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INTERNATIONAL WOMEN POLYTECHNIC
INTERNATIONAL WOMEN POLYTECHNIC
Under the aegis of KLGR Educational Society
(Reg. with the Govt. of NCT of Delhi)
ISO : 9001 : 2000 Certified


FORM FOR ADMISSION

For Office Use Only :
Course Offered :
Office
Seal
Registration No :
Date Of Admission :   DOB :
Instalment Plan :   DOJ :

Receipt No :

    
 

Please paste one
Photograph here
(do not staple it)


The Director,
International Women Polytechnic,
New Delhi - 58.

This, is to confirm that I ................................................. have taken admission in .................................
for CC
 
DC
 
HDC
 
in the year. .....................................................................

1. Student's Name ( in Block Letter) ...................................................................................................
2. Father' s/ Spouse Name .................................................................................................................
3. Father's Spouse Profession ...................................................................................................................
4. Permanent Address .......................................................................................................................
...........................................................................................................................................................
5. Office Address ...............................................................................................................................
6. Phone No. ......................................................... Mobile No ...........................................................
7. E- Mail Address ..............................................................................................................................
8. Academic Qualification .................................................................................................................
9. Professional Qualification (if any ) .................................................................................................

Thus I am enclosing a copy of my attested testimonials

Last Exam Passed
................................
................................

Year
................................
................................

Stream
................................
................................

%
................................
................................

Student's Sign       __________________________
Date                       __________________________

RULES & REGULATIONS

1. The Polytechnic reserves the right to reject an application without any reason.
2. Use of Mobile Phones during Class hours in the Polytechnic is prohibited.
3.
If an application is accepted, the candidates will be admitted to the course sought on first-come — first serve basis. If there is no vacancy in a particular course to which admission is sought the candidate’s name will be placed in the waiting list for the next available course on first – come-first serve basis, provided fees is paid.
4. Payment of fees must accompany the application.
5.
Liability of the institute in the event of particular course/ courses being cancelled due to reason beyond its control, is limited to rescheduling the particular course.
6. No refund whatsoever will be granted to any student under any circumstance.
7.
Students not coming to the polytechnic without notice for 30 consecutive days will be treated as drop out. Re- admission charges against drop out will be Rs. 950/-.
8. The student would not be allowed to shift their course after 15 days from the commencement of the course.
9.
Student opting for the installment plan have to pay their fees before 7th of every month, or else they will have to pay a fine of Rs. 100/-, till the 15th of the same month, failing which they will have to take re- admission.
10.
Students not Submitting their files or any other material, required to be submitted on or before their respective submission dates, will have to pay a fine of Rs 10 per file / material per day till the date of actually submitting their file/ material.
UNDERTAKING

This is to affirm that I have read and understood the Rules and Regulations of the polytechnic and I shall abide by them. I also understand that all amount including Polytechnic fees shall not be refunded to me by the Polytechnic under any circumstances.

.....................................................                                                             ..........................................

Signature of Parents/ Guardian                                                             Signature of Applicant

Date   :                                                                                                         Date   :
 
     
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