DR.

BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY APPEARING FOR COACHINGCENTREFOR SCHEDULED CASTESTUDENTS ALL - INDIA COMPETITIVE EXAMINATIONS APPLICATIONFORM FOR TRANCEEXAMINATION FOR OFFICE USE DD No. Code No. Branch Readthe Instructions carefullybeforefilling the ApplicationForm (To be filled in by the Candidate sendthe duly filled ApplicationForm) & TO, THE DIRECTOR Pre-I.A.S. Coaching Centre, Dr. Babasaheb Ambedkar Marathwada Universitv. Aurangabad. (1) Full Nameof the Student In English(BLOCK LETTERS)
Signatureof the Student Surname Name Father's/
Affix your passport recent sizephotograph Dot not Staple

Husband's Name Namein Devnasari

(2) Addressfor Correspondence :

At Post District

Tal.
Pin
I I

(3) DateofBir*r,l-"Tl [I
(5) Contacts STD Code: EmailID Tel.No.

(4) Gender | :

| (M-Male

t.-

& F-Female

MobileNo.

*(6) Caste Validity : (8)

(7) Domicileof Maharashtra L--l (y - yes & N -No) ? (y - yes & N - No)

were you a student pre-IAScoaching of centreearlier?I

(9)

Educational :Qualification Sr. Examination No. Passed

Board / University Year of Class/ Passins Grade
oh of

Marks

(10) I have read carefully the Rules/ Instructionsof the Centreand they are binding on me. I hereby state that the information given above by me is 'True and Correct' to the best of my knowledge and belief. I will be fully liable for disciplinary action, as per rules and regulations of the Pre-I.A.S. Coaching Centre, Dr. Babasaheb Ambedkar Marathwada University, if anykind of discrepancyis found later.

D a te : P l a ce :

Candidate's Signature

Nameof the candidate

Important instruction for the Candidutesz1) The Items * marked are mandatory.Incompleteinformation for theseitems will lead to rejection of your application form for the entranceexam. 2) Write your name and address in Capital Block Letters. Writer only one letter/numberin each block, leave one block blank betweentwo words. 3) Give the detailed addressfor communicationregardingExam, Admission, Batch etc., 4) The D.D. of Rs.200/- should be drawn from any nationalizedbank in favour of 'The Registrar,Dr. Babasaheb Ambedkar MarathwadaUniversity, Aurangabad,, payable at Aurangabad. 5) Feesonce paid will not be refundedunder any circumstances. 6) Hall Ticket will be availableat the centre on l8ll2l20l2 to two hours before of the examination. 7) Application form along with DD must reach the office in person or by Indian Postal Service to 'The Director, Dr. Babasaheb Ambedkar Marathwada University, Aurangabad- 431 004' on or before 1511212012. After the prescribe date for application form the forms received will be treated as rejected and no communicationwill be madein that regardsby the office. 8) Incompleteforms will be treatedas reiected. 9) Under unavoidable conditions the Registrar is authorizedto change the schedule/ centre for entranceexam or in any matter of dispute or grievanc.] tn. decision of the Registrarwill be final and binding on all .*bidut.r.

DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY COACHING CENTRE FORSCHEDULED CASTE STUDENTS APPEARING FOR ALL - INDIA COMPETITIVE EXAMINATIONS CALL LETTERFORTHE COMMON ENTERANCE EXAMNATION FOR ADMISSION PRE-I.A.S. FOR COACHING CENTRE

Name & Addressof the Candidate:

Please Affix yourrecent passport size colour photograph

SeatNo. Signatureof the Candidate

Dateof Examination: I 12120 19 12 T i m e :0 0 :0 0 Examination Centre: Pre-I.A.S. Coaching Centre. Babasaheb Dr. Marathwada Ambedkar Universitlz. Aurangabad.

DIRECTOR Pre-I.A.S.Coaching Centre -(Please detachthe portion below and retain with you)--

DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY COACHINGCENTREFOR SCHEDULED CASTESTUDENTS APPEARING FOR ALL - INDIA COMPETITIVE EXAMINATIONS CALL LETTERFORTHE COMMONENTERANCE EXAMINATION FOR ADMISSION FORPRE-I.A.S. COACHING CENTRE
Seat No.

Dateof Examination: lgll2l20l2

Tim e:1:00 o 3:00 t

Name of the Candidate

Signature of Invigilator

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LastDateof aPPlication of Distribution Hall Ticket Dateof Examination Dateof resultdeclaration LastDateof Admission

: : : : :

15lr2l20r2 r8lr2l20r2 19lr2l20r2 221r2120r2

U20t3 : commencement 01/0 Dateof Classes