SMT. SAROJINI RAMULAMMA COLLEGE OF PHARMACY
(Approved by A.I.C.T.E., P.C.I New Delhi & Govt. of Andhra Pradesh)
Affiliated to S.B.T.E.T Hyderabad A.P
Seshadrinagar, MAHABUBNAGAR – 509001 .A.P
Ph. 08542 – 247420 Website: www.ssrcp.com
Fax: 08542 246420: email:
APPLICATION FOR THE ADMISSION INTO D.PHARM FOR THE ACADEMIC YEAR 20 - 20
1. Name of the Candidate : ______
2. Father’s Name : ______
Occupation : ______
Annual Income : ______
(Original Income Certificate to be Enclosed)
3. Mother’s Name : ______
4. Date of Birth : ______
5. Nationality / Religion : ______
6. Address for Correspondence : Permanent Address :
______
______
______
Ph.No. ______Ph.No.______
7. Name of the school from which the Candidate :
Passed S.S.C. i.e., 10th Class Exam.
a) Percentage of marks obtained in S.S.C Exam :
b) Original S.S.C. Marks card to be enclosed :
c) Original Bonafide from 6th Class to 10th Class to be enclosed:
8. Name of the college from which the candidate
Passes the intermediate qualifying Exam. :
(Original Marks card and Bonafide to be enclosed) :
9. Name of the board from which the candidates
Passed the inter qualifying Examination :
a. Marks secured in Optional Subjects
i. First Language (i)
ii. Second Language (ii)
iii. Third Language (iii)
b. CEEP Rank : ______
c. CEEP Hall Ticket No. : ______
10. CEEP Convener Allotment Number : ______
11. Category (OC/BC/SC/ST/PHC/Minority/NRI) : ______
Sub – Caste (Original Casts
Certificates to be enclosed
12. Weather receipt of any scholarship :______
(If so furnished the details including
Nature of Scholarship)
13. Identification Marks : 1. ______
2. ______
14. Blood Group : ______
15. Foreigner/NRI : ______
(i) Passport No. : ______
Date of Issue : ______
Validity of Passport : ______
(ii) Name of the Passport issued
Authority : ______
16. Other Particulars if any : ______
Signature of the Parent/ Guardian Signature of the Candidate
OFFICE USE
1. Admission No. Date:
2. Admission Fee receipt No. : Date: Admitted
Smt. Sarojini Ramulamma College of Pharmacy
Seshadrinagar, MAHABUBNAGAR – 509 001, A.P.
Ph. 08542 – 247420 / 246420
UNDER TAKING FROM STUDENTS / PARENTS WITH REGARD TO PREVENTION OF RAGGING PENALITY OF RAGGING AS STIPULATED IN THE PROVISIONS OF ACT. OF A.P. LEGISLATURE FOR PROHIBITION OF RAGGING IN
EDUCATIONAL INSTITUTIONS
Ragging is an act, which is likely to cause insult and annoyance of fear or apprehension or threat of intimation outrage of modesty of injury students. This is heinous crime, which is Dominic. There are instances when some psychologically week students have committed suicides in colleges because of ragging is prohibited within or outside the educational institutions.
The salient features of legislation and punishment for indulging in ragging are as follows.
SL. NO / EXTENT OFFENCE / PENALITY1 / Teasing or embarrassing of humiliating a student. / Imprisonment up to 6 months or fine up to Rs. 1,000/- or both
2. / Assault or use of criminal force or criminal intimidation / Imprisonment up to 1 year or fine up to Rs. 2,000/- or both
3. / Wrongful restraint or wrongful confinement or causing hurt / Imprisonment up to 2 years with a fine up to Rs. 10,000/-
4. / Causing grievous hurt or kidnapping or abducting or committing rape or committing unnatural offence / Imprisonment up to 5 years with a fine up to Rs. 10,000/-
5 / Causing death or abetting suicide / Imprisonment for like or for a term up to 10 years with fine up to Rs. 50,000/-
SUSTENTION OR DISMISSAL OF STUDENT FROM THE COLLEGE
1. The act provide for suspension of students from the college, if the complaint by the sufferer is found to be prima facie true. The period of suspension depends on the decision of the college which shall be final.
2. A student shall be dismissed from the college, if he/she is convicted for an offence mentioned above the undergone imprisonment for a term up to 6 months.
3. The ragging will observe in mufti (in plain clothes), in the buses, bus and campus of Educational institutions.
UNDERTAKING
To,
The Principal,
Smt.Sarojini Ramulamma College of Pharmacy,
Mahabubnagar
Sir,
I have noted the provisions of the Ragging act and we are aware of serious consequences, we hereby solemnly promises that we shall do everything possible to eliminate this menace from Smt.Sarojini Ramulamma College of Pharmacy, Mahabubnagar with and outside college premises (at bus stand, buses etc.,), A copy of this undertaking is given to us for our record.
Signature of the student Signature of the Parent/ Guardian
Name : Name:
Roll.No Tel (O) (R)
Date: Address :
Smt. Sarojini Ramulamma College of Pharmacy
Seshadrinagar, MAHABUBNAGAR – 509 001, A.P.
Ph. 08542 – 247420 / 246420
INTRODUCTION TO THE CANDIDATE AND UNDERTAKING TO BE SIGNED
BY STUDENT AND PARENT
1. The students are expected to be regular in their classes and should conduct themselves in a disciplined manner. They should abide by such rules of disciplines and conduct as stipulated by the institute by time to time.
2. The conduct of students must be exemplary, not only within the premises of the college form the outside. This will help in maintain prestige and status of institute.
3. Ragging is prohibited. Any student participating in ragging will be summarily expelled from the institute. These first year students are advised to meet the confidence, the principle or other teachers, it they are subjected to ragging by seniors/ others this will help us in taking the menace, which is cognizable offence as per the presidential order the recent act of A.P prohibition of Ragging act (1997) specifies severs punishment of indulging in or adetting ragging.
4. Students shall not object in their parent or guardians are in contact regarding their indiscipline, irregularity in attending the classes, default in payment of fees and poor performance of failure in their Examination or any other matter of concern.
5. The college will not defray any expenses for any out of stations educational tours. With regarding out stations tours, they may approach the head of the department for necessary preparations and organization of the tours, the out stations or local tours are always accompanied by the teachers.
6. The office bearers of the students association are nominated on the basis of merit in the S.B.T.E.T Examinations if necessary.
7. The students should inform any charges in the address of their parents/ guardian in academic and Examinations cell of the institution.
8. Students of Smt. Sarojini Ramulamma College of Pharmacy are not permitted to resort to strikes and demonstrations with the college participation in any such activity shall automatically result in dismissal from the college. Any problems they face can be represented to the concerned Head of the department and the principal individually.
9. The institute premises and building should be kept clean. Writing or sticking up of posters and the notices on the building walls is strictly prohibited.
10. The institute has full powers to suspend, fine, restricate, or take any action, which is deemed necessary in the charge of any discipline on the part of the students.
11. The academic regulations of S.B.T.E.T of which our college is affiliated are binding on the students.
I have gone through the above instructions and will abide by all the conditions failing which the institute may take any action deemed necessary on the matter.
Signature of the student
S/o.
Admission No.
I note the above information and I will see that my ward abides by the regulations.
Signature of the parent/ Guardian
Date:
Address
To,
The principal,
Smt. Sarojini Ramulamma College of Pharmacy
Mahabubnagar,
Sir,
I will pay all the fees stipulated by the college authorities from time to time during the beginning of the respective academic year only. I will be responsible for the conduct of my ward during higher study in the institute. I shall visit the institute at the regular intervals to enquire about my wards progress and conduct.
Signature of the student Signature of the Parent/ Guardian
UNDER TAKING WITH REGARD TO PAYMENT OF COURSE FEE
To,
The correspondent
Smt. Sarojini Ramulamma College of Pharmacy
Seshadrinagar, Mahabubnagar – 509 001. – A.P. – India
Sir,
I ______S/o. D/o ______
Have admitted into D. Pharm at Smt. Sarojini Ramulamma College of Pharmacy. Seshadrinagar, Mahabubnagar, as Admission No. T - /20 - 20 During the academic year 20 - 20 I am aware that if I discontinued my studies at Smt. Sarojini Ramulamma College of Pharmacy, Mahabubnagar, Whatever may be the reason for discontinuation I have to pay the full amount of course fee for entire (2 Years) in case of failure to pay the full amount of course of Diploma course, all the original certificates including transfer certificates need not to be returned till the time I clear all the fee.
We are fully aware of the above matter of this under taking and abide, by it under all the circumstances.
Signature of the parent / Guardian Signature of the student
Name: S/o
Date: Rank:
Admission No. :
Academic Year:
To
The correspondent / Principal,
Smt.Sarojini Ramulamma College of Pharmacy
Seshadrinagar, Mahabubnagar – 509 001.
Sir,
I am herewith enclosing my original certificates for admission in to D. Pharm for the academic year 20 -20 .As under. Please acknowledge the same
1. Original bonafide certificate from 6th to inter.
2. Original 10th Memorandum of marks.
3. Original inter memo
4. Original inter T.C.
5. CEEP hall ticket.
6. CEEP rank card.
7. Caste certificate
8. Income certificate
9. Others
Signature of the student
Name:
S/o.
To
The correspondent / Principal
Smt. Sarojini Ramulamma College of Pharmacy,
Seshadrinagar, Mahabubnagar – 509 001.
Sir,
I have completed my inter with % marks in the year ______and am interested to join in your institution under management quota. And I am aware that the rules and conditions regarding to payment of course fee. And am ready to pay as Rs. Per year for 2 years at the time of the beging of the respective academic year itself. Please conform the seat.
Thanking you
Yours faithfully
Date: Name:
S/o., D/o
TERMS AND CONDITIONS OF THE MANAGEMENT QUOTA /NRI
1. Candidate should eligible as per the norms fixed by the APSCHE.
2. Candidate should pay entire course fee as per undertaking and requesting letter at the time of starting of the academic year respectively.
3. Whatever may be the reasons, the candidates cancelled / discontinuation of the course at any stage after conformation of the seat the candidate shall pay the full amount of entire course fee without any dispute, in case of failure to pay entire course fee of B. Pharm course all the original certificates including T.C can’t be returned.
4. Candidate should abide other conditions like disciple, ragging, timings, etc., as per the instructions of the institutions time to time.
5. Candidates should fallow academic regulations of S.B.T.E.T. of which college is affiliated.
6. Candidate can not permitted resort to strikes and demonstrations. Participations in any such activity shall automatically result in dismissal from the college.
7. The candidate is expected to be regular in their classes and conduct themselves in a disciplines manner.
I gone through the above instructions and will be abide by all the conditions.
Signature of the student
Name:
S/o
I note the above information and I will see that my ward abides by the conditions.
Signature of the Parent/ Guardian
Name: F/o
Date:
Address: