ALAGAPPA UNIVERSITY,KARAIKUDI-630 003 (A State University Re-Accredited with A Grade by NAA! (Reco"nised by #istance $ducation ouncil% New #elhi! APPLICATION FOR ADMISSIONS [Semester System] for the ACADMIC !AR "0#$ - "0#$ % CALNDAR !AR "0#$
Signature of the Student (To be filled in by the Candidate in his/her own handwriting in Block Letters) Course Applied for (Please put mark in the appropriate box) MB (!eneral)
MC MC ()ateral +ntry) P!/C M'*'0' (Master of *o%ial 0ork) Medium for MB (!eneral) (Please Ti%k)
1' 2ame of the ppli%ant with initial (as in 3ualifying Certifi%ate 4 in BLOCK letters)5 6' $ather7s 2ame 5 8' ddress for Communi%ation 5
DIRCTORAT OF DISTANC DUCATION Parti%ulars of /emand /raft5 /'/'2o'999999999999999999 ,s'9999999999 /ate5999999999999Bank99999999999999999999999999999 Note: The %andidate should write his/her name on the re:erse of the demand draft' Tamil English To be filled in by the Learning Centre: 2ame of the Centre5 Code 2o' $$"; *TMP *"<+ P(=T= 2/ *"!2 "2 T(+ B=; !">+2 B+)=0 Pin %ode +?Mail "/5 &hone with S'# ode ( Mobile5 @' *ex5 -' Community5
(tta%h Community Certifi%ate 4;erox %opy)
A' /ate of Birth5 B' 2ationality5 C' /etails of +du%ational 3ualifi%ations5 Course Studied Name of the Degree Major Month & Year of Passing Name of the Institution/College/ University Percentage of Marks/ Class (r' *e%ondary Dnder !raduate Post !raduate
(+n%lose =riginal and ttested %opies of Plus Two/(r' *e%ondary and D!/P! Pro:isional Certifi%ate or /egree Certifi%ate duly attested by !aEetted =ffi%er') Individual Mark Statements will not be acceted =ption for MB (!eneral/ "nternational Business)5 +le%ti:es for MB (!eneral)5 " hereby de%lare that the parti%ulars gi:en abo:e are true' "f any of the parti%ulars furnished are found to be falseF " agree to forfeit my admission' /ate5 *ignature of the Candidate 2ote5 The following do%uments must a%%ompany the filled?in appli%ation 5 1' =riginal and Copy of (r' *e%ondary Mark *tatement duly attested by !aEetted =ffi%er' 6' =riginal and Copy of D! Pro:isional or /egree Certifi%ate and Markstatement duly attested by !aEetted =ffi%er' 8' $illed?in *tudent "ndex Card with stamp siEe photo affixed' @' /emand /raft for Pres%ribed fee (,efer to Prospe%tus) -' Copy of Community Certifi%ate duly attested by !aEetted =ffi%er (if appli%able)' Certified that G ppli%ation is s%rutinised dmitted / 2ot dmitted G =riginal Certifi%ates are :erified and returned G Copies of the %ertifi%ates duly attested by !aEetted =ffi%er are :erified /ate of dmission 99999999999999999 G Candidate is found eligible *ignature of the Programme =ffi%er with seal **T',+!"*T,, /",+CT=, ,e%ei:ed ba%k the original %ertifi%ates5 *C *T MBC BC =C /ate Month .ear Papers Marketing $inan%e Personnel *ystem *ignature of the %andidate ALAGAPPA UNIVERSITY, KARAIKUDI-630 003. (,e?%%redited with H7 !rade by 2C) DIRECTORATE OF DISTANCE EDUCATION (,e%ogniEed by /istan%e +du%ation Coun%ilF 2ew /elhi)
Appln. No: Enrl.No: PROGRAMME:____________________________________ ______________________ NAME: DATE OF BIRT :
Signature of the Student ADDRESS: !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! NAME OF TE "EARNING #ENTRE $ #ENTRE #ODE STUDENT INDEX CARD $$"; *TMP *"<+ P(=T= 2/ *"!2 "2 T(+ B=; !">+2 B+)=0