INT Application No, Last date for submission of duly filled in application cnrolment No, Alloted. amereften Pree rrct:/ DiRECTORATE OF DistaNce EDUCATION ufteadepafrardien, freafa: (ati.a.) RASHTRIYA SANSKRIT VIDYAPEETHA, TIRUPATI - 517 507 (A.P.) Deemen Untvenstry ocredited with A’ Grade by NAAC Application for admission into Certificate course in Sanskrit/Diploma in Sanskrit/ P.GDiploma in Yoga Vinan/Prak-Sastri/Sastri/B.A./Acharya courses + weft exeemrafta eid Yaa! The Application form should be filled by the Candidate in hiyher own handwriting ony. «+ rcgen sreerel a afer 1 Incomplete applications will be summarily rejected, Paste your oa waar Ree eft ard aff serena a wai wares Ret rar waa The attested Vidyapeetha reserves the right to cancel the admission of any candidate at any stage, if and where itis detected that the admission is against rules. passport size + % sarafis gard Ga ivi aia w au oa fearing fea! Anyone who secures | photograph here admission by giving false information will be dismissed summarily from the Vidyapeetha The admission of candidates will beon merit only 1. saat amt (srr/English) POON Name of the applicant (as entered in $.S.C, 7H ame or equivalent Certificate) I Dateof Binh Sey Category an anal (ODMMYY) Nationality soilsqieciicc 3. Fag [ag a (aa Enelsh) Father's Husband's Name 4. AI =H / Mother's Name Sat Address for communication * All correspondence will be sent to the said address onl: | | Any change of address should be communicated Pin immediately: Phone No. tam] 6, wet secur waerresla ae aM / Mention the course 0 which you seek admission Mode of payment of Fees [BD No. Bank Date Amount 8, sraenfea /enfemearai fitaeren/ 2nd Language proposed to study in Prak-SastriSasri egg as [severe — Sanshri/Kannada/ Malayalam 9. Secking exemption for Languages at Sasri level (YesINo) (Only forthe candidates who have acquired equivalent Cerificate Degree. Ives, proof ofthe same sto be produced along with ‘a representation) 10. epee ees — erga Prak-Sast Elective Sasra ‘course Elective Sastra - Order of Preference (for Hye) 2. 3. Paper 1- Elective Modern subject Tiaeenfeeeat srgtratin - meat In Prake ‘per i ‘Sastri course Paper IV - elective modern subject ~ Order of Preference | Hitsory12ers retin, mee In Suse course lective Sasa ‘Special Sastra choosen in order of preference Be Sahityam/YyakarananyPhalita JyotishamyAdvaita Vedanta 13, afeeceeramsmefratana: mera fnSasiri/B.A 1 Elective 1 Elective course electives from modern subject - Order of Pref- 1. L erence (for IIyr) 2 2 3 3 TEglsh- ararare aT Uterus Ramada TeratireT Voge amon Archakawvam & Pourohitan/Computer Application /History 14 seria rea, ~ TENET In Acharya lective Sasira course elective Sasira~ Order of Preference 15. Berar agree Sa Sere aH ~ Name ofthe study centre (if any) Do you propose to attend the Weekend classes 16a sy, fee — Have you passed! «any Sanskrit Examination 17. Serer Educational Qualifications aidan Name eam wea weeny] a | tears ofthe Examination] PTET | Nome often | Aero | meee | on | fee Passed Specialisati pace Regd No. | University ov he | CH Board of Examn ‘afta / Dect aration safe are we bai Fe: wis Pawar, wae areca af ken aera so | orga wea oiirp tar Preah energie / sree | ee / veda: waft: satin, aff Pemehd marae eas | I solemnly affirm that the entries made by me in this application form and the documents submitted in support ofthe information furished by me are true in all respects. | shall abide by the rules of discipline and proper conduct which may be framed in this regard, The Vidyapeetha may take any action against me if the behaviour and conduct are against to the disciplinary eode of the Vidyapeetha. fq Rearrer FeTET, swfefa: got wearer, Signature of Parent/Guardian Signature of Applicant sified that the true copies of certifi [er Occ Te] cates are checked with the originals Course & sastra alloted I language (if any) Modern subjects (if any) L 2 May be admited in admitted in Signature of Centre Co-ordinator Name of the Centre SEAL [Curr Course Co-orpwsstor Je, Dikecror/DiRECTOR