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NOTICE OF DISCLOSURE - CONFIDENTIALITY AND USE OF PERSONAL DATA

Lanbton Collegegathers,generates and stores information concerning irs internationalstudents. this co|eltion is
compliant with the Fre€dom of Infofmation and Protection of privacy Acr otthe provjnce olOnrario. Lambton
College is committed to the protection oiprivacy and confidentiality otall its studenrs. The puryose of rhjs dara
couection is directly related to and needed by Lambron College to adminisrer rhecoltege/studenr retarionship
including the prop er record ing of sru d€nt acad emic progress and to adhere !o gove.nmentalrepoftrng

Data collected willbe disclosed and used as follows:

. R€gistrar, administrative and academic offices tor recofd-keeping, instj!urjonat anatysis, provisjon of
s€rvices to students, academic inregrity enforcementj
. academic counselling and advising serviecs;
. where the operational necessiry olrhe College fequjres the disclosure,
. federaland p rovincial governmenr offices and Minhrries fof funding, statjsticatanirtysis arq prannrnE

. studentassociations and societies forservices ro srudents;


. StLrdent Seryices olflces tbf the administ.ation ofac!i\,tties incLuding co-op progmms, counscrLrng scrvrces
and resid ence ad m inist.ario nj
. Registrar's 0ffice for production ofgfaduarjon Ihls and convocation programme; Alumni Assocjarion for
seryices toaiumnii
. financialaid, scholarship and award determinationj
. studenthealth seruicesj cuardme Insurance for insurance puDoses; Btuewater Heatrh Unir fbr hea rh

. extern:l collection agencies in rhe event offee payment d€iautrj


. athletics and fecreatio nal seruices forspofrs and athteticservicesj
. Citizenshipand ImmiCration Canada,CanadtanConsutarOffices, Can3da Border Serujces Agency and CStS
fbr studenVstudy vka ad m inisrrario n,
. licensing aCreemenr pa rrne rs (CestarCollege and Queen's Co egel;
. as required bystatue orlaw
Ifyou have any questions abour the collection, use, and disclosure ofthis jnfornrarion pte:sc contact rtre
International O ffice at intern ational@la mb to ncotlese.ca

I herebyauthorisethefollowingagentrepresentative,
to submit the application and conract the College on my behali !o requesr intofmation on nry appticanon and
registration status, letterof acceptance, and iee receipts,

I understand and agree to the terms ourlined in this Notice ofDisclosurc.

(Printl
udent Name (Prin0
Student
Jc.r
Signarure
l, r-'. k",, * It
Date
f"f -"t01

1457 London Road Sarnia, Oniario Canada N75 6K4 phone 519 542.7751 Fa\ 519 541 -241 I rary anrbto.col ege ca
I,,1,*PJFIT
INFORMATION FOR PROSPECTIVE STUDENTS
Stuilents who wish to apply to study at Lambton h Toror,o are requi.ed to carefu y read this ag.eement and
sign below indicating thar they fulty underctand and accept the terms and condition;ofstudying at t aDb,on r,,

Lambton College ofApplied Arrs and Technology (Lanbton CoLtegeJ is a pubtic, non-profit co ese to.ared if Srmia,
ontario which has established a licensing agreement in Tofonro otrtario, canada reterredro rs Lombton in ,orcnto.
Lambton in Toronto is located ar 26s Yo.kLand Boulevard (Don t\1i s.nd Shep|cfdJ enlt is a ljccnsL.s rBrcojrcnr
betw€eD Lambton colleee and ccstarcollegc. Lambron coltcge s
r)rogfams afe liccnscd ro rnd dctivefcd by ccstal
College, a licensed private careercollege.

students that are.egistered at Lsnbton in Torcnto sharlbe deenred studerts ot:r prblic co ege an.t as such, shatl
receive iullcredit from Lambton college for all Lambton coltege courees comptcre.lar the cesrar co lcse ca,npu,,rl
To.onto.studentswhomeetprogfamSraduationrequirementswlllgfaduatewirhrcfedertirlfrornapubtici.sriturjon
[Lanbton collegej in the Provincc ofonrario and ope.ariDs undcr thc Nrinisny or'r'rainins. colreeer ud unive ritres.

The sdvaniages oisrudying atLambton in Toronto are as fa|o\!s


. Possible access to a grear number
ofoff-canpus employmenr opportunities.
. Public transporrarion oprions are more frequentand accessibLe.
. Possibility of livinC closerto friends and famity.

The main disadvantages of s t\tdying ar Lombton in Torordo arc.s toLlows:


. Livingcosts may be hiCher inToronro than rarnra.
. Classes are composed otoDly internationat studcnts.

' Due to the smaller size ofrhe cestaf co €ge campus ir 'I orooro the brla(itliofstud€nt servi.ss, cornprter
and
science rabs, and recrearionalfaciliries wir be much less rhan ttrose offef€d at Lanbron coLregct
mai campus in
Samia.TheCestarColleg€campuscompdsesofapproxjnrat€ty35,000sq!rret€etotacrdomcand
adminhtrative space spanning two office buitdings.

students can transfer to the main campus in sarnia betore or dufinB the nrst ren days otany se'rester traseo or .ourse,
programandseatavailabilty.SpecialpernjssionfromtheDeanoitnrernationalDj!stbegFnreduponrecrLp(o,a
w.tten r€quest sen! bv emairlisting the srudenfs name, Lambron co|ege srudcnr rD and fcason for fe(ruesrnB (ne
t.ansler. Transfere during rhe Co-op semestefare notp€rmitt€.1.

Iacknowledge, understand and acceptthe rerms ofthis agreenre.t rs indicared brrow by nry signa!rfe. pr€ase refef
ro
Lanbt0n Colleg€'s website at ru! w.linr lbjur!11lle$q.c,!!tfi,,r]lJl,. r. i: tor additional infofmation abour its app croon,
I

refund and with drawal policy. Further informarion about lrnrbron in lororro is avaitabte at
wwuiamhroncollc!e..a/toronro,

ffi*b Ca.rc- loodorrtalp'

Jo* l,r! ko,, r-


o1-kr-uP
&si.So. lrlt Ar.
afeseaa t, L972-9C9{/Q-017 d5 5l 50630933

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Co[ege Of t'n rsing, gout. q.gjindra Hosyitaf, Qdtia[a
efuierl ll
pur*uei t\e prernihelrluur anl paa*l tlr requirile rraninafion \di in frta1/Jwe 2016

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Conltollef(f,runrs-) lil egi rtt!{' a| | te-\ttllEncPll or uqtnaellor
*zao-crfrfon+ dfii{redrd erfrF-srFs-d
2&10-2016
![a!ir\hr:1/Ffis*a
COLLEGE OF NURSING, GOVERNMENT MEDfCAI COLLEGE,

R.A,JtNDRA HOSPTTAL

PATTATA - L47OOL {PUNJAB) tNDtA

t'fa
Principal Ph. ot75-22L7449(Ol

Ho..7fi.......... Dated, .. J..7.1.1 :l.zp-t4

. RETIEVING CERTIFICATE
rr v
certified that rrlts/rvrr .-.,J..1*P-I*....X3.:*............. o/o/s/o.rt:+j:s|._-€.:):l
r'as
appeared in Basic B.Sc. Nursing Final year Examination conducted by Baba Farid
University of Health Sclences, Faridkot held in May/une 2016. She has
successfully completed the training of four years from 3 Sept. 2012 to 16 Sept.
2015 including internship training of 6 months from 1 March 2016 to 31 August
2016. She has been relieved from the cottege on ...1.1.15..9+b aol6

It is also certified that 8.Sc. Nursing Degree of this college is recognized by the
Indian Nursing Council.
,n
l/-t/[tt
,-,lq l>dl t.

q!:inaip?ir'
'-": .. -: .

College of Nursing

Govt. Medical College, Patiala.


puhN
ftcl tlnibet*itg rt ptultlg Stfrwwr
Sr: No.
MJI6N4/0523 Roll No. 50630933
Regd. No. 2012-ccN1P-017

RESULT-cum-DETAtLED MARKS CARD


, Faculty of Nursing Sciences
Bachelor ofScience in Nursing
B.Sc. (Nursing) Fourth Year (Including Internship)
Examination May/June 20t6
Name JASBIR KAUR
Father's Name
Mother's Name
College Qolleqe of Nursin Govt. Raiindra Hospital. patiala.

Mar
S.No S!usll Minimum Marks
M4ds Pass Marks Ob!ained
L Midwifery and Obstetrical Nursing 200 I00 132
2. CommLrnitJ Heahh Nur\ing
200 r00 123
L Nursing Research & statisrics
I00 50 65
4.
rrd ats(rireI|r or t\urstng bervrces and
r00 50 50

Total 600 310

2200 I450
\ggregnte ofThird year And Fourth yenr 2800 1820
Result i

I. PASSED : (Securing 1!2Lmarks our of2800)


2. DISTINCTIoN IiD paper/s...XXX.
J. REAPPEAR : in paper/s.. xxx.. el;gible lo appeaf XXX...

Faridkor
Dated: 26 Oct,20t6
Controller of Bxaminrtions
paha Jf'"ril tlfivrr;*itg fi ptuLt\ finwwz
(Establishedty the state '18 of 1998)

Sr. No. MJ15N3/0561 Roll No. 4953092r


Regn. No. 2012-GCN/P-017

Faculty of Nursing Sciences


Bachelor of Science in Nursing
B.Sc. (Nursing) Third Year Examination May/June 2015

Name JASBIR KAUR


Father's Name HARJEET SINGH
Mother's Name JASWTNpER {AUR
College Colleee ofNursine. Govt. Raiindra Hospital. patiala.

D€tail of Marks
S.No. Subiect Maximum Minimum Marks
Malks Pass Marks Obtained
I M€dical-Surgical NursingJI 200 100 l3l
2. Child Health Nursing 200 r00 125

l. Mental HealthNursing 200 100 125

Totel 600 300 381

Total [Second Year] 1600 1069


Aggregale of Second Year aDd Third Year 2200 1450

Result:
t. PASStrD : (Securing ll5qmarks out or ?2.0.0)
2. DISTINcTIoN : in paper/s . ..XXX...
3. REAPPEAR : in paper/s...XXX...
Eligible to appear ....XXX

Faridkot /,+-{,r}^
1ti
Dated: 08-0 I -20 I 6 Controller of E{dminations
-puha
fi PtuLt\j998)gfimwz
tf'adn llnibttzitg punjabAct
(Established by the state Legistative No. 18 of
':
N2-MJ14-0578
: 48430925
Sr. No.
l'u^"*.'@Nr.-su
RESULT-cum-DETAILED MARKS CARD
Faculty of Nursing Sciences
Bachelor ofScience in Nursing
Second Year B.Sc. (Nursing) Exahination
Mt_June 20l4
Nam€ JASBIR KAUR
Father's Name HAzuEET SINGH
Mother's Name JASWINDER KAUR
College Colleee ofNursin Go\,,t. Raiindra HosDital. patiala.
D€tail of Marks
S.No. Subiect Maximum Minimum Marks
Marks Pass Obtain€d
Marks
Sociolos/
I00 50 56
2. Medical-Surgical NursingJ
300 t50 212
3. Pharmacology, pathology, Cenetics
I00 50 50
Community Health Nursing-l
r00 50 65
5. Communication and Educational TechnoloSry
I00 )U 58
. Total 100 350 441
Total lFirst year]
900 628
Aggregate ofFirst Year and Second year 1600 1069

RESULT:
I. PASSED
2. DISTINCTION
3. REAPPf,AR

Faridkot
Date:30.01.2015 4**t .41
Controller of Examinations

[,

t
pihu J{1rtl llnitwxitg fi fltaItIS Srrenwr
(Establjshed by lhe state Legislative punjab
Act No. 1B of j 998)
,t.
sr. NoiNl-MJ2K13-0570
Rolt No. :47330916
Regn. Nct. 2012-GCN/P-017

RESULT-cun-DETA|LED MARKS CARD


Faculfy of Nursir:g Stieirces
Bachelor ofScience in Nursing
First Year B.Sc. (Nursing) Examination M-ay-June 2013
Name : JASBIR KAUR
Falher's Name : HARJEET SINGH
Mother's Name : JASWINDER KAUR
College

Detail of Marks
S.No, Subiect Maximum Minimum Marks
Marks !g5q|4arks Obtained
Amtomy & Physiology 100 50 57
2. Nutrition and Biochemistry 100 50 66
l. Nursing Foundation t00 r50 233
4, Psychology 100 50 67
5. MicrobioJogy 100 50
6. English t00 40 60
7. Introduction to Computer
100 40 84
Total 900 628
RESULT:
1. PASSED : (Securing...628... marks out of 900)
2. DISTINCTION : in paper/s:...COMP..
3. REAPPEAR : rn paper/s..XXX..eljgibte to appear till XXX.
Faridkot /^.^"
Date:3!.12.2013
4>.*z-
Controller of Examinations
r .\|
../ " I f fi 9eI ifq qrafi;E Rrm *d "'I
it
LiI
S.No. SSC€ / 2(!!2
CTNTRAL BOARD OF STCONDARY EDUCATION

IE
it tr 81 7 v :iO R|4EFT+' MAFKS STATEMENT
.i I cuwr
' SEq{ T€d nPftF:rz .ri?fl, 2oi2
AL.L !N,iTA SENIOR SCHOOL C.ERTIFICATE EXAMINATION, 2012
rI 5rdl,fqfli*8r6 5l alq
;IFI NANE JASF:R I{AUR
JAsld INDEF KAUF: /'HARJSEI
'T{iFqEE Folr No. ':69 C5 r 4

{rrltit
S INI:H
Morheas/Farher's/cuddi.n: Nffi e

a'i!
r."1l
Frsrdq s"n""r S:oi5 Flit'yA!- C6i{rr 3ci{i- ll{lJF::.:ET P! a-. 3If.lCH +a!; !10tr.4 P
crqiiE MAFKS oBTATNED

:'1t Nq'SirBJEcr
TOIAL IN WOFDS
*.,iI 3o.1 !:N6L I5H CORE EIGHT. V F I(.,E AE
PUii JA BI 07t 9EVENTY OIiE BA
oe, 070 SEVENTY
.I-IEIYI I STFiY aza E]GHTY T I"I3 AA
o44 BIOLOGY DE? E I GHTY F OUR
300 I,IORK E X PERi ENCE A1
30e PHY & HEALTI] EDUCA
503 GENERAL sIUDIEs

df*futil or sral , abbreviarion3


aB r fdqq i.3rdcfrqd abenr in rhe subje.r qfr'qr:r Resutr PASS
EX : qd-tflEl Elemptod
FP i r*Jtri'f6 ; 3rgFfl Fail in Praciical /--.
Fr fufud i st:rsa Fai nTheol A!La,/NF,
Rd oetrri q0enFrie6
tsaio oarea Z'a/ C3 /?CiZ Conlroll$ ot E$mlnallon6

t--_

/,
s:l8.1s'. TTl OU

1152 31 \ia,q Fgrs fiin{ar'+TJ Bj{9

PUNJAB SCHOOT EDUCATION BOARD


fr@Td\rstow 1$GT-2O10 /MairiculationExamination MARCE-2010
qx.a tro / cERTtFtcATE

Wf€ #r'ile'ifd i Certified that rFdE&/JASSRKAUR


Ast. / Roll No. : 4lg!{1
ofu.t. I Regn. No. : Fd.l,oc.s-79365
nrJed / Father's Name : aoits-fful. / HARJEEr $NGH
lr.J€'?'' / Mother's Name : fsfi*se *c / JA61^ ltsER KAUR

r6H fl]3l / Date of Birth : 18/'10/93 (rr6q"r{sEd gd fr M)


(EIGHTEENTH OCTOBER NINETEEN HUNDRED NINETY THREE)
EEts/ffi-q./School/ District : alrs, ?'fud Ftf*,'fd **a-d r*rr, fco'g fiiur <w (*w)
I(AMLA NFIRU SENIoFT SECONDARY SCHOOL,, NIHAL SrNGH WA|.A (MOGA) ,t fsE
+€ f, *@Fd u$turrr' Hririr-2010 .lrF *s t / has passed the
Matriculation Examination MARCH-2010 of this Board
ai+ g ie-e / Detait of Marks :

H / Sub,ects rgefa q's ria iq I tq 'fa


Sr No,

1. fml + rhrudsq*driheei
Punjabi or PoOlAUSglalpgQQa(X L22 50 150

2. ,idrafr / Engllsh 07 g. 33 100

3. 080 33 100

/ Mathemalics
dlfu3 092 33 100

5. Ftbn /science {'srd/Theory 069 + ldieracricar 921} 090 33 75+25= lOO

6. FI'fF4 ffnftl / Sociat studies 077 33 '100

7. Frr: f rnea Hira'r {'r]l|:t nteory 024 + yilrti pracrrcat


055} o79 33 30+70='100
Heallh & Physical Education

8 !<€ r€r rr3lErEr kjnh o4o rtsdfl/pc 031 07L 33 40 +60:100


ElecIiveSUbJect AGFICULTURE

9. dflEaa n l€sI {fev:llrheory 034 + r$dft/pr;cticat 043} 017 50+50=100


Computer Scjence

mFucre' Dr#s fHu{ ddrd s'-T -16


14 E6, 2010 T|ET3iI
lELTS
Test heport Form ''l I__-
L__jgcDEMic
NorE 't a Do,it.EadLa. rcus* ro'td
inzil i::1: i,:"tae be bd'pd an 4e 4. 4DEM\ peao.ne.no wntna
Mad!,e\
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Centre Number tN855 Date 117/DEC/2016 Candidate Number

Candidate Details

Family Narne

Frrst Name

Candidate lD

Date oi Birlh 18/10/1993 Sex (lV/F) Scheme Code

Co!ntry or Region
ol Origin

Counlry of
Nationalily

First Language PUNJAAI

Test Results

Overall
Listening Feading Writing Speaking Band
Score Level

Administrator Commenls
Validation stamp

Admtnislralor's
Signalire

Dale
a- 2st1z/20i6
]
Nirmber 16tN22471gTJ855A
-, _)

OO BRITISH CAMBRIDGE ENGI-ISH


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