Prospectus and Application form - Maulana Azad National Urdu ...
Prospectus and Application form - Maulana Azad National Urdu ...
Prospectus and Application form - Maulana Azad National Urdu ...
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DqKZ ^g70*,VðI¯^,‚Paste recentpassport sizephotographEnrolment Number :;gE-zŠgQDŠZi M * ÑñMAULANA AZAD NATIONAL URDU UNIVERSITY<strong>Application</strong> Form for Term-End Exam October/November 20..........P.G.,U.G., Diploma & Certificate ProgrammesName of Study/Exam Centre & CodeName in CAPITAL LETTERS onlyTo be filled <strong>and</strong> Submit alongwith theadmission <strong>form</strong>Please indicate Programme (B.A./ B.Sc./ B.Com./ M.A./ PIU(E)/ PIU(H)/ FN/ FE/ TE/ DJMC) & Year (Ist/2nd/3rd)in which you intend to take the examination:For Regular C<strong>and</strong>idate(s) only For Backlog C<strong>and</strong>idate(s) onlyProgramme: Year: Programme Year:Sl.No. Course/Subject(s) to be taken Paper (s)01.02.03.04.05.06..07Dem<strong>and</strong> Draft details for the Backlog C<strong>and</strong>idates only. Fresh C<strong>and</strong>idates need not fill it.Complete Postal Address :House No.Street/Vill.Area/P.O.City/DistrictPincode Cell NoUNDERTAKINGSl.No. Course/Subject(s) to be taken Paper(s)(a) Name of the Bank ___________________________ (b) D.D. Number ____________________(c) Date _____________________________ (d) Amount _________________________________Note : Please write your Enrolment Number, Programme <strong>and</strong> Year on the back side of Bank Draft.I hereby solemnly affirm that I have submitted/ will submit the required number of assignments prescribed for theabove course(s) within the deadlines prescribed by the University to the Study Centre or the Course Coordinator (HQ)or the Regional Centre concerned (as the case my be) for evaluation.I am aware that submission of assignments is a pre-requisite for taking Term-End Examination. In case, myabove statement regarding submission of assignments is found to be untrue, the <strong>Urdu</strong> University may cancel the resultof my above mentioned Term-End Examination. Further, I undertake that I shall have no claim whatsoever in thisregard. I also undertake that I shall abide by the decision, rules <strong>and</strong> regulations of the <strong>Urdu</strong> University.01.02.03.04.05.06.07.StateDate: Signature of the StudentçX=& N ì\Š»~egSignature of Co-ordinator with Office Seal MÃÆWn~SZ ´This application <strong>form</strong> must be certified <strong>and</strong> forwarded by the Co-ordinator of the concerned Study Centre.61
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