Professional Documents
Culture Documents
Spring Evening
Registration No
Noon
Weekend
Religion
Blood Group
Guardian Number
Academic Qualification
Program/Degree Board/University Passing Year Subjects Total Marks
Grade / Marks Obtained Division/CGPA
Candidates awaiting results are required to sign the following undertaking: I undertake to submit attested copies of my Intermediate/A Level/Bachelors/Masters result to the Registrars Office as soon as it is declared. If I fail to fulfill the eligibility criteria for admission, University has the right to cancel my admission.
Signature of Applicant:________________________
Work Experience
Job Title Organization Location Full time / Part time From(mm/yyyy) To(mm/yyyy)
Academic or Extracurricular Awards, Distinction and Honours (if any) Publications (if any - applicable to MPhil / Ph D candidates)
Please provide list of publications including information regarding title of the paper, journal, volume, year, page
Financial Profile
Fathers Name Annual Income Profession Income from Other Sources
Hostel Requirement
Do you require hostel? Please the appropriate box.
Hostel is Required
UNDERTAKING
I certify that: 1. 2. 3. 4. The information provided in this application is correct and true. I shall abide by all rules and regulations of the University. I shall cooperate with the University in its efforts to impart learning. In case of an offer of admission on a provisional-basis, the offer shall stand frozen if the requirements outlined in the offer of admission are not met within the specified period.
Applicants Signature
Date
TO BE FILLED BY CANDIDATE
NAME (Capital Letter): PROGRAM:
Candidates Signature