st counselling schedule for diploma programmes · 2019-07-20 · 1st counselling schedule for...

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1 st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2. The candidate should bring all relevant documents in support of their educational qualifications and category as mentioned in the prospectus. 3. Candidate who fails to appear as per the given schedule for counselling will not be considered for admission. Venue: Shri Vishwakarma Skill University, Plot No.147, Sector 44, Gurugram S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time 1 201805968 Ashish Sharma Vishnu Sharma HOGC 23-07-2019 at 09:00 AM 2 201807242 Bhanu Vashisth Asha Ram HOGC 3 201806988 Achin Jain Pankaj Jain AIC 4 201807658 Saurav Sharma Niranjan Lal Sharma HOGC 5 201808293 Vipin Kumar Vijay Singh BC-B 6 201808271 Mohan Shyam Radhey Shyam BC-A 7 201808663 Neeraj Rawat Sh Girdhari Lal HOGC 8 201805728 Ajay Khachera SC 9 201806460 Anju Roop Chnad BC-A 10 201807924 Yashovardhan Singh Rathore Surendra Singh Rathore AIC 11 201808807 Himanshu Satyanarayan HOGC 12 201805212 Sandeep Kumar Shri Kanwar BC-B 13 201805071 Piyush Gurnani Rajesh Kumar Gurnani AIC 14 201807584 Dheeraj Mahavir HOGC 15 201807382 Om Prakash Devi Singh SC 16 201807393 Sanjeet Sharma Narayan Sharma AIC 17 201805341 Yogesh Kumar Tanwar Ved Pal HOGC 18 201807071 Sanjay Malik Kharati Lal HOGC 19 201808732 Mahesh Kumar Satpal HOGC 20 201807662 Abhishek Kaushik Sandeep Kaushik HOGC 21 201808422 Vikas Kheta Ram BC-B 22 201805746 Vishavendra Singh Ramotar AIC 23 201807430 Akshay Dhull Yudhvir Dhull HOGC 24 201807804 Kulshresth Guru Dev BC-A 25 201808778 Sonuram Amar Singh BC-A 26 201807153 Mustak Alam Naimuddin HOGC 27 201807602 Pradeep Gautam Prempal HOGC 28 201807635 Naval Khem Chand SC 29 201805850 Satyam Govind Kumar AIC 30 201807179 Rishabh Tewatia Bijender HOGC 31 201805599 Paramveer Suresh Chand HOGC 32 201805592 Mukesh Ashok Kumar HOGC 33 201806191 Bharti Rajender SC 34 201808410 Akash Chhawari Dharmender Singh Chhawari BC-B 35 201805583 Deepak Kumar Karan Singh HOGC 36 201808809 Prem Chand Jai Chand BC-A 37 201808620 Dinesh Dheeraj Kumar BC-A 38 201808676 Ayushi Swadesh Bhati BC-B 39 201808680 Shiv Rajender Singh BC-B 40 201805102 Keshav Kumar Ashok Kumar AIC

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Page 1: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

1st Counselling Schedule for Diploma programmes

Note: 1. This is provisional list of candidates for counselling.

2. The candidate should bring all relevant documents in support of their educational qualifications and

category as mentioned in the prospectus.

3. Candidate who fails to appear as per the given schedule for counselling will not be considered for admission.

Venue: Shri Vishwakarma Skill University, Plot No.147, Sector 44, Gurugram

S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time

1 201805968 Ashish Sharma Vishnu Sharma HOGC

23-07-2019 at 09:00 AM

2 201807242 Bhanu Vashisth Asha Ram HOGC

3 201806988 Achin Jain Pankaj Jain AIC

4 201807658 Saurav Sharma Niranjan Lal Sharma HOGC

5 201808293 Vipin Kumar Vijay Singh BC-B

6 201808271 Mohan Shyam Radhey Shyam BC-A

7 201808663 Neeraj Rawat Sh Girdhari Lal HOGC

8 201805728 Ajay Khachera SC

9 201806460 Anju Roop Chnad BC-A

10 201807924 Yashovardhan Singh Rathore Surendra Singh Rathore AIC

11 201808807 Himanshu Satyanarayan HOGC

12 201805212 Sandeep Kumar Shri Kanwar BC-B

13 201805071 Piyush Gurnani Rajesh Kumar Gurnani AIC

14 201807584 Dheeraj Mahavir HOGC

15 201807382 Om Prakash Devi Singh SC

16 201807393 Sanjeet Sharma Narayan Sharma AIC

17 201805341 Yogesh Kumar Tanwar Ved Pal HOGC

18 201807071 Sanjay Malik Kharati Lal HOGC

19 201808732 Mahesh Kumar Satpal HOGC

20 201807662 Abhishek Kaushik Sandeep Kaushik HOGC

21 201808422 Vikas Kheta Ram BC-B

22 201805746 Vishavendra Singh Ramotar AIC

23 201807430 Akshay Dhull Yudhvir Dhull HOGC

24 201807804 Kulshresth Guru Dev BC-A

25 201808778 Sonuram Amar Singh BC-A

26 201807153 Mustak Alam Naimuddin HOGC

27 201807602 Pradeep Gautam Prempal HOGC

28 201807635 Naval Khem Chand SC

29 201805850 Satyam Govind Kumar AIC

30 201807179 Rishabh Tewatia Bijender HOGC

31 201805599 Paramveer Suresh Chand HOGC

32 201805592 Mukesh Ashok Kumar HOGC

33 201806191 Bharti Rajender SC

34 201808410 Akash Chhawari Dharmender Singh Chhawari BC-B

35 201805583 Deepak Kumar Karan Singh HOGC

36 201808809 Prem Chand Jai Chand BC-A

37 201808620 Dinesh Dheeraj Kumar BC-A

38 201808676 Ayushi Swadesh Bhati BC-B

39 201808680 Shiv Rajender Singh BC-B

40 201805102 Keshav Kumar Ashok Kumar AIC

Page 2: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time

41 201807331 Arpit Sharma Ashok Sharma AIC

23-07-2019 at 09:00 AM

42 201808243 Neeraj Kumar Ram Singh AIC

43 201805390 Aaisha Mohd Saleem AIC

44 201808617 Rohtash Krishan HOGC

45 201808535 Gajender Kaushik Dharam Vir HOGC

46 201805589 Yogesh Vijay HOGC

47 201808692 Yogesh Kumar Ramesh Chand HOGC

48 201806179 Virendra Seeta Ram HOGC

49 201806766 Deepak Saini Ramesh Chand BC-B

50 201805679 Krishna Kant Jha Uma Kant Jha AIC

51 201805098 Amit Kumar Bhardwaj Tek Chand Sharma HOGC

52 201808799 Yogender Kumar Sunil Dutt HOGC

53 201807478 Ajay Jakhar Om Prakash HOGC

54 201808529 Satvir Chauhan Pratap Singh HOGC

55 201805816 Arun Rajkumar BC-A

56 201808808 Manjeet Rajan Singh HOGC

57 201806617 Geeta Tekchand HOGC

58 201808615 Palak Khanna Sai Krishna Khanna HOGC

59 201805015 Arjun Rajesh Kumar Verma HOGC

60 201807360 Sachin Kumar Samay Singh BC-A

61 201808804 Aman Kumar Satish Kumar BC-A

62 201807287 Akash Kumar Satyapal AIC

63 201805595 Mayank Virpal HOGC

64 201808111 Mahesh Kumar Dharampal HOGC

65 201807889 Shiv Kumar Yadram Sharma HOGC

66 201808090 Jainarayan Dudhola Resident

67 201806333 Saurabh Joginder Dudhola Resident

68 201807083 Manisha Subhash Chand HOGC

69 201805771 Ankit Satpal HOGC

70 201808939 Tarun Vaishnav Ramesh Chand BC-A

71 201806480 Manoj Kumar Ram Gopal BC-A

72 201806470 Mamta Dharam Pal BC-A

73 201807399 Arun Kumar Jai Bhagwan BC-A

74 201808340 Vishal Raj Singh BC-B

75 201805807 Sapna Sudhir AIC

76 201808318 Ashish Hooda Dal Singh AIC

77 201807222 Deepika Sharma Dharamveer Sharma HOGC

78 201805758 Robin Satveer HOGC

79 201806405 Nakul Devi Singh HOGC

80 201805584 Premchand Mangeram SC

Page 3: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time

81 201806379 Vivek Kartar Singh HOGC

24-07-2019 at 09:00 AM

82 201808191 Himanshi Bansal Madan Gopal Bansal HOGC

83 201807983 Aniket Gautam Amal Chand HOGC

84 201807515 Arun Kumar Pal HOGC

85 201807573 Aditi Kishore Singh HOGC

86 201807655 Jag Veer Raghu Veer SC

87 201806457 Ankit Poswal Narender Singh BC-B

88 201807593 Shweta Raj Singh Dudhola Resident

89 201807000 Pradeep Kumar Gupta Ishwar Kumar Gupta AIC

90 201805608 Suprava Rout Pravash Chandra Rout AIC

91 201807612 Devender Jaswant Singh HOGC

92 201806657 Krishan Shri Chand HOGC

93 201807684 Ravindra Foujdar Mohanshyam AIC

94 201807906 Saurav Gautam Shyam Sunder HOGC

95 201805897 Priyanka Bachchu Singh HOGC

96 201807926 Vikash Chauhan Regpal Chauhan HOGC

97 201808629 Krishan Kamal Lal Sharma HOGC

98 201807361 Raina Singh Umesh Singh HOGC

99 201806519 Dheeraj Kumar Lekhraj SC

100 201807062 Devender Bhavi Chand SC

101 201806129 Aman Gulab Singh BC-A

102 201805442 Gaurav Bijender Singh BC-A

103 201806222 Nishant Poswal Ravinder Poswal BC-B

104 201806114 Sachin Birsingh Dudhola Resident

105 201806902 Ankita Kumari Sultan Singh AIC

106 201807526 Manoj Kumar Dhram Pal HOGC

107 201807887 Indu Brijbhushan HOGC

108 201807058 Amit Sharma Jai Prakash HOGC

109 201807625 Rajesh Mansukh HOGC

110 201805995 Manish Shrikawar BC-B

111 201806736 Shiv Shankar Thakur Mithilesh Thakur AIC

112 201807081 Vishal Vishal Bijender Singh HOGC

113 201805402 Harsh Sharma Laxman Sharma HOGC

114 201806089 Balram Khajan Singh HOGC

115 201806436 Balram Prakash HOGC

116 201805371 Sonu Mahender Singh HOGC

117 201806542 Anoop Om Prakash HOGC

118 201807025 Karan Shyam Sharma HOGC

119 201807112 Chander Shekhar Shyamdutt HOGC

120 201808301 Ashish Narender SC

Page 4: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time

121 201807380 Narender Dharamvir SC

24-07-2019 at 09:00 AM

122 201807891 Rohtash Mahender SC

123 201806672 Ajaypal Santram BC-A

124 201805056 Gaurav Sukhilal BC-B

125 201806141 Ritik Tiwari Pradeep Tiwari AIC

126 201807995 Lalit Kumar Harinder Kumar AIC

127 201807020 Bhisham Moti Ram AIC

128 201805519 Tinku Jagdish HOGC

129 201807812 Kamlesh Bir Singh HOGC

130 201807715 Kunal Singh Ramesh Chand HOGC

131 201808232 Bhupender Singh Suralpal Singh HOGC

132 201806201 Mukesh Kumar Sumer Singh SC

133 201808441 Sachin Rohtash SC

134 201806064 Madan Lal Yad Ram BC-A

135 201806892 Shubham Nit Ram BC-A

136 201806888 Pushpender Baljeet Singh HOGC

137 201807547 Shailendra Mahesh AIC

138 201807888 Bikram . Suresh HOGC

139 201807884 Navdeep Devender HOGC

140 201808032 Davinder Gokal Chand HOGC

141 201808269 Praveen Aggarwal Ajay Kumar Agarwal HOGC

142 201807092 Aman Deep Ram Pal SC

143 201807565 Raju Layak Singh AIC

144 201807227 Shishpal Vijay Pal HOGC

145 201808469 Pawan Shri Chand HOGC

146 201805074 Hitesh Dagar Umed Singh HOGC

147 201806147 Virender Satish Kumar HOGC

148 201807173 Dharam Pal Mahor Narayan SC

149 201805585 Balram Shivcharan BC-A

150 201806551 Vikrant Bhagwan Singh HOGC

151 201808073 Ravi Kumar Ramjeet SC

152 201808709 Aizaz Ahmed Mohd Ameen BC-B

153 201808367 Deepak Kaushish Chokhram AIC

154 201807197 Jai Bhagwan Udham Singh AIC

155 201807475 Praveen Kumar Pratap Singh AIC

156 201807721 Renu Sharma Pawan Kumar HOGC

157 201808436 Arun Subhash HOGC

158 201807108 Tushar Tanwar Dharampal HOGC

159 201806167 Arjun Mahavir HOGC

160 201806513 Krishan Kumar Desraj HOGC

Page 5: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Note: For admission in Diploma (German Language) only such candidates will be considered for admission

who will be recommended by industry partner based on personal interaction. The personal interaction with

industry partner will be on the same date as per 1st counselling schedule.

S.No. Roll No. Candidate Name Father Name Category Reporting Date and Time

161 201808798 Fate Ram Tunda Singh HOGC

24-07-2019 at 09:00 AM

162 201807803 Vishal Kathuria Ved Parkash Kathuria HOGC

163 201808255 Peetam Khubiram SC

164 201806808 Anamika Devi Singh SC

165 201806336 Asha Devi Singhram SC

166 201807296 Bhushan Kanhaiya Lal BC-A

167 201806767 Atul Yadav Kuldeep Singh BC-B

168 201808351 Goutam Suresh Kumar BC-B

169 201808735 Akram Khan Ashraf Khan BC-B

170 201806800 Preeti Ranjit Singh SC

171 201807055 Rajendra Ram Sharan SC

172 201806690 Khusi Ram Om Chand BC-A

173 201807277 Bhanu Pratap Poswal Dharam Raj Poswal BC-B

174 201806553 Nikku Daulat Ram BC-A

175 201807898 Rekha Bhoop Singh BC-A

176 201808707 Jitender Surender Singh BC-B

177 201808716 Chunni Lal Narayan Singh SC

178 201806339 Dinesh Singh Ram SC

179 201807030 Digamber Ramesh Chand BC-A

180 201806510 Nitin Kumar Shri Chand BC-A

181 201806848 Kailash Chand Lekhram BC-A

182 201808829 Parvinder Yadav Parmanand Yadav BC-B

183 201806602 Sonika Gyan Singh BC-B

184 201807777 Gulshan Girdhari SC

185 201808108 Digambar Satpal SC

186 201808789 Sunder Pali SC

187 201808373 Kajal Rani Prakesh Chand SC

188 201806577 Pradeep Jagdish SC

189 201807768 Pankaj Kumar Satvir SC

190 201808204 SagarFor Shri Ram SC

191 201808872 Inderjeet Raj Kumar SC

Page 6: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Admission: 2019-20

General Instructions for Counselling for Diploma Programmes

1. Candidates will be called for counselling in order of merit prepared on the basis of marks obtained in online entrance test and PI/GD subject to meeting all eligibility conditions as stipulated in the prospectus of 2019-20.

2. Candidate must be PHYSICALLY PRESENT during the scheduled date and time of counselling.

3. No claim for seat due to late reporting or absentisem will be considered.

4. Candidates will have to appear for counselling as per his order of merit and date, time and venue uploaded on University website (www.svsu.ac.in).

5. The preference for programme given by the candidate at the time of counselling will be final and no subsequent change will be allowed at any stage.

6. All admission will be provisional until final verification of all eligibility criteria is made.

7. The University may conduct another round of counselling in case any seat remains unfilled during first round of counselling.

8. Candidates are required to bring the relevant original documents as given below and two sets of self-attested photocopies of documents/certificates/testimonials for verification at the time of counselling.

I. D.O.B (Date of Birth) II. DMC and certificate (10th/10+2/ITI/Diploma/Level certificate in relevant field)

III. Domicile certificate (As per Annexure-I) IV. Domicile certificate in case of J&K Migrants or Dudhola candidate V. Category certificate (As per Annexure-II, III)

VI. Income certificate (for BC: Non-Creamy layer as per Annexure IV) VII. Medical certificate for Physically Dis-abled candidates (As per Annexure-V)

VIII. Medical fitness certificate (as per Annexure-VI) IX. Anti-ragging certificates (As per Annexure VII and VIII) X. Character certificate from the Head of Institution last attended

XI. Academic year-gap (If any) affidavit (As per Annexure IX) XII. Migration certificate (If qualifying exam body is not Haryana)

XIII. Bank Account Passbook Copy (Within 15 days of Admission) XIV. 05 recent coloured passport size photographs

9. Admission and semester fee

Sr. No. Programme Fee Amount (Rs.)

1 Diploma 8000/-

2 Diploma (Folk Art Banchari) 2500/-

Candidates will be required to deposit fee (excluding hostel fee) at the time of counselling through DD in favour of HARYANA VISHWAKARMA SKILL UNIVERSITY, Payable at Gurugram at the time of counselling. (No other mode of payment would be accepted)

Note: Only those Candidates who have cleared the qualifying examination for their respective programme

will be allowed to appear in the counselling.

Page 7: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexures

Annexure-I

HARYANA RESIDENT CERTIFICATE

(For Bonafide Residents of Haryana only)

Certified that Mr./Ms. ______________________son/daughter of Sh.______________________

R/O (complete address)__________________________________________________________

since__________________________and applicant for admission to various courses in Haryana

Vishwakarma Skill University is a bonafide resident of Haryana State in terms of Chief Secretary to

Govt. of Haryana letter No. 62/17/95-6 GS1 dated 3.10.96 and letter No. 62/27/2003/6 GS1 dated

29.7.2003 under clause.

No. __________ (Signature of the attesting authority)

Date: __________ Name __________________

Place: __________ Designation __________________

(With legible office seal)

Note:

i) The candidates, who have passed their qualifying examinations from the Board of Haryana

are not required to produce Certificate of Haryana Resident.

Page 8: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure-II

HARYANA GOVERNMENT

Certificate Sr.No.______________ /Year______________ Tehsil____________.

SCHEDULED CASTE CERTIFICATE

This is to certify that Shri/Smt./Kumari_______________ son/daughter of Shri_____________ resident of Village/Town_____________________Tehsil_______________ Distt.____________ of the State/Union Territory___________________ belongs to the _____________Caste/Tribe, which is recognised as a Schedule Caste/Schedule Tribe under the Constituition (Scheduled Caste) Order, 1950. Signature with seal of issuing Authority

Full Name ……………………….…….

Dated : _________ Designation …………………….……...

Place : _________ Address with Telephone No. with code …………….

Issuing Authority: Tehsildar-cum Executive Magistrate,

Naib Tehsildar-cum Executive Magistrate,

Head of Department in case of Govt. employees

Photo of applicant to be attested by the issuing authority

Page 9: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure -III

BACKWARD CLASS CERTIFICATE (BLOCK ‘A’ or ‘B’)

This is to certify that Shri/Smt./Kumari_______________ son/daughter of

Shri______________resident of Village/Town_____________________Tehsil_______________ Distt.__________________ of the State/Union Territory___________________ belongs to the ________________Caste, which has been notified as Backward Class by the Haryana Government and is placed in Block _________ (mention Block ‘A’ or ‘B’).

This is to certify that he/she does not belong to the person/section (Creamy layer) as per State

Govt. letter No.1170-SW(1)-95 dated 07.06.1995, No.22/36/2000-3GS-III dated 09.08.2000 &

No.213-SW(1)-2010 dated 31.08.2010, Haryana Govt. instructions No.59 SW(1)-2013 dated

24.01.2013 and 808-SW(1) dated 17.08.2016.

This certificate is being issued to him/her on the basis of verification of Sarpanch/

Patwari/Kanungo.

Signature with seal of issuing Authority

Full Name …………………………….

Designation …………………………...

Address with Telephone No. with code …………….

Sr. No.:……………….

Place :…………………

Dated :…………………

Issuing Authority: Tehsildar or Naib Tehsildar

Head of Department in case of Govt. employees

------------------------------------------------------------------------------------------------------------------------------------

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Photo of applicant to be attested by the issuing authority

Page 10: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure-IV

AFFIDAVIT

(By the Parents of the Backward Class Category Candidates)

I_________________________________Father/Mother of__________________________ Resident of _______________________________________________seeking admission to ______________ course in HVSU do hereby solemnly affirm & declare that I belong to______________________ caste which is included in the list of Backward Classes Block ‘A’/‘B’/________ approved by the Haryana Govt. I further declare and affirm that I and my wife/husband are not covered under the criteria fixed by Haryana Govt. vide letter No. 1170/SW(1)-95 dated 07.06.95, No.22/36/2000-3GS-III dated 09.08.2000, No.22/22/2004-3GS III dated 22.01.2009. No.213-SW(1)-2010 dated 31.08.2010, Haryana Govt. instructions No.59 SW(1)-2013 dated 24.01.2013 and 808-SW(1) dated 17.08.2016 and for excluding socially advanced persons/sections (Creamy Layer) from Backward Classes Category.

I further undertake that in case the information contained in the above para is found false at any stage, the Competent Authority will be entitled to cancel the admission.

DEPONENT

Dated:……………….. Place:………………...

VERIFICATION

Verified that the above statement is true and correct to the best of my knowledge and belief and nothing has been concealed therein.

DEPONENT ------------------------------------------------------------------------------------------------------------------------------------

-------

The affidavit should be of 2018.

Page 11: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure-V

MEDICAL CERTIFICATE FOR DIFFERENTLY ABLED

OFFICE OF THE CHIEF MEDICAL OFFICER ______________________

No. ____________________ Dated ______________

Certified that Sh./Km./Smt _______________ son/daughter/wife of Sh. ____________________ resident of ___________________________ District __________________________ appeared before the Medical Board for medical check up. On his/her Medical Examination, it is found that the nature of Differently Abled/ disability is______________% and (as applicable), is as under:

1. Blind or Low vision___________________________________________________

2. Hearing impairment__________________________________________________

3. Locomotor disability/cerebral palsy______________________________________

Thus the candidate is Differently Abled as per standard norms of Haryana.

(Signature of the Applicant)

Chief Medical Officer

Dated : ____________ ___________, Haryana

Place : ____________

*The Differently Abled disability should not be less than 40% and should not interfere with the

requirement of professional career such as Engineering/Architecture/Technician etc.

------------------------------------------------------------------------------------------------------------------------------------

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(Office Stamp)

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Annexure-VI

CERTIFICATE OF MEDICAL FITNESS

(TO BE DEPOSITED AT THE TIME OF ADMISSION)

To be obtained from any Govt. / Registered Medical Practitioner having MBBS Degree. Please note that in no other form this certificate will be accepted. (Please refer to prescribed standards given overleaf) Name______________________________________________________(In Block Letters)

Father’s Name: Shri____________________________________________

Height: ___________________

Weight _______________________

Chest:____________________

Heart and Lungs: ____________________________

Vision: L : ___________ R: ______________

Colour Vision: _________________________

Hearing: _____________________________

Hernia/ Hydrocele/ Piles: ________________________________________

Remarks: _____________________________________________________

I certify that I have carefully examined

Mr. / Ms. ______________________________________

Son/ daughter of Shri __________________________________________________ who has

signed in my presence.

He/ she has no mental and physical disease and is FIT.

Signature of the Candidate

Station: _______________

Signature of Govt. / Registered Medical Practitioner having

MBBS Degree with legible seal

Date: ______________

Page 13: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure-VII

SELF DECLARATION BY THE STUDENT

(No affidavit required)

1. I, (full name of student with

admission/registration/enrollment number) S/o, D/o Mr./Mrs./Ms._____________ having

been admitted to (name of the

institution), have carefully read “THE HARYANA PROHIBITION OF RAGGING IN EDUCATIONAL

INSTITUITION ORDINANCE, 2012” and fully understood the provisions contained in the said

Ordinance.

2. I have, in particular, perused clause 2(f) of the Ordinance and am aware as to what constitutes

ragging.

3. I have also, in particular, perused clause 8 of the Ordinance and I am fully aware of the penal

and administrative action that is liable to be taken against me in case I am found guilty of or

abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that :

(a) I will not indulge in any behaviour or act that may be constituted as ragging under the

Ordinance.

(b) I will not participate in or abet or propagate through any act of commission or omission

that may be constituted as ragging under the Ordinance.

5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to

Ordinance, without prejudice to any other criminal action that may be taken against me under

any penal law or any, law for the time being in force.

6. I hereby declare that I have not been expelled or debarred from admission in any instituition

in the country on account of being found guilty of, abetting or being part of a conspiracy to

promote, ragging; and further affirm that, in case the declaration is found to be untrue, I am

aware that my admission is liable to be cancelled.

Declared this _____________day of ____________month of__________ 2018.

Signature of the Student

Name:

Page 14: st Counselling Schedule for Diploma programmes · 2019-07-20 · 1st Counselling Schedule for Diploma programmes Note: 1. This is provisional list of candidates for counselling. 2

Annexure-VIII

SELF DECLARATION BY PARENT/GUARDIAN

(No affidavit required)

1. I, Mr./Mrs./Ms (full name of parent/ guardian)

father/mother/guardian of, (full name of student

with University Roll Number), having been admitted to (name

of the institution) have carefully read “THE HARYANA PROHIBITION OF RAGGING IN

EDUCATIONAL INSTITUITION ORDINANCE, 2012” and fully understood the provisions

contained in the said Ordinance.

2. I have, in particular, perused clause 2(f) of the Ordinance and am aware as to what constitutes

ragging.

3. I have also, in particular, perused clause 8 of the Ordinance and I am fully aware of the penal

and administrative action that is liable to be taken against my ward in case he/she is found

guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote

ragging.

4. I hereby solemnly aver and undertake that :

(a) My ward will not indulge in any behaviour or act that may be constituted as ragging under

the Ordinance.

(b) My ward will not participate in or abet or propagate through any act of commission or

omission that may be constituted as ragging under the Ordinance.

5. I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to

Ordinance without prejudice to any other criminal action that may be taken against my ward

under any penal law or any, law for the time being in force.

6. I hereby declare that my ward has not been expelled or debarred from admission in any

institution in the country on account of being found guilty of, abetting or being part of a

conspiracy to promote, ragging; and further affirm that, in case the declaration is found to be

untrue, the admission of my ward is liable to be cancelled.

Declared this _____________day of ____________month of__________ 2018.

Signature of the Parent/Guardian

Name:________________

Address:_______________

________________________

Telephone/Mobile No._____

Email ID ______________

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Annexure-IX

STUDY GAP AFFIDAVIT

I _______________________

S/D/o ____________________________________________________

R/o ___________________________________________________________________________

Do hereby solemnly and state as under:

1. That my above name and address is correct.

2. That I have passed________________(Qualifying Examination) from

____________________(Institution Name) in the year ___________________ with

____________ %.

3. That there is gap of __________ year/s between passing of ______________(Qualifying

Examination) and now seeking admission in the Haryana Vishwakarma Skill University, Haryana.

4. That during this gap period I was doing ___________________________________________

______________________________________________________________________

5. That during this gap period, I was neither studying anywhere nor passed any other

examination.

6. That I was not involved in any criminal offence whatsoever and I was not punished for any

offence by any Court of law during that gap period.

DEPONENT VERIFICATION

That the above statement is true to the best of my knowledge and belief and nothing has been

concealed there from.

DEPONENT