INSTRUCTIONS FOR FILLING THE COMPUTER CODING SHEET

All columns must be filled in by the candidates only.
For columns 1, 8, 10, 11, 12, 15, 16, 17, 20, 21 and 22 put a ( ) in the appropriate box.
For the other columns follow the instructions given below
Column No.
2

Details
-

Write the Main subject chosen clearly in capital letters
TAMIL, ENGLISH, HINDI, URDU, MODERN ARABIC, HISTORICAL STUDIES, POLITICAL SCIENCE,
PUBLIC ADMINISTRATION, ECONOMICS, SOCIOLOGY, CHRISTIAN STUDIES, HUMAN RIGHTS AND DUTIES EDUCATIONS,
VAISHNAVISM, MUSIC, COMMERCE, MATHEMATICS, GEOGRAPHY, PSYCHOLOGY, COUNSELLING PSYCHOLOGY,
MEDICAL SOCIOLOGY, PHYSICS, CHEMISTRY, BOTANY, ZOOLOGY.

3

-

Enrolment Number (To be assigned by the office)

4,5 & 6

-

Write your name, name of the father / guardian / husband, and mother as
applicable. Write only one character per box in the space provided.
Example – The name AZHAGAR RAJAN, L.R should be filled in as

-

R A J A N ,

A Z H A G A R
7

L

.

R

Example – The Date of Birth 10th March 1989 should be filled in as

-

1

0

0

3

1

9

8

9

9

-

Furnish the correct address with Pincode to which the communication
must be sent. Use the boxes starting from the first position.

13

-

State your Religion.

14

-

State the Caste as given in the Transfer Certificate.

18

-

Mention the Centre code for attending the Personal Contact Programme classes.

Note : The Personal Contact Programmes will be organized at the following Centres in Tamil Nadu
and Puducherry subject to student strength. If the strength is not sufficient in any centre it
will be merged with the centre nearest to it. Use the code numbers in the box provided.

19

2

2

1

AMBUR

2

3

1

SALEM

2

2

2

CHENGALPATTU

2

3

2

TIRUCHIRAPALLI

2

2

3

CHENNAI

2

3

3

TIRUVANNAMALAI

2

2

4

COIMBATORE

2

3

4

TIRUVALLUR

2

2

5

DHARMAPURI

2

2

6

ERODE

2

3

5

VELLORE

2

2

7

KANCHEEPURAM

2

3

6

VILLUPURAM

2

2

9

KUMBAKONAM

2

3

7

PUDUCHERRY

-

Mention the Code of the Centre at which you propose to collect the study
materials (Refer Page No. 43 to 51).
79

POSTGRADUATE COURSES . (a) Date of Birth as per Christian era (b) Age (c) Sex (Tick Male 6. /APPLICATION FOR ADMISSION nrHf. 40) Police Personnel Differently Abled Press and Media Personnel Main Subject Name of the Course applied for Medium (Tick TAMIL ) ENGLISH PERSONAL CONTACT PROGRAMME CENTRE Centre Code Place STUDY CENTRE / SPOT ADMISSION CENTRE AT WHICH ADMISSION IS MADE Centre Place Code ADDRESS FOR COMMUNICATION (WRITE IN CAPITAL LETTERS) NAME : ——————————————————————–– S/o. Religion / Female b) Caste ) Yes 4.PG APPLICATION NUMBER UNIVERSITY OF MADRAS INSTITUTE OF DISTANCE EDUCATION nr Hf. Physically Challenged (Tick Recent Passport Photograph signed by a Gazetted Officer / PRO/AR (IDE) / Faculty with Seal ) / ST No 5. D/o.gg. Present Occupation 7. a) Community (Tick ) OC / SC / BC / MBC 8. NAME OF THE APPLICANT (as given in the certificate in CAPITAL LETTERS) in English : (b) in the Regional Language : 2. 150/(Payment should be made either by Bank Challan / Demand Draft) CANDIDATE TO FURNISH ALL THE REQUIRED PARTICULARS BELOW IN CAPITAL LETTERS Women Candidate Defence Personnel Candidate to tick ( ) any one of the appropriate boxes Teachers University of Madras Graduate for Tuition Fee Consession . gbtk.2011–2012 ENROLMENT NUMBER (to be assigned by the IDE office / Co-ordinator. Nationality 9. ———–—————— Mobile : ———————————E-Mail –––––—————––– (a) 1. : —————————————————————–—– Door No. & Street : ————————————————––––––––––––– Town / Village Post : ————————————————————–—–— District : ———————————————————–———– State : ——————————————————––— INDIA Pin code : —————————————————–————–— Phone (Res) : ——————————— Off. Name of Father / Mother / Guardian / Husband 3. C/o. W/o.zg.if tpz. Spot Admission Centre / Study Centre) ACADEMIC YEAR 2011-2012 A 1 1 CALENDAR YEAR 2012 C 1 2 REGISTRATION FEE Rs.(Refer Page No. Mother Tongue .

............... The wards of Defence Personnel / Ex-Servicemen should specify as : 12.... (4) ...... (1) Statement of Marks (2) S.............../Selvi .......................................L............... Month & Year of Passing Registration Number Class with Grade/Marks Maximum Marks S............... (2) ..... Thiru/Tmt............L.............S...................... Degree Course in ........ (3) ................ Whether the application is in order : Yes / No 2...............C...................................................... (State whether it is 10 Years or 11 Years Course) P......... specify 11................................Com............... SECTION OFFICER SECTION OFFICER Conduct Certificate ............. ADMISSION / CANCELLATION ORDER 3................ ASSISTANT REGISTRAR STUDY CENTRE / SPOT ADMISSION CENTRE / OFFICE Signature of the Centre Co-ordinator with Seal DIRECTOR .. / B......... Documents required : (1) .................. Certificates returned to the Candidate on . (3) ...................Main in English/Tamil Medium during the Academic Year 2011-2012 / Calendar Year 2012........................ /ASST................... (4) ............. is admitted provisionally / not admitted to the...... / B.............U...........C Book (3) (4) Birth Certificate (5) Transfer Certificate (6) ASST... Are you undergoing any other course in a College or University? If so.............. 5........................C............................Sc........... DETAILS OF EXAMINATION PASSED Name of the Board / University Examinations passed with the Name of the with Subjects School / College (a) Ward of Defence Service Personnel (b) Ward of Ex-Servicemen : Navy / Army / Air force...... Admission / Cancellation Intimation sent on .......... I hereby declare that all the particulars given above are correct and I agree to abide by all the Rules and Regulations of the University that are in force from time to time.......... Station Date : : SIGNATURE OF THE APPLICANT FOR OFFICE USE ONLY 1................ / Higher Secondary (State Whether it is One Year or Two Years Course) B........................................................................................................... CO-ORDINATOR Spot Admission Centre / Study Centre DIRECTOR 4.. (State Whether it is 2 Years or 3 Years Course) (The above statement must be attested by the same Gazetted Officer/Assistant Registrar/ Public Relation Officer (IDE) / Faculty who attested the Photograph) Enclosures (1) ............. (5) . (2) .S...............................A..................................10... If not.............. (6) ..

2. Date of Birth 8. Mother’s Name (Write in Capital Letters) Date Month Year 7. M. M. Address for communication (do not write your name here) City Phone Pincode Mobile E-Mail .UNIVERSITY OF MADRAS INSTITUTE OF DISTANCE EDUCATION COMPUTER CODING SHEET POSTGRADUATE COURSES 2011-2012 1.Music M. Name of the Candidate (Write in Capital Letters) 5. Sex Male Female 9.Com. Name of Father / Guardian / Husband (Write in Capital Letters) – as per entry in the Transfer Certificate 6. Main Subject chosen 3.Sc.A. Course to which admission is sought M. ENROLMENT NUMBER (to be assigned by the office) Academic Year 2011-2012 A 1 1 Calendar Year 2012 C 1 2 4.

University of Madras listed in the Prospectus. will be linked to the nearby IDE Study Centre of the other State and candidates should undergo the courses offered by this Institute through such allotted IDE Study Centre only. Tuition Fee Concession Opted ? (Candidate to tick ( ) any one of the appropriate boxes Refer Page No. Nationality Indian Others English Tamil 12. Physically challenged YES NO 17. Community SC 16. Applications received by post from the candidates of other States will automatically be linked to the IDE Study Centre of the State concerned. Are you a ward of an Ex-service person ? 22. Region Urban ST MBC Rural 13. Are you a ward of a Defence Service Personnel ? (Army / Navy / Air Force) Yes 21. 43 to 51) Name 20. Medium of instruction opted 11. Affix Passport Size Photo Not to be attested Station : Date : Signature of the Candidate . Are you employed ? YES NO 18.10. Category No Yes No Women Candidate Defence Personnel University of Madras Graduate Teachers Police Personnel Differently Abled Press and Media Personnel Admission of Candidates from Other States Candidates from other states should submit their applications at any one of the Study Centres of the Institute of Distance Education (IDE). Centre at which you propose to attend the Personal Contact Programme classes Name 19. Religion 14. 40) BC OC Code No. Code No. Caste 15. Centre at which you propose to collect the study materials (Refer Page No. Applications received by post from the candidates of other States where there is no Study Centre of this Institute (IDE). of the State concerned for admission to various courses offered by IDE.

..................................................................................................................... Address : ......................................... Name : ................................................................ Address : .............. ...................................................... Address : ............................................. ............................................................................................................................................................................................................................................................ Name : ........................................................................................... Address : ......................................................... ...................................................................................... PIN PIN ................................. PIN PIN Name : ... .......................................................................................................................... ................. .. .................................. .............................. WRITE IN CAPITAL LETTERS Name : ......... original certificates and learning materials will be sent only to this address) USE BALL POINT PEN ONLY......................................................... ...... ......................................... .................................... ...................................................................................... .................................... ...................................................... ....... Address : ..................................................................................................................ADDRESS SLIP POSTGRADUATE COURSES Academic Year 2011 .......................................................................... ......... ........................................... ............................................. .......................... Address : ................................................................ PIN PIN Name : ......................................................................................................... ...............................................................................................................................................................................................................................................................................................2012 A 1 1 Not to be attested Calendar Year 2012 C 1 Affix Passport Size Photo 2 To be filled in by the applicant (6 copies of his/her address) and returned with the completed application form (Please note that the admission intimation............................................................................................................................ ................................................................................. ............................................................... ...................................................................................................................................................................................... Name : ........................... ......

................... .................................................................................. ..................... Bank ..... Signature of the Candidate / Remitter Note : Separate Challan should be used for each type of payment Seal / Date For Bank Use Only Tel................................. ....) Cash Demand Draft Nature of Payment (3) D......................... Number Course of Study Student’s Name 30257687462 783493481 Student’s Name INDIAN BANK STATE BANK OF INDIA Branch : ......................................... Number Enrl....................................................................... Amount Rs............. ...................................................... Bank ...85 Authorised Signatory Note : Separate Challan should be used for each type of payment Seal / Date Rs......................... Amount Rs.................................... Bank .......................... : Amount in words (Rupees ........... Number Student’s Name Branch : . I / II / III Year Amount in words (Rupees .......... No............................D....................D.................................................................... .... No... ...... Date ............................................................ Date ......600 005...........................) Cash Demand Draft Nature of Payment (3) D.................... E D A B C Fee Code Course Subject Year Enrl............. Signature of the Candidate / Remitter Note : Separate Challan should be used for each type of payment Seal / Date For Bank Use Only Tel....................... FEE PAYMENT CHALLAN CHENNAI ........................................ Date : ...........................................................................600 005.................. I / II / III Year Authorised Signatory Rs. : Rs.................................................................................................600 005........................................................................................................................ Total Other Fee (Please Specify) Other Fee (Please Specify) E Verification of Certificate Fee Verification of Certificate Fee Total Migration Certificate Fee Convocation Fee Migration Certificate Fee D Provisional Certificate Fee Convocation Fee Duplicate Mark Statement Fee Provisional Certificate Fee Examination Fee Tuition Fee Registration Fee Particulars Duplicate Mark Statement Fee A B C Fee Code Consolidated Mark Statement Fee Rs......................... 30257687462 783493481 IDE FEE COLLECTION ACCOUNT NUMBER Branch : ....... FEE PAYMENT CHALLAN UNIVERSITY OF MADRAS INSTITUTE OF DISTANCE EDUCATION STUDENT COPY ..... : For Bank Use Only Tel.... FEE PAYMENT CHALLAN IDE COPY UNIVERSITY OF MADRAS INSTITUTE OF DISTANCE EDUCATION BANK COPY UNIVERSITY OF MADRAS INSTITUTE OF DISTANCE EDUCATION 30257687462 783493481 Total Other Fee (Please Specify) Verification of Certificate Fee Migration Certificate Fee Convocation Fee Provisional Certificate Fee Duplicate Mark Statement Fee Consolidated Mark Statement Fee Examination Fee Tuition Fee Registration Fee Rs............................ Branch ................. Date : ..................... ............. Branch . ................................................ E D A B C Fee Code Particulars Course of Study Course Subject Enrl... INDIAN BANK STATE BANK OF INDIA IDE FEE COLLECTION ACCOUNT NUMBER CHENNAI .. Date ............... Date : ........D................. Branch ................) Cash Demand Draft Nature of Payment (3) D................... No.. Amount Rs................. Signature of the Candidate / Remitter Authorised Signatory Rs..... Course Subject Consolidated Mark Statement Fee Examination Fee Tuition Fee Registration Fee Particulars I / II / III Course of Study Amount in words (Rupees . .............................................. INDIAN BANK STATE BANK OF INDIA IDE FEE COLLECTION ACCOUNT NUMBER CHENNAI ..................

ryhÅ‹ ï¥gFâia go¥ò Koí« tiu g¤âukhf it¤âU¡fî«. . Chennai . NOTE v‹w KftÇ¡F mD¥ã it¡fî« mšyJ neuoahf¢ rk®¥ã¡fî«. Students are informed to keep this portion of the challan safely till the completion of the course of study.86 khzt®fŸ. Students are informed to send or handover this portion of the challan to Total 5X 10 X 20 X 50 X 100 X 500 X 1000 X Particulars Rs. ïa¡Fe® bjhiyöu¡ fšÉ ÃWtd« br‹id¥ gšfiy¡fHf« nr¥gh¡f«. (fÂÅ ïiz¥ò trâ bfh©l t§»¡ »isfŸ _y«) (2) ïªâa‹ t§» (fÂÅ ïiz¥ò trâ bfh©l t§»¡ »isfŸ _y«) (1) ghuj Þnl£ t§» khzt®fŸ Ñœ¡fhQ« VnjD« xU t§» _y« TLjš f£lzÄ‹¿ cÇa f£lz¤ij¢ brY¤Jtj‰F ïªj¢ ryhid¥ ga‹gL¤jyh« (through any core banking branches) (2) Indian Bank (through any core banking branches) (1) State Bank of India (SBI) Students are Informed to pay fee through anyone of the following designated banks using this challan without any additional charges. br‹id . delivered to IDE. ryhÅ‹ ï¥gFâia The Director Institute of Distance Education University of Madras. khzt®fŸ. University of Madras. Chepauk.600 005.600 005. nf£ò tiunthiy _y« f£lz« brY¤Jnth® neuoahf / jghš _y« br‹id¥ gšfiy¡fHf¤ bjhiyöu¡ fšÉ ÃWtd¤âš nr®¤âlî« Remittance by Demand Draft may be mailed .

Sign up to vote on this title
UsefulNot useful