Appl: No.

MAHATMA GANDHI UNIVERSITY
Application Form for Admission to UG and PG Programmes of Self Financing Schools, 2010-11
Note: Make Entries in Capital Letters only and Tick ( ) in the boxes of Relevant Entries. Ö 1. Course /Courses opted for SME UG PG STAS UG PG SCIS PG DLIS UG PG
Photograph (bust) (to be attested by a gazetted officer by signing over the photograph with date)

SALS PG

2. Name of School

Name of Course (for PG only)

1 2

3. Name of the applicant

3 4

4. Sex

M

F 5. Date of Birth Date

Month

Year 7. Panchayat / Municipality

Age as on Ist July 2009

6. Place of Residence 8. Taluk 9. District

10. State

11. Nationality 12. Name of Father 14. Name of Guardian 16. Religion 18. Seat Category 19. Category Reservation E/T General SC ST NRI Muslim OBH Diploma Holder OBX LC Anglo Indian 13. Name of Mother 15. Relationship 17. Caste

Ward of M.G.U. Employee 20. Mobile No. 21. Permanent Address

Ward of Ex- Service Men

22. Address for Communication

District Pincode Tel. No. with code

District Pincode Tel. No. with code

*Candidates are requested to go through the brochure before filling the application form

of Chance Optional Subjects 1 2 3 4 Grand Total Graduation English 2nd Language Main Subject/Optionals Subsidiaries 1 2 Total for Main & Subsidiaries Grand Total Post Graduation Others 24. Name of Course & College Year Exam Reg. Whether Orthopaedically handicapped Yes No If Yes. 25. No Year/ Month English 2nd Language Subject Max Marks Marks Secured % Class No.23. No. Details of the Qualifying Examinations (to be supported by copies of mark lists and certificates) Exam University/ Board Plus Two/ Pre-Degree Reg. Participation in NSS/NCC Certificate No. & Year of Examination Other Information 27. give details . Achievements in sports and Games Item Position Level-University / State/National Year Organised By 26. Experience Designation Institution From-To Total Years Registration No.

............ Name of the course 3.. Name of the student Photograph (bust) (to be attested by a gazetted officer by signing over the photograph with date) In response to your application for admission to the above mentioned course.... Rs............. ........... **Gazetted Officer should sign on the photograph and affix the seal...... Time From 5....2..11. Date 8............................................ 31..... Name & signature of Parent / Guardian.9.....3...28.... Name & Signature of Applicant......... I know that if the information given is found to be fradulent.... Annual family income 29................................. Signature of the candidate 13...... Particulars of the Fee Demand Draft No................ Venue of Test 9............. you are requested to appear for an entrance test 4.................. Name of the School & Centre 2... Sex Male Female 12.... To be filled in by candidates applying for course having entrance test by MG University Mahatma Gandhi University Entrance Test 2010 Admission Card Note: Make Entries in Capital Letters only and Tick (Ö in the boxes of Relevant Entries ) 1.... Date N................B: Candidate may fill in the items 1. Date.................... and 13.... *Amount in Rs...... Place....12..................................... **Name and designation of the Gazetted Officer with seal 11........ I shall be liable for criminal prosecution........ I agree to pay the prescribed fees stipulated by the University........ Serial Number 6..... I also agree to be transferred to a different centre of study if the University decides to do so............. Register Number To 10............... I have gone through the instructions in the admission brochure and I agree to abide by the rules and regulations and conditions prescribed by the University for admission to the course.............. Rupees in words Date of Issue Issuing Bank Name of Branch 30. The original certificate shall be produced during the time of interview or admission. Declaration: I do hereby declare that the statement given in the application are true to the best of my knowledge and belief.. Name and address of the candidate 7........ ** Name and Designation of the attesting Officer with seal........

page to prove age.= Rs. Item (2) Write the name of the school as seen in the brochure. children of ex-service personnel.150/. 7. 300/.C.1986 5. Please check whether your application form contains the following: i) Self attested copies of the mark lists of the qualifying and other examinations. 6. Check List 9.11. 200/. vi) Self attested copies of the certificate to prove claims based on reservation (caste). 3.4. employees of the University etc.12.L. .5. On the top of the envelope write the following (as the case may be):.C.500/. Items (3.Name of the courses and subjects. 4. ii) Self attested copies of the pass certificate / certificates/ provisional certificate of the qualifying examination. Use pen having either pure black or pure blue ink only to fill in the application form. 5/-) (size 24 cm x 12 cm). E.S. (only if the course has an entrance test. Filled in admission card should also be sent along with the application. NRI. Item (23) All the entries of the relevant columns should be made.13.150/-) 10. (If needed) v) Self attested copies of the relevant S. viii)Two self addressed and stamped envelopes (Rs. specify the name of the course.L.+ Rs. 2. 8. Book.S.350/-) x) Those who apply in the printed format available in the regional centres has to remit Rs. One on the application form and the other on the admission card.How to fill the Application Form 1. ix) Those who apply in the downloaded form has to remit Rs. Two recent photographs (bust) attested by Gazetted Officer should be pasted.17) Make entries as shown in the S. whether post basic. iii) Self attested copy of the transfer certificate. entrance test. by the University).as fee (for SC/ST candidates Rs.16. reservation status etc. by the University). Item (5) The following pattern may be followed.g.as registration fee (for SC/ST candidates Rs. course opted for. if the date is 7th June 1986 write 07 06 . iv) Self attested copy of the income certificate. For details refer general instruction. Those who apply for PG course. (Admission card is needed only if the course selected has an entrance test. Only one is needed if the course does not have entrance test. vii) Filled in admission card. Item (1) Please put a tick in the relevant box. by the University).

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