Details of Admission Test Fee/ Processing Charges

Page 1of 4
(Rs.)

Course Name

DD/C.R. No. with date

Amount

(For Office use only)

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Affix (Do not staple) Self Attested Recent Photograph of size 2.5cm. x 3 cm.

Session: 2013-14
Application Form for Admission to

Non-Test/Departmental Test Courses Only

(1) Course Applied For (2) Department (3) Faculty

(4) Order of Preference of Main Subjects/ Specialization/Course alongwith its Code(s) i) _______________________ iii) _______________________ iv) _______________________

ii) _______________________

(5) Status
(Internal/External)

(5a) Enrolment No.

(5b) Hall/NRSC
(Code only)

(For candidates already enrolled or has been a student of AMU, Aligarh)

(6) Name of the Candidate (Mr ./Ms.)

(As in HS/SS Certificate)

(7) Fathers Name ___________________________________ (8) Mothers Name ______________________________ (10) Applicable to M.Tech. Courses only Day Month Year (a) Gate Score / Passing year (9) Date of Birth (11) Gender (M/F) (12) (b) Tick the appropriate option given below Regular Part -time Mode Mode

Claim for Nomination

(To be filled up by the candidate belonging to special categories, who in the event of not being selected, wish to be considered for nomination)

(i)
(ii)

Special Category Claimed

(Attach Attested Certificate)

i)

ii)

iii)

(iii) Domicile State

(Code only)

Order of preference of Courses/Main Subjects along its course code in which the candidate wishes to be nominated (a) _____________________________ (b) _____________________________

(13) Details of Qualifying Examination Examination Roll No. Year of Passing/ Appearing Board/ University Marks Maximum Marks Remarks (Write RA if result not declared)

Subject
Marks Obt./Max

(14) Details of Other Examination Passed/Appearing as on date: Examination S.S.C./High School

S.S.S.C./Intermediate U.G (B.A./B.Sc./B.Com./......................................) P .G. (M.A./M.Sc./M.Com./..................................) Others (.................................................................)

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Board/ University Marks Maximum Marks

Roll No.

Year of Passing/ Appearing

(15) Is Hostel Accommodation Required, if admitted? (Yes/No) : ________ (16) Employed (Yes/No) : ________ (If yes, No Objection Certificate from the present employer must be enclosed.) (17) Correspondence Address (18) Permanent Home Address ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ District _________________________________________ State _________ Pin Code _________________________ Email __________________________________________ Tel. /Mobile No. __________________________________ District ________________________________________ State __________ Pin Code ______________________ Email _________________________________________ Tel./Mobile No. ________________________________
(Father s/Mother s/Guardian s)

(19) Information for statistical purposes: (a) Religion______________ (b) SC/ST/OBC______________ (c) Rural/Urban_____________________ (d) Fathers/Guardians monthly income Rs. ____________________ (20) 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 2013-14 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 and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action initiated against me.

_____________________________
Date: ________________
Thumb impression of the candidate, Male (L TI), Female (RTI)

_____________________________ Signature of the candidate

(For the Office of the Proctor)

Nothing objectionable has been found against the candidate. He/she may be considered for admission to _______________________ Course for the academic session 2013-14.

(For Office of the Dean, Students Welfare)

Allotted__________________________________ Hall

_________________________________ PROCTOR
(With Office Seal)

_________________________________ DEAN, STUDENTS WELFARE

(With Office Seal)

Dated_______________________

Dated_______________________

Page 3of 4
(21) List of enclosures attached with the Application Form: (Tick the relevant boxes)
For Office Use

1. 2. 3. 4. 5. 6.

Signature & Name of Scrutiny Officer

7. 8.

For Office use DD/Cash Receipt in Original 1. V erified Original Documents. Self attested copy of HS/SSC Certificate or its equivalent 2. The candidate is eligible /or not eligible for in support of date of birth Copies of Marksheets/Grade Sheets of all previous admission ______________________ Examinations passed/appeared including parts therein 3. Reason(s) for being not eligible________ If employed, copy of No Objection Certificate from the _________________________________ employer _________________________________ Copy of documents in support of Special Categories (________________________________) claimed, if any Signature of V erifying Officer Copy of Office Memo, if rusticated/debarred/convicted by a court of law Name ______________________________ Documentary evidence in support of Internal Status Deptt.______________________________ _____________________________________________ Date _______________________________

It is mandatory to attach relevant documents in support of Internal Status/Special Categories failing which all such claims will be disregarded.

Note: 1. Original certificates/documents not to be attached with the Application Form in any case. 2. All documents must be self attested

(22) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Address __________________________________ _________________________________________

Name ____________________________________ Address __________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________ Pin Code Tel./Mobile No. ____________________________ Name ____________________________________ Address __________________________________ _________________________________________ Pin Code Tel./Mobile No. ___________________________ Name ____________________________________ Address __________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________ Pin Code Tel./Mobile No. ____________________________ Pin Code Tel./Mobile No. ___________________________

ALIGARH MUSLIM UNIVERSITY

Your application for admission to _____________________________ INSTRUCTIONS (mention course) Class / Course for 2013-2014 has (1) Write your complete mailing address on the been received under R. No.: (2) Keep this card with you as a proof of
submitting your Application Form. (3) IMPORTANT: For reference always quote R.No. in all your correspondence/queries. right hand side.

ACKNOWLEDGEMENT SLIP
To ____________________________________ ____________________________________ ____________________________________ ____________________________________
Deputy Controller (Admissions)

_________________________

Dealing Assistant
Date ____________

Pin Code

Page 4of 4

ALIGARH MUSLIM UNIVERSITY, ALIGARH Admit Card Session: 2013-14 Name of the Candidate: _______________________________________________ Name of the Course: Centre for T est: _______________________________________________ _______________________________________________
(For Office use only)

(For Office use only)

Affix (Do not staple) Self Attested Recent Photograph of size 2.5cm. x 3 cm.

Candidates Signature
(In Examination Hall)

________________________
Male (LTI), Female (RTI) In Examination Hall

Signature of the Invigilator

CHAIRMAN

Instructions to Candidates
1. The Admit Card is being issued provisionally subject to the scrutiny of the eligibility. It is only after verification of the eligibility that the candidate would be considered for admission. Mere appearing or qualifying in the test does not 2. Any entitle a candidate in the to for selection / admission. discrepancy with Admit Card, especially of the regard candidates University shall not be responsible for its safekeeping. If a candidate is found in possession of any such item during the test, he / she would be deemed to have used unfair means and may lead to cancellation of his/her candidature. 10. During the T est, candidates must maintain perfect silence and must not indulge in any conversation or gesticulation. 19. Candidate should not leave his/her seat without handing over the Answer Sheet/Booklet to the Invigilator. 20. Violation of any of these instructions by the candidate or the instructions printed on Question booklet, Answer Sheet/Booklet, Guide to Admissions or as announced by the Invigilators during the T est will lead to cancellation of his/ her candidature. Further, he/she debarred from appearing may in be any

particulars, must be brought to the notice Admission

Section/Centre 11. During the T est, the invigilators will check the Admit Card of candidates to satisfy Superintendent by the candidate in writing before the commencement of the Test. themselves about their identity.

T est/Examination of this University. 21. No request for re-evaluation / re-totaling

3.

4.

(Not: Attach a copy of the Admit Card 12. For OMR based tests, the candidates shall will be entertained. Received). initially complete entries on the OMR 22. The admit card must be preserved and The allotted T est Centre of the candidate is produced by the candidate at the time Answer Sheet and the Question Booklet specified on the Admit Card. Additional of reporting for admission/chanceshall be provided to them 15 minutes after information, if any, regarding its location is memo, if offered. the scheduled commencement of the T est. available on the official website specified 13. The time (test duration) as specified on the below. Attempting Questions on OMR Answer Sheet Question Booklet shall be reckoned from the The University shall not be responsible if it is moment of its distribution. compelled to make changes in the Admission 1. All questions are compulsory. T est Schedule/ T est Centre due to 14. Use only Ball Point Pen (black/blue) for 2. Each question is followed by four making entries in the Question booklet and unforeseen circumstances. alternative answers. Select only one Candidates are required to bring their own Admission T est. the Answer Sheet/Booklet. should not on use the whitener/ Answer 3. correction fluid for making any corrections in the entries/answers Sheet/Booklet . 16. No candidate will be permitted to leave his/her seat for the entire duration of the Admission T est, except under exigencies. 17. Use of unfair means or impersonation in Admission T est will be dealt with severely as per the law. Students Conduct & Discipline Rules of the University are also applicable to the candidates appearing at the Admission T est. 4. answer, which you consider as the most appropriate. Shade the relevant circle against the corresponding question number on the OMR Answer Sheet. Selecting more than one answer for a question, even if one of the selected answers is correct, would result in its being treated as an incorrect answer. Negative Marking: Incorrect answers shall result in a negative score of 25 per cent of the marks allotted to the question. For instance, if the correct answer to a question would get you one mark, the incorrect answer would take away 0.25 marks. However, the provision of Negative Marking will not be applicable in the Admission Tests of MBBS / BDS / MDS / MD / MS/ PG Diploma/MCH Courses in the Faculty of Medicine. Stationery Items required to attempt the 15. Candidates

5.

6.

Eatables/Beverages (except drinking water) are not allowed inside the Admission T est Hall/Room.

7.

Candidates will be permitted to enter into the Admission T est Hall/Room only 15 minutes before the scheduled commencement of the test.

8.

No candidate will be permitted to enter the Admission T est Centre/Hall/Room 15 minutes after the scheduled commencement of the test

9.

Handbag / Carry bag/ Mobile phone/ pager

/ calculator / any other electronic gadget 18. Candidate should read carefully the or any paper (other than the Admit instructions printed on the Question booklet Card) shall not be allowed inside and the Answer Sheet/Booklet before the Admission Test Hall/ Room and the making any entry on them.

Affix

ALIGARH MUSLIM UNIVERSITY, ALIGARH

PROFORMA FOR OUTSTANDING DEBATER/SPORTSPERSON

(Do not staple) Self Attested Recent Photograph of size 2.5cm. x 3 cm.

Session: 2013-14

Instructions:
1. This proforma is to be filled in only if the candidate desirous of consideration under special category of Debater/Sportsperson 2. Candidate is only considered eligible if he/she claims the special category on the main Application Form 3. Candidate must read the Guide to Admissions before filling in this proforma

(1) Course Applied For (3) Tick only one category

SPORTSPERSON

(2) Subject

DEBATER

(4) Tick any one of the following games (Applicable to outstanding Sportsperson only) Athletics Riding Skating Cricket V olley-ball Weight Lifting Football Basketball Hockey Badminton Tennis Table Tennis Swimming Wrestling

Hiking & Mountaineering

(5) Title of the Event with Highest Award won (6) Name of the Candidate (Mr ./Ms.) (As in HS/SS Certificate) (7) Status (8) Date of birth

_____/_____/________

(9) Fathers Name _________________________________ (10) Mothers Name _____________________________ (11) Correspondence Address

District ________________________________________________

State
(Code only)

Pin Maximum Marks Remarks

(12)

Qualifying Examination

Roll No.

Year of Passing/ Appearing

Board/ University

Marks Obtained

(13) Declaration
I hereby solemnly affirm that the facts stated in the proforma are true to the best of my knowledge and belief and no disciplinary action has been taken against me by any University/College/Sports Authority . I also undertake that in case I am offered admission under nomination category of Outstanding Sportsperson/Debater, I shall participate in Sports/Debating activities regularly in the University , failing which my admission may be cancelled at any stage and I will have no claim for my admission in any Court of Law.

Date:

Signature of the candidate

(14) Candidate is required to write in CAPITAL LETTERS his/her name and complete postal address for correspondence.

Name ____________________________________ Name ____________________________________ Address __________________________________ _________________________________________ Address __________________________________ _________________________________________

District ________________ State _____________ District ________________ State _____________ Pin Code Tel./Mobile No. ____________________________ Pin Code Tel./Mobile No. ____________________________

(To be pasted on envelope containing the Application Form)

POSTAL SLIP

Application Form for Admission to

_____________________
(mention the name of the course)

T o, ________________________________________ ________________________________________ ________________________________________

From: ___________________________ ___________________________ ___________________________

CANDIDATES SLIP
(Keep this slip with you for future reference)
Course Applied for : ____________________

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 alongwith Demand Draft/Cash Receipt is attached with the Application Form. Note: Demand Draft (valid for 3 months) of the requisite amount should be drawn in favor of FINANCE OFFICER, AMU, payable at Aligarh. 3. 4. You must NOT make any type of correction(s) / modification(s) on the Application Form else your candidature may be rejected. Paste the POSTAL SLIP given above on the A-4 size Envelope containing the Application Form and send it to the concerned Dean/Chairman/Principal/Director/Co-ordinator, Aligarh Muslim University, Aligarh 202002. Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with necessary updates.

5.