PUNJAB STATE BOARD OF TECHNICAL EDUCATION AND INDUSTRIAL TRAINING PLOT 1-A, SECTOR-36-A, CHANDIGARH- 160036 PHONES: 615385, 612262 FAX 6660734 APPLICATION FORM FOR MIGRATION FROM ONE INSTITUTION TO OTHER i) All the particulars required below should be legible and accurately filled in by the candidate himself. The office will not be responsible for any delay in the case where the form is not complete in all respects. ii) The applicant is advised in his/her own interest to remit the fee Rs. 500/- by Bank Draft. 1. Name of the applicant : ________________________________________________ 2. S B Roll No. : ________________________________________________ 3. Course of studies : ________________________________________________ 4. Father's Name : ________________________________________________ 5. Class/ Semester : ________________________________________________ 6. Name of the Institution : ________________________________________________ where studying : ________________________________________________ 7. Name of the Institution : ________________________________________________ where migration is sought : ________________________________________________ 8. Previous Exam. Result : Year : ______________________________________ (marks obtained in 1st/ 2nd/ 3rd/ Marks : ______________________________________ 4th/ 5th) Division : ______________________________________ 9. Reasons for migration : ________________________________________________ ________________________________________________ 10. Fee Rs. 500/- remitted by : Name of the Bank : _______________________________ ________________________________________________ Draft No. : ______________________________________ ________________________________________________ Dated _______________________________________ Signature of Father/ Mother or Guardian Signature of Student Permanent & Present : _______________________________ address of the father/ : _______________________________ mother/ guardian : _______________________________ Relation with the student : _______________________________ Enclosures: 1. Medical certificate if migration is sought on Medical Ground. 2. Certificate from the Head of Institution if migration is sought under rule 4A (II). 3. Certificate form the Tehsildar of area of the Tehsil concerned if migration is sought under rule 4A (III). 4. Bank Draft payable to "The Secretary, Punjab State Board of Technical Education and Industrial Training, Chandigarh. Certified that: i) The statement made by the student is correct. ii) He has paid fees upto ___________________ iii) Certified that the Institution is affilated to the Punjab State Board of Technical Education. Signature of the Principal of the Institution where the student is studying & Office Stamp. 1. Certified that the seal in _______________________________ Engg. is vacant and is within the sanctioned intake approved by the Government. 2. The migration is permissible under the rules and he is allowed migration in ____________________________________________________________ . Signature of the Principal & Stamp of the Institution where migration sought.
