For Office Use only

Transaction ID: 82127583/BABB

ALIGARH MUSLIM UNIVERSITY

ONLINE PAYMENT

Session: 2017 - 2018 Affix the same

Photograph as you
Application Form for Admission to have uploaded in
the Application Form
B.A. ARTS/B.A. SOCIAL SCIENCE
Faculty Of Arts/Social Science

Bank: 1170, CR No./Online Txn No.: 291757387, Date: 23-01-2017, Amount: 351.01 Nationality: INDIAN

Studied in Madarsa at SSSC level : Studied/Studying Arabic at SSSC level :

__________________________________________________________________________________________________
NO NO
Preference for Test Centres:
__________________________________________________________________________________________________
1. ALIGARH 2. LUCKNOW
Personal Details:
__________________________________________________________________________________________________
ONLINE PAYMENT

Name: FAIEEZ KHAN Father's Name: MOHSIN KHAN

Date of Birth: 27-11-1997 Mother's Name: JAMEELA KHAN
Gender: MALE
Religion: ISLAM

Details of Qualifying Examination: Status & Special Categories:

__________________________________________________________________________________________________
Examination: AISSE Status: EXTERNAL
Enrolment No.:
Roll No.: 1702433
Hall: NA
Year of Passing/Appearing: 2016 Special Categories: 1. DS 2. -- 3. --
Board/Univ.: OTHER UNIVERSITIES/BOARDS
Marks Obt./Max. Marks: 296/500
Remarks (if any): PASS
List of enclosures attached with the Application Form:
5. Documents in support of Internal
1. Cash Receipt in Original Status/Spcl. Categ., if claimed
ONLINE PAYMENT

2. Self Attested copy of HS/SS Certificate 6. Copy of document(s), if rusticated/debarred

in support of date of Birth or convicted by a court of law
Copies of Marksheets/Grade Sheets of all previous Examinations
3. passed/appeared including parts therein after passing High School 7. ________________________________________

4. If employed, copy of No Objection 8. ________________________________________

Certificate from the employer
* Attach latest Marksheet/Document(s) in support, failing which your claim will be rejected

Permanent Address: Address for Correspondence:

__________________________________________________________________________________________________
Address: 233, SILVER COLONY Address: 105, KHIZRABAD COLONY
NEAR ROCK WOOD SCHOOL, KHAJRANA NEAR QUADRI STORE, KHAJRANA
INDORE - 452016(MP) INDORE - 452016(MP)

Phone 1: 7974038413 Phone 2: 8982559095 Email ID: rishab.kingofheartzzz.jain@gmail.com

Is hostel accommodation required? Y (Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel)
__________________________________________________________________________________________________
DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic
Council & other appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions
& Supplement - M and solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief
INE PAYMENT

and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me.

Transaction ID: 82127583/BABB

23-Jan-2017 18:56:34

__________________________
Thumb Impression Signature of the Candidate
Male: Left Thumb, Female: Right Thumb
 POSTAL SLIP
(To be pasted on envelope containing the Application Form)
Application Form for Admission to
B.A. ARTS/B.A. SOCIAL SCIENCE

To,
ASSTT./JOINT CONTROLLER (ADMISSIONS)
ADMISSION SECTION, AMU,

ALIGARH - 202002 (UP)

From:
Name: FAIEEZ KHAN
Address: 105, KHIZRABAD COLONY
NEAR QUADRI STORE, KHAJRANA
INDORE - 452016(MP) 82127583/BABB
Tel./Mobile: 7974038413

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Aligarh Muslim University
CANDIDATE'S SLIP
(Keep this Slip with you for future reference)
Course Applied for: B.A. ARTS/B.A. SOCIAL SCIENCE
Transaction ID: 82127583/BABB

_______________________________________________________________________________
INSTRUCTIONS

1. Please ensure that you have appended Photographs, Thumb Impression and Signature at the designated places on
the Application form.
Note: a) Use identical good quality color photographs taken not earlier than 3 months. The photographs should be taken preferably
wearing dark clothes on a white background.
b) Your Thumb Impression & Signature establish your identity hence, do not merely write your name in capital letters.

2. You must ensure that all the documents along with original cash receipt (If fee payment is made offline) are attached
with the Application Form.

3. You must NOT make any type of correction(s) / modification(s) on the Application Form else your candidature may be
rejected.

4. Paste the 'POSTAL SLIP' given above on the A-4 size Envelope containing the Application Form and send it on the
Pre-Printed Address.

5. Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with necessary
updates regarding the status of your Application Form/Admission Test results etc.

6. Admit cards shall be available for download from the website. No Admit card shall be sent via postal mail.