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ASSAM UNIVERSITY

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DECLARANT BY THE PARENT/GURDIANI, …………………………………………………………………………………………… Father / Mother / Guardian of Sri / Smti.…………………………………………………………………………………………….., state that the above declaration has been made bymy son / daughter / ward in presence of me. I declare that I agree to meet the course fee and all other expensesof my son / daughter / ward in course of hi / her pursuing the MBA Programme and also to pay his her Hostel duesfor the period of his / her stay in the hostel. I shall compensate the University for any damage caused by him / herin the University or the Hostel.Place:Date:Full Signature of the Parent / GuardianFOR OFFICE USE ONLYCertified that the application of the candidate is in order / not in order.The candidate is recommended / not recommended for admissionDate:(Signature)ADMITTED / REGRETTEDChairman, Departmental Admission Committee(Signature with date)DeanSchool of Management Studies(Signature with date)HeadDepartment of Business AdministrationINSTRUCTIONS TO THE CANDIDATES1. All entries must be in candidate’s own handwriting and complete in all respects2. Put the appropriate tick (̌) mark wherever applicable.3. The form should be accompanied by attested copies of the following documents:a. Photocopy of MAT score card/certificateb. Mark sheets of all examination passed.c. Leaving certificate from the School/College/Institute last attended.d. Conduct certificate issued by the Principal of the college/ institution last attended.e. OBC/ST/SC/PH certificate if applicable.f. Certificate of good health registered medical practitionerg. No objection certificate from the present employer, If employed.h. Migration certificate in case of applicants who have passed their last examinationfrom other Universities / colleges / Institutions.i. Copy of Assam University Registration Certificate (if already registered)j. Certificate from Principal / gazette officer regarding intervening period of gap, ifany, as mentioned in point no. F (iii) in the application form.k. One self addressed envelope4. All the enclosed documents must be attested by any gazette officer / Principal of the collegelast attended

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