elective English Functional English Honours Subject (Tick one) 1. Economics 2. Political Science 3. History 4. Education 5. Tenyidie MIL Tenyidie Page 3 of 6 c) BACHELOR OF ARTS (ENGLISH HONOURS COURSE) 1. 2. Compulsory Subject 1. Alternative English 2. Environmental Studies Elective Subjects (Tick any three) 1. History 2. Economics 3. Pol. Science 4. Education Sociology MIL Tenyidie 2) COMMERCE a) BACHELOR OF COMMERCE (PASS COURSE) 1. General Graduate program 1.English 2.Principles of Management 3.Indian Banking System 4.Financial Accounting Documents to be submitted along with Admission form during admission to B.A./B. Com 1st Semester: 1. Attested photocopies of HSLC & HSSLC Mark sheet and Admit Card; Scheduled Tribe/Scheduled Caste/ Other Backward Classes and Indigenous Certificate. 2. One Thumb Sized photograph (for student’s ID card) 3. Original Certificates must be produced for verification if required. Page 4 of 6 ANNEXURE I (This document is compulsory for every student to fill up and sign) PLEDGE/BOND I Shri/Smti………………………………... son/daughter of Shri ……………………………… of village/town …………………………… having admitted into…………………………… Semester at Kohima College, Kohima, in the year ……………………………. do hereby furnish the following undertakings with full knowledge of the contents written herein and agree to undertake absolute responsibility for it. I will also ungrudgingly accept any disciplinary action to be meted out to me by the College authority in the event of breach or non-fulfilment of any condition(s) stated below:1. I will regularly attend all classes as per the schedule of the college and fulfil the minimum 75% in attendance criteria laid down by Nagaland University. In the event of my failure to fulfil the said criteria, the college authority has every right to rusticate/expel me from the college. 2. I will not be employed in any office/institution/organization till the completion of Three Year Degree Course at Kohima College, Kohima. 3. I will pay all college fees/dues/other fees regularly as and when notified by the Principal. 4. I will never misbehave with college authority/respectable teachers/ staff of the college and abide by the orders of the Principal in maintaining discipline during my entire term of study in the college. 5. I will forfeit my claim for scholarship if I fail to get 75% (NU) attendance in all subjects. 6. I will perform all home works/term papers/assignments assigned to me by the subject teacher(s) in the true sense of the term. 7. I will always come to college with dignified dress and wear college blazer/t-shirt regularly as directed by the college authority. 8. I will not indulge in drinking/smoking/abusing drugs/gambling/chewing paan, gutkha, tobacco etc. within the college premises. In the event of my indulgence in any of the above said vices, I shall be liable to expulsion from the college without any warning from the college authority. 9. I will not use mobile phones/music players within the college premises, especially during class hours and examinations. 10. I will regularly visit the college library in order to collect reading materials and as when there is any off period/class, I shall fruitfully utilize my time in the college library. 11. I will not discriminate/look down on any of my friends/classmates on the basis of tribe/caste/religion/belief. 12. I shall not keep long hair (for male students) during my stay in the college. 13. I shall keep my class room/surrounding clean and tidy throughout my study in the college. Signature of the student: …………….............................…… Name: ………………………………...............................….. Page 5 of 6 ANNEXURE- II INDEMNITY CERTIFICATE FROM PARENTS/GUARDIANS (It is mandatory for parents/guardians to fill up) This is to certify that: 1. My son/daughter Shri/Smti ……………………………………………………… of class ……………………….. Roll no…………………………………… of Kohima College, Kohima is permitted to participate in all extra and co-curricular activities/ excursions/ cultural exchange programmes/ N.C.C/ N.S.S/ field studies/ tours etc. organized/ decided at the discretion of the college authority. 2. I hereby indemnify the college authority against any damage, sickness, accident, death caused to my son/daughter during his/her involvement in extra and co-curricular activities/ excursions/ cultural exchange programmes/ N.C.C/ N.S.S/ field studies/ tours etc. on account of mishap that may be caused inadvertently. Signature of Parent/Guardian …………………………………………… Name in Block Letters …………………………………………………... Designation/Occupation ………………………………………………… Address ………………………………………………………………….. …………………………………………………………………………… Telephone No. …………………………. Mobile ……………………… Page 6 of 6
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