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![Page 1: J A D A V P U R U N I V E R S I T Y SCHOOL OF LANGUAGES & LINGUISTICS K ... · No……………. Price: Rs.100/- J A D A V P U R U N I V E R S I T Y SCHOOL OF LANGUAGES & LINGUISTICS](https://reader034.vdocuments.us/reader034/viewer/2022042216/5ebf309d9b690a78ea4f7576/html5/thumbnails/1.jpg)
No……………. Price: Rs.100/-
J A D A V P U R U N I V E R S I T Y SCHOOL OF LANGUAGES & LINGUISTICS
K O L K A T A 7 0 0 0 3 2
Application (*) for Enrolment in the Certificate/Diploma/Advanced Diploma course (to be submitted at the Office of the Information Center, Jadavpur University)
To The Registrar, Jadavpur University Sir, I would like to apply for enrolment in the Certificate/Diploma/Advanced Diploma Course in ………………………………… of the School of Languages & Linguistics. Yours faithfully, Date…………………. (Applicant’s Signature in full) 1) Name of the applicant (in capital letters) : ………………………………………………….
2) Address : …………………………………………………
…………………………………………………
3) Nationality ……………………Tel. No…………………….
4) Educational Qualification (attested copies of marks sheets are to be enclosed):
Examination Year Percentage of marks Higher Secondary/Equivalent Examination B.A. (Hons.)/B.Sc. (Hons.)/B.Com. (Hons.) Equivalent Degree M.A./M.Sc./M.Com/M.E./M.Tech/Equivalent Degree M.Phil./Ph.D. Other
5) Bank draft/D.D. No. ………………….. dated ……………….. on ……………………….. Bank (in case of down
loaded form) 6) If a student now of Jadavpur University:
Course of study…………………………Department……………………….…………..Roll No…………………
Certificate from the employer/Head of the Department if applicable:
Certified that Sri/Sm. ……………………………………………………………………………….. is an/a employee/student of this Institution/Organization/Department. I have no objection to his/her studying language course to be held 3 (three days) a week from 5.30 p.m. to 7.30 p.m. at the School, of Languages & Linguistics, Jadavpur University. Date………………………. Signature of the Head of the Institution/Department/organization Designation…………………………………….. (Office Seal) _____________________________________________________________________________________________
(Not to be filled in by the applicant) Enroll in the Certificate/Diploma/Advanced Diploma course in ………………………………………………………. Date………………………. Director School of Languages & Linguistics Serial No………………………
(*) Separate application form is to be submitted for each language.