Serial No.:
CHANDRA BHANU GUPTA AGRICALTURE P.G. COLLEGE
BAKSHI KA TALAB, LUCKNOW
(AFFILIATED TO LUCKNOW UNIVERSITY,LUCKNOW)
Select the subject (preferred by I & II)
Horticulture
Agriculture Extension
M.Sc. (Ag.) Admission Form 2015
Last date for submission of Application Form
Without late fee:
20/07/2015
With late fee (Rs. 200/-):
30/07/2015
Cost of Application Form
Application Fee (Draft)
– Rs. 20/– Rs. 1000/-
1. APPLICANT'S NAME (according to the High school certificate) (i) IN HINDI ..................................................................................................................
(ii)IN ENGLISH (BLOCK LETTERS)
Paste recent
Photograph
attested by the
Principal of
College last
attended
2. FATHER'S NAME (according to the High school certificate) (i) IN HINDI .....................................................................................................................................
(ii)IN ENGLISH (BLOCK LETTERS)
3. MOTHER'S NAME (according to the High school certificate) (i) IN HINDI .....................................................................................................................................
(ii)IN ENGLISH (BLOCK LETTERS)
4. DATE OF BIRTH 5. SEX -
MALE
DAY
MONTH
YEAR
FEMALE
6. CATEGORY (Please tick (
) in the box) –
(i) GEN
(ii) OBC
(iii) SC
(iv) ST
(v) College Employee
7. QUALIFYING EXAMINATION (Please tick (
) in the box) –
(i) Appearing
(ii) Passed
8. ARE YOU SPORT PERSON ?
YES
NO
IF YES WHETHER (i) District Level
(ii) State Level
9. DETAILS OF BANK DRAFT –
(i) Draft No. - .............................. (ii) Issue Date - ..............................(iii) Amount Rs. - ........................
(iv) Name & Branch of the Bank - .............................................................................................................
10. ADDRESS –
Mailing Address -
Permanent Address -
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
PIN CODE ..........................................................
PIN CODE ...........................................................
Mobile No. ..........................................................
Mobile No. ...........................................................
11. DECLARATION –
I ..................................................................................... hereby declare that all the particulars stated
above have been filled in by me in my handwriting and true to the best of my knowledge and belief and no
fact has been suppressed/distorted. I have read the instructions and I shall abide by the terms and conditions
there in. In case any information furnished by me is found wrong at any stage my candidature for the
entrance test be cancelled outright without giving me any opportunity and further disciplinary action be also
taken against me including cancellation of admission/degree acquired. Further, if admitted I promise to abide
by the rules and norms of discipline of the college I join.
Signature of Candidate
Date :
Place :
Signature of Father/Guardian
CERTIFICATE IN RESPECT OF SON/DAUGHTER/SPOUSE OF THE EMPLOYEE
(of C.B. Gupta Agriculture P.G.College, B.K.T., Lucknow)
I ................................................................. hereby certify that Sri/Smt ................................................................................
mother/husband/wife of Sri/Km./Smt. .............................................................................. who has applied for the admission to an
M.Sc.(Ag.) programme through Entrance Exam 2015 holds the regular post of ................................................... in this College.
Date :
/
/ 2015
Signature with seal of the
Principal
vH;fFkZ;ksa ds fy, vko';d funsZ'k
¼;g i`"B vH;FkhZ vius ikl j[ksa½
1- ,e0,l&lh0¼d`f"k½ esa ços'k gsrq U;wure vgZrk ch0,l&lh0¼d`f"k@m|ku foKku½ gS] tks Hkkjr ds fdlh Hkh
ekU;rk çkIr fo'ofo|ky; ls mŸkh.kZ dh gksA
2- egkfo|ky; esa ,e0,l&lh0¼d`f"k½ vUrxZr m|ku foKku rFkk d`f"k çlkj fo"k; dk ikB~;Øe lapkfyr gSA
vH;FkhZ fo"k; p;u ds fy;s fo"k; ds lkeus cus ckWDl esa çFke ojh;rk ds fy;s
fy;s
II
I
rFkk f}rh; ojh;rk ds
fy[ksxsaA
3- vkosnu&i= lc izdkj ls iw.kZ gksuk pkfg,A viw.kZ ,oa =qfViw.kZ vkosnu&i= fujLr fd;k tk ldrk gSA
4- ;fn dksbZ vH;FkhZ egkfo|ky; ds deZpkjh ds iq=@iq=h@ifr@iRuh dh Js.kh esa vkosnu djrk gS rks mls
izkpk;Z ls vkosnu&i= ij vafdr izek.k i= dks çekf.kr djkuk vfuok;Z gksxkA
5- pUnzHkkuq xqIr d`f"k egkfo|ky; ls mRrh.kZ Nk=ksa ds fy, vxyh d{kk esa izos'k gsrq izR;sd fo"k; esa 20%
lhVs vkjf{kr gksaxhA
6- ;fn dksbZ vH;FkhZ vkosnu&i= esa xyr lwpuk nsrk gS rks mldk vkosnu&i= fujLr dj fn;k tk;sxk vkSj
;fn dksbZ vH;FkhZ xyr lwpuk ds vk/kkj ij izos'k ik tkrk gS rks irk yxus ij mldk izos'k fujLr dj
fn;k tk;sxk ftlds fy, og Lo;a mRrjnk;h gksxkA
7- vkosnu&i= Hkstus ls igys vH;FkhZ dks iw.kZ :i ls lqfuf'pr dj ysuk pkfg, fd og ,e0,l&lh0¼d`f"k½
esa izos'k gsrq fu/kkZfjr vgZrk iw.kZ djrk gS vFkok ugha D;ksafd ,d ckj tek dh x;h Qhl fdlh Hkh n'kk esa
okil ugha gksxh rFkk fu/kkZfjr vgZrk ds vHkko esa izos'k ugha fy;k tk;sxkA
8- ,e0,l&lh0¼d`f"k½
"k½ esa ços'k esfjV ds vk/kkj ij fd;k tk;sxkA
9- vkosnu&i= esa lkjh izfof"V;ka vH;FkhZ }kjk lkQ&lkQ Hkjh tkuh pkfg,A fdlh izdkj dh dfVax rFkk
vksojjkbfVax ugha gksuh pkfg,A
10- ,e0,l&lh0¼d`f"k½ ikB~;Øe esa izos'k ysus ds fy, ch0,l&lh0¼d`f"k½ dh mRrh.kZ ijh{kk esa 50% ls de
vad ugh gksuk pkfg,A
11- ekuuh; loksZPp U;k;ky; ds funsZ'kksa dk ikyu djrs gq, egkfo|ky; esa jSafxax iw.kZr;% izfrcfU/kr@fu"ks/k
gSA izosf'kr Nk=ksa ,oa muds vfHkHkkodksa dks mDr lEcU/k esa gesa fu/kkZfjr izk:i ij 'kiFk i= izLrqr djuk
vfuok;Z gksxkA
12-
izos'k gsrq vkosnu&i= ds lkFk fu/kkZfjr 'kqYd :0 1000@& dk jk"Vªh;d`r cSad ls tkjh cSadMªk¶V tks
"Principal, Chandra Bhanu Gupta Krishi Mahavidyalaya, Bakshi ka Talab, Lucknow"
ds uke ns;
gks] layXu djsaA fcuk fu/kkZfjr 'kqYd ¼:0 1000@&½ ds vkosnu&i= fujLr dj fn;k tk;sxkA 'kqYd
dsoy cSad Mªk¶V ds :i esa gh Lohdkj gksxk] udn ;k pSd }kjk Hkqxrku ekU; ugha gksxkA
13- izos'k gsrq vkosnu&i= fcuk foyEc 'kqYd ds fnukWad 20&07&2015 rFkk :0 200@& foyEc 'kqYd ds lkFk
fnukWad 30&07&2015 rd egkfo|ky; dks izkIr gks tkuk pkfg,A fu/kkZfjr frfFk ds ckn izkIr gksus okys
vkosnu&i=ksa ij fopkj ugha fd;k tk;sxkA
14- vkosnu&i= ds lkFk gkbZLdwy] b.VjehfM,V vadi= o izek.ki= ,oa ch0,l&lh0¼d`f"k@m|ku foKku½
vfUre lsesLVj ds vadi= dh Nk;kizfr;kWa layXu djsaA
15- vU; fiNM+koxZ@vuq-tk-@vuq-t-tk-@vU; osVst dk ykHk ysus okys Nk= l{ke vf/kdkjh }kjk tkjh
izek.ki= layXu djsaA
16- dEI;wVj [kkuksa esa gkbZLdwy çek.ki= ds vuqlkj ekrk o firk ds uke ls igys Jherh@Jh dk iz;ksx u
djsa rFkk ,d [kkus esa dsoy ,d gh v{kj dk iz;ksx djasA tSls%&
V
I
K
A
S
K
U
M A
R
S
I
N
G
17- izos'k ls lEcfU/kr leLr lwpuk;sa egkfo|ky; ds uksfVl cksMZ ij rFkk
H
egkfo|ky; dh osclkbV
www.cbgagcollege.org ij miyC/k jgasxhA Nk= izos'k QkeZ ij viuk eksckby ua0 Li"V vafdr djsa]
ftlls vko';drk iM+us ij eksckby Qksu ls Hkh lwfpr fd;k tk ldsA
18- vkosnu i= Hkstus dk irk &
çkpk;Z]
pUnzHkkuq
kkuq xqIr d`f"k egkfo|ky;]
c['kh dk rkykc]
y[ku
y[kuÅ
kuÅ & 226201