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Admission Application For Under - Graduate Courses
Code No.
(Arts, Commerce and Science)
Sl. No. (For Office Use Only)
School of Distance Education
Andhra University, Visakhapatnam - 530 003
APPLICATION FOR ADMISSION INTO : B. A.

B.Com.

N.B. 1. To be filled-in by the candidate B.Sc.

2. Tick (3) in relevant box ( ) where necessary.

1. Name of the Candidate including Surname (in Block letters as per SSC)

2. (A) Name of the Father :

Affix
(B) Name of the Mother : Recent
Passport size
3. Date Date Month Year Photograph
Here
of In figures

Birth In words

4. Place of State District

Birth
5. Identification Marks :
1.
2.
6. Permanent Address Postal Address

e-mail Id : Phone No. / Cell No.

Aadhar No.

7. Personal Particulars : Male Female Transgender Married Unmarried

8. Nationality : Religion :

9. Caste, Specify if : SC ST BC-A BC-B BC-C BC-D BC-E

10. Name, Occupation, Address and Income of
Parent / Guardian, (State Relationship)
11. Fee Particulars : Amount Rs. .............................. In Words : ........................................................................................

................................................................ Date of Payment : .................................................. Ref. No. ..................................

Transaction ID. : ............................................................................................................................................................................

Received all Original Certificates Signature of the Candidate

13. If Candidate is Employed :
i) Designation :
ii) Total Service to Date :
iii) Name and Address of the Employer :

14. Particulars of Qualifying Examination

Name of the Year and Name of the Regular / Reg. No.
Examination Month of Board / Private
Passing University

A. Details of * II Language % of
Group Subjects Class Obtained
Qualifying Offered Marks
Examination
Passed

B. Details of Name of Year (s) of Reg.

Optionals/Subjects
any other Examination(s) Passing No. (s)
Examination(s)
Passed

C. Name and Address of the Date of

Institution Last Studied Admission :

Date of
Leaving :
* Candidates who Passed the Higher Examination should not Apply for Lower Examination

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15. Language which you propose to Telugu Hindi Urdu Tamil
take under Part – I (ii) for Kannada Malayalam Oriya Bengali
B.A. / B.Com. / B.Sc. Sanskrit French
Study material is arranged through our school for Telugu, Hindi and Sanskrit only. The Candidates
opting for other languages such as Urdu, Tamil, Kannada, Malayalam, Oriya, Bengali and French have to
make their own arrangements for preparation.
16. For B.A. Degree Course :
A. Medium of Instruction English Telugu
B. Part - II Group Subjects which your propose to take (Tick the combination in the appropriate box).
Under Main I, II and III any one of the following Combinations could be selected :

1. History Economics Politics ....

2. History Public Administration Politics ....
3. History Economics Telugu ....
4. History Politics English ....
5. History Politics English ....
6. Economics Politics English ....
7. History Politics Telugu ....
8. History Politics Sociology ....
9. Public Administration Politics Sociology ....
10. Mathematics Politics Economics ....
11. Hindi History Politics ....
12. Politics Economics Geography* ....
13. Politics Public Administration Geography* ....
* (Compulsory PCP cum practical Classes for Geography)
Candidate, who choose Political Science as group paper, have to choose one of the following papers
under Paper - IV : tick the same in the appropriate box.
Political Science : Paper - IV : a) International Relations
(OR)
b) Government and Politics in A.P.
17. For B. Com. Degree Course :
A. Medium of Instruction English Telugu
18. For B. Sc. Degree Course :
Choice of Group Subjects
1. _____________________ 2. _______________________ 3. _____________________

19. Students who joined in II & III Years (Lateral Entry) have to write the below subjects.
First Year :
1) Part - I (iii) : Foundation Course
2) Part - II Computer Course
Second Year :
1) Part - II Environmental Studies
2) Part - II Computer Course
Third Year :
1) Foundation Course
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20. Choice of Study Centre for exams / classes –––––––––––––––––––––––––––––––––––––––

(Please refer Prospectus for details) (Write the Name & Centre Code)
I hereby declare that all the Information given above is correct and I fully understand that my
admission stands cancelled at any stage if it is discovered that I do not have the minimum prescribed
qualification and / or any information supplied by me is found to be false and inadequate. Further, I undertake
to be a disciplined student and abide by the orders issued from time to time by the authorities of the School
and the University.

Place :
Date : Signature of the Applicant

Enclose the following with this Application in Original :

a. Degree/Provisional Certificate of the qualifying examination passed : (One attested copy also be en-
closed along with original certificate)
b. Two copies of recent passport size photographs of the Candidate duly attested by a Gazetted
Officer at the lower portion of each photo. One to be affixed to the application and the other to be
enclosed.
c. University employees / retired university employees have to enclose service certificate from the
Registrar, Andhra University, Visakhapatnam if seeking fee concession.
d. Date of Birth Extract. (Attested xerox copy)
e. Identity Card duly signed by the candidate and photo affixed.
f. Three self addressed slips duly filled-in (available in the last page of the prospectus).

(For Office Use only)

Date of Admission
Verified by :

DIRECTOR