APPLICATION FOR ADMISSION TO MASTER DEGREE PROGRAMME

Centralized Admission Process (CAP) Registration No

University Entrance Examination Rank

Name of Applicant (as in SSLC Book and in Block Letters)

Expansion of initials (if any)

Mobile (with +91)

Native Place

Village / Town

District

State

Nationality

Mother Tongue

Age

Date of Birth

Religion

Caste

Parent's/ Guardian's Details

Name

Occupation

Nature of Relationship

Annual Income

Mobile Number

Address

Present Address

Permanent Address

POINTS OF MERIT

Whether belong to General/SC/ST/OEC/OBC/EWS

Whether additional marks are claimed for Ex-Serviceman, N.S.S, N.C.C...etc?

Any Outstanding merit proved in Fine Arts/Cultural Competitions ?

Whether admission is sought from any quota like Sports, Differently Abled ?

Core (Main) Programme taken for the UG

No. of chances taken to pass qualifying exam

Institution Attended and Year

Name of Institution

Year of joining

Year of Passing

Register Number

Total % of Marks

T.C Number

T.C Date

Marks and Score Secured at the Qualifying Examination

Common Course (s) English

CGPA

Grade

CGPA %

Common Course (s) II Language

CGPA

Grade

CGPA %

Common Course (s)

CGPA

Grade

CGPA %

Core Course

CGPA

Grade

CGPA %

Complementary Course

CGPA

Grade

CGPA %

Complementary Course

CGPA

Grade

CGPA %

Open Course

CGPA

Grade

CGPA %

I certify that the above entries are correct

Name

Date

I agree to abide by all the rules and regulations of the college, if I am selected:-

Place

Date

DECLARATION OF PARENT / GUARDIAN

I undertake to pay the College fess and Other College dues on behalf of my ward. I hold myself responsible for his/her conduct in the College

Name of the Parent / Guardian

Date

PG APPLICATION FORM

APPLICATION FOR ADMISSION TO MASTER DEGREE PROGRAMME