{# #}

{{college.collegeName|upper}} {{college.autonomous?( college.autonomous|slice(0, 2)|upper):''}}{{college.autonomous?(college.autonomous|slice(2)|lower ):''}}

STUDENT REGISTRATION FORM (PG)

{# #}

{% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %} {% set index = index + 1 %}

{{index}}.	Name of the Candidate :	{{student.studentFirstName\|upper}}
{{index}}.	Programme of Study :	{{alreadyAdmittedDetails.patternCourseName}}
{{index}}.	Date of Admission :	{{alreadyAdmittedDetails.admittedTime}}
{{index}}.	Category of Admission :	{{student.seatReservationQuotaId}}
{{index}}.	Gender :	{{student.gender}}
{{index}}.	Blood Group :	{{student.bloodGroupId\|upper}}
{{index}}.	Date of Birth :	{{student.dateOfBirth\|date("d/m/Y")}}
{{index}}.	Student Email :	{{student.studentEmail}}
{{index}}.	Mobile No of the student :	{{student.studentMobile}}
{{index}}.	Aadhar No :	{{student.aadharNo}}
{{index}}.	Religion :	{{student.religion}}
{{index}}.	Caste :	{{student.caste}}
{{index}}.	Category :	{{student.studentReservationId}}
{{index}}.	Annual Income :	{{student.annualIncome}}

PARENT DETAILS
Father's Name	: {{student.fatherName\|upper}}	Mother's Name	: {{student.motherName\|upper}}
Father Mobile No.	: {{student.fatherMobileNo}}	Mother Mobile No.	: {{student.motherMobileNo}}
Father's Occupation	: {{student.fatherOccupation}}	Mother's Occupation	: {{student.motherOccupation}}
Father's Education	: {{student.fathersEducation}}	Mother's Education	: {{student.mothersEducation}}

ADDRESS

Permanent Address : {{student.permanentAddress}}

Communication Address : {{student.commuAddressLine1 ? student.commuAddressLine1 ~ ', ':'' }} {{student.commuAddressLine2 ? student.commuAddressLine2 ~ ', ':'' }} {{student.commuCity ? student.commuCity ~ ', ':'' }} {{student.commuPin ? student.commuPin :'' }}

{% if student.sPLACHIEVEMENTS =='YES' %} {% endif %} {% if student.sCHOLORSHIPS =='YES' %} {% endif %}

Do you have any special achievements during +2?	: {{student.sPLACHIEVEMENTS}}
Details	: {{student.giveDetails}}
Have you received any scholarships yet?	: {{student.sCHOLORSHIPS}}
Details	: {{student.giveDetails1}}
Why you choose this subject and St Thomas College Palai for Higher studies?	: {{student.whyYouChooseThisSubjectAndStThomasCollegePalaiForHigherStudies}}
Place of Residence during the course	: {{student.placeOfStayDuringTheCourse}}
Approximate Distance to the college	: {{student.approximateDistanceToTheCollege}}

DETAILS OF QUALIFYING EXAMINATIONS
Year of Qualifying SSLC	:{{student.sslcYearOfPass}}
Register No	:{{student.registerNo}}
Name of the Board	:{{student.tenthBoardStream}}
Percentage of Marks	: {{student.percentageOfMarks}}
Year of Qualifying Higher Secondary/ Equivalent	:{{student.hssYearOfPass}}
Register No	: {{student.plusTwoRegisterNo}}
Name of the Board	:{{student.twelfthBoardStream}}
Stream or Group of Study	:{{student.twelfthStream}}
Percentage of Marks	:{{student.percentageOfMarks1}}

UNDERTAKING-1 BY THE STUDENT I {{student.studentFirstName\|upper}} applying admission to {{alreadyAdmittedDetails.patternCourseName}} course at St Thomas College Palai hereby declares that I am aware of the law regarding prohibition of ragging as well as punishments and that I have not been expelled and /or debarred from admission by any institution because of my involvement in ragging and that if I am found guilty of the offence of ragging and / abetting ragging, is to be punished appropriately.
Signature of the Student :
Name : {{student.studentFirstName\|upper}}
Date :

UNDERTAKING-1 BY THE PARENT/ GUARDIAN I {% if student.relation == 'FATHER' %} {{student.fathersName\|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName\|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName\|upper}} {% endif %} who is the parent of {{student.studentFirstName\|upper}}, who had submitted application for {{alreadyAdmittedDetails.patternCourseName}} course read the above declaration by my ward namely {{student.studentName\|upper}} and declares that I also agree to the above undertaking by my ward.
Signature of the parent/ Guardian :
Name : {% if student.relation == 'FATHER' %} {{student.fathersName\|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName\|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName\|upper}} {% endif %}
Date :

UNDERTAKING-2 BY THE STUDENT

I {{student.studentFirstName|upper}} S/o. or D/o. Mr./Mrs. {% if student.relation == 'FATHER' %} {{student.fathersName|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} {% endif %} have carefully read and fully understood the law prohibiting ragging and the directions of the supreme court and the Central and State Government in this regard.

I have received a copy of the UGC Regulations in Curbing the Menance of Ragging in Higher Educational institutions2009, and have carefully gone through it.

I hereby undertake that:

I will not indulge in any behaviour or act that may come under the definition of ragging.
I will not participate in or abet or propagate ragging I any form.
I will not hurt anyone physically or psychologically or cause any harm.

I hereby agree that if I am found guilty of any aspect of ragging, I may be punished as per the provisions of the UGC Regulations mentioned above and / or as per the law in force.

I hereby affirm that I have not been expelled or debarred from admission by any institution.

Signature of the Student :

Name : {{student.studentFirstName|upper}}

UNDERTAKING-2 BY PARENT/ GUARDIAN

I {% if student.relation == 'FATHER' %} {{student.fathersName|upper}} F/o. {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} M/o {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} G/o. {% endif %} {{student.studentFirstName|upper}} have carefully read and fully understood the law prohibiting ragging and the directions of the supreme court and the central/ state government in this regard as well as the UGC regulations on curbing the Menance of Ragging in Higher educational institutions 2009.

I assure you that my son/ daughter will not indulge in any act of ragging.

I hereby undertake that:

I hereby agree that if he/ she is found guilty of any aspect of ragging, he/ she may be punished as per the provisions of the UGC regulations mentioned above and/ as per the law in force.

Signature of the parent/ Guardian :

Name : {% if student.relation == 'FATHER' %} {{student.fathersName|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} {% endif %}

GENERAL GUIDELINES AND RULES OF CAMPUS LIFE

(As per College Calendar item No. 9,11,15)

9. Politically based student organizations or outfits are not allowed in the campus. Students are strictly prohibited from organizing. Attending or participating in any activity or agitation sponsored by the politically based student organizations.

11. The college being a temple of learning and an exclusive academic zone, nobody shall respond to any call for any form of strike or agitation including slogan shouting, dharna, gherao, burning of effigy or indulge in anything which may harm the peaceful and serene atmosphere of the institution and shall eschew from violence within the campus and hostel.

15. Usage of mobile/cell phones within the campus is prohibited. Violation of the ban would entail seizure of the same with fine. Misuse of IT including e- mails is also strictly prohibited.

I {% if student.relation == 'FATHER' %} {{student.fathersName|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} {% endif %} assure that my son/daughter {{student.studentFirstName|upper}} will obey the above mentioned as well as other rules and regulations of the college.

Signature of the parent/ Guardian :

UNDERTAKING-3 BY STUDENT

I {{student.studentFirstName|upper}} hereby declare that I shall not give or take or abet the giving or taking of dowry, or, demand directly or indirectly from the parents or guardians of the bride or bridegroom, as the case may be, any dowry.

Note: Dowry shall have the same meaning as in the dowry prohibition act 1961.

I aver in the full understanding that any breach of the rules or law relating to taking or abetting the taking of dowry shall render me liable for appropriate action including cancellation of my admission to the university/ not being granted degree/ withdrawal of degree.

Place :

Date :

Signature :

Name : {{student.studentFirstName|upper}}

UNDERTAKING-3 BY PARENT/GUARDIAN

I {% if student.relation == 'FATHER' %} {{student.fathersName|upper}} , Father of {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} , Mother of {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} , Guardian of {% endif %} {{student.studentFirstName|upper}} hereby declare that I shall not give or take or abet the giving or taking of dowry, or, demand directly or indirectly from the parents or guardians of the bride or bridegroom, as the case may be, any dowry.

Note: Dowry shall have the same meaning as in the dowry prohibition act 1961.

I aver in the full understanding that any breach of the rules or law relating to taking or abetting the taking of dowry shall render me liable for appropriate action including cancellation of my ward's admission to the university/ not being granted degree/ withdrawal of degree.

Place :

Date :

Signature :

PARENT- TEACHER ASSOCIATION (PTA)

{% if student.relation == 'FATHER' %} {{student.fathersName|upper}} {% elseif student.relation == 'MOTHER' %} {{student.mothersName|upper}} {% elseif student.relation == 'GUARDIAN' %} {{student.guardiansName|upper}} {% endif %} {% if student.relation == 'FATHER' %} {% elseif student.relation == 'MOTHER' %} {% elseif student.relation == 'GUARDIAN' %} {% endif %}

Name of the Parent
Permanent Address	:{{student.permanentAddress}}
Address for Communication	:{{student.commuAddressLine1 ? student.commuAddressLine1 ~ ', ':'' }} {{student.commuAddressLine2 ? student.commuAddressLine2 ~ ', ':'' }} {{student.commuCity ? student.commuCity ~ ', ':'' }} {{student.commuPin ? student.commuPin :'' }}
Phone Number	: {{student.fatherMobileNo}}
Occupation	:{{student.fatherOccupation}}
Age	: {{student.fathersAge}}
Phone Number	: {{student.motherMobileNo}}
Occupation	:{{student.motherOccupation}}
Age	: {{student.mothersAge}}
Phone Number	: {{student.guardiansPhone}}
Occupation	:{{student.guardiansOccupation}}
Age	: {{student.guardiansAge}}
Name of the student	:{{student.studentFirstName\|upper}}

I wish to join Parent- Teacher Association of St Thomas College Palai. I agree the rules and regulations of the association. I also remit the membership fee.

Signature of the parent:

UNDERTAKING-1 BY THE STUDENT