Prospectus and Application form - Maulana Azad National Urdu ...

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^g70* DqKZ,VðI¯^,‚Paste recentpassport sizephotographEnrolment Number :;gE-zŠgQDŠZi M * ÑñMAULANA AZAD NATIONAL URDU UNIVERSITYApplication Form for Term-End Exam October/November 20..........P.G.,U.G., Diploma & Certificate ProgrammesName of Study/Exam Centre & CodeName in CAPITAL LETTERS onlyFor Backlog Candidates OnlyPlease 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 Candidate(s) only For Backlog Candidate(s) onlyProgramme: Year: Programme Year:Sl.No. Course/Subject(s) to be taken Paper (s) Sl.No. Course/Subject(s) to be taken01.02.03.04.05.06..0701.02.03.04.05.06.07.Demand Draft details for the Backlog Candidates only. Fresh Candidates need not fill it.Paper(s)(a) Name of the Bank ___________________________ (b) D.D. Number ____________________(c) Date _____________________________ (d) Amount _________________________________Note : Please write your Enrolment Number, Programme and Year on the back side of Bank Draft.Complete Postal Address :Please submit the ExamApplication Formpersonally to the StudyCentre concerend from 15thJune to 31 July every year.House No.Street/Vill.Area/P.O.City/DistrictPincode Cell NoUNDERTAKINGI 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 Urdu 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 and regulations of the Urdu University.StateDate: Signature of the StudentçX=& N ì\Š»~egSignature of Co-ordinator with Office Seal MÃÆWn~SZ ´This application form must be certified and forwarded by the Co-ordinator of the concerned Study Centre.66
xgÃ„ ZpgŠxgÃ„ Zpg ŠApplication Application Form No. Form No.MAULANA AZAD NATIONAL URDU UNIVERSITY(A Central University established by an Act of Parliament in 1998)Gachibowli, Hyderabad-500( ìïá ~kZ:ãJZ) ( 2013X14)wgÃ ïGH3½¡KE032.u/ â øe/ â øeY8/ f$ ¤/ g&+ Z/ f$¤/ †7¼ZŠñZ', xgÃ„ Zpg ŠApplication Form for Admission into PG/U.G/P.G.Diploma/Diploma/Certificate Programme (2013-14) alongwith Exam Fees1. FOR OFFICE USE ONLY: Admission No.a ÆwEZÆ~ MsÜ ¼Z Š2. Name of the Study Centre with Code :eÃgzZx* »Wn~SZ3. Name of the Programme : x* »xZ¤/ z6,(a) M.A:Only M.A. (English 2 nd year) students will write the names of 3 ElectivesKx* Æ}pÎ&LZD¨¤aÆxzŠw‚(~m, ôZ)Y8s Ü(2 nd year) Paper 5 (Compulsory) Paper............................/.............................. /........................ (optionals)X Ky*q-Z~\z¤/ CÙÎyK»;gE-zŠgQDŠZi M * Ññ(b) B.A.: Group1: ______________Group 2:_____________ Group 3:_________________(c) B.Sc.: (Tick ) N 9 M.P.C. B.Z.C. (d) Second Language : _______________________(for U.G. only) (aÆV9¨¤ÆY-sÜ)xzŠy!* i4 Bank Draft Details : (a) Name of the Bank ____________________________(b) D.D. Number _________________(c) Date ________________________ (d) Amount _________________________________5. Name of the Candidate (In CAPITAL LETTERS, Please leave one box empty between parts of the name)k, ¦Å^,‚^g70* Dq,VðPlease affix selfattested passportsize photograph6. (a) Father's Name :(b) Mother's Name:7. Date of Birth :______8. Please Tick ( ) relevant : (a) Sex : Male / Female (b) Category: SC/ ST/ OBC(c) Marital Status : Married/ Unmarried (d) Physically Handicapped: Yes/ No (If yes, attach supporting documents)(e) Region : Rural / Urban(f) Employment Status: Employed / Unemployed9. Details of the Exam Passed:Name of the Exam Medium of Instruction½ =!g f Name of the Institute x*»{gZŠZYear of Passing w ‚»! x»H.S.C. (10+2)/ InterB.A./B.Sc./B.Com/B.Tech& others (specify)G10. . ö -4Ó3Ga ÆVzgZzyZáZzäƒ[x»~yJZ Z a) E. T. Hall Ticket Number ______________________ ]w;»yJZ ö -4Ó3ZGb) Total Numbers Obtained in E.T. _________________________ ]Z{ŠÝq~yJZ ö -4Ó3Z11. Complete Postal Address :House No. y kX ì$Ë c¼ZŠ;gE-ÂñYc* 0* ßïGH3½¡Kuz˜c*GHGE ï3½5¢ EKuðÃ¤/ZX„gŠz9._ÆD}÷]â¥Ñ!* {gÃèVƒC /@*&¤ ~12. I Certify that the above information is true to the best of my knowledge. If any of my certificates or its equivalentcertificates found false/fake the University has right to cancel my admission without any notice.Place £Øå»v%ZStreet/Vill. x£Area/P.O.:{uZeCity àDistrict I State/ßPincode e Ã667Phone No. with STDCode/Cell No.x : Date: õ g@*Signature of the Candidate gZzyZ\ Š
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