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

xgÄ ZpgŠxgÄ 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)wgà ïGH3½¡KE032.u/ â øe/ â øeY8/ f$ ¤/ g&+ Z/ f$¤/ †7¼ZŠñZ', xgÄ Zpg ŠApplication Form for Admission into PG/U.G/P.G.Diploma/Diploma/Certificate Programme (2013-14) alongwith Exam Fees1. FOR OFFICE USE ONLY: Admission No.a ÆwEZÆ~ MsÜ ¼Z Š2. Name of the Study Centre with Code :eÃgzZx* »Wn~SZ3. Name of the Programme : x* »xZ¤/ z6,(a) M.A:Only M.A. (English 2 nd year) students will write the names of 3 ElectivesKx* Æ}pÎ&LZD¨¤aÆxzŠw‚(~m, ôZ)Y8s Ü(2 nd year) Paper 5 (Compulsory) Paper............................/.............................. /........................ (optionals)X Ky*q-Z~\z¤/ CÙÎyK»;gE-zŠgQDŠZi M * Ññ(b) B.A.: Group1: ______________Group 2:_____________ Group 3:_________________(c) B.Sc.: (Tick ) N 9 M.P.C. B.Z.C. (d) Second Language : _______________________(for U.G. only) (aÆV9¨¤ÆY-sÜ)xzŠy!* i4 Bank Draft Details : (a) Name of the Bank ____________________________(b) D.D. Number _________________(c) Date ________________________ (d) Amount _________________________________5. Name of the Candidate (In CAPITAL LETTERS, Please leave one box empty between parts of the name)k, ¦Å^,‚^g70* Dq,VðPlease affix selfattested passportsize photograph6. (a) Father's Name :(b) Mother's Name:7. Date of Birth :______8. Please Tick ( ) relevant : (a) Sex : Male / Female (b) Category: SC/ ST/ OBC(c) Marital Status : Married/ Unmarried (d) Physically Handicapped: Yes/ No (If yes, attach supporting documents)(e) Region : Rural / Urban(f) Employment Status: Employed / Unemployed9. Details of the Exam Passed:Name of the Exam Medium of Instruction½ =!g f Name of the Institute x*»{gZŠZYear of Passing w ‚»! x»H.S.C. (10+2)/ InterB.A./B.Sc./B.Com/B.Tech& others (specify)G10. . ö -4Ó3Ga ÆVzgZzyZáZzäƒ[x»~yJZ Z a) E. T. Hall Ticket Number ______________________ ]w;»yJZ ö -4Ó3ZGb) Total Numbers Obtained in E.T. _________________________ ]Z{ŠÝq~yJZ ö -4Ó3Z11. Complete Postal Address :House No. y kX ì$Ë c¼ZŠ;gE-ÂñYc* 0* ßïGH3½¡Kuz˜c*GHGE ï3½5¢ EKuðä/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