j a d a v p u r u n i v e r s i t y school of languages & linguistics k ... ·...

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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.

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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

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.