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Course of Study applied: M.A Development Management/M.Sc.
(Computer Science) /M.A Education/Diploma in Hotel Management & Tourism/M.A Environmental Management/Ph.D:
- Name:Mr/Ms (Block Letters) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- Address for correspondence _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- Telephone (residence): _ _ _ _ _ _ _ _ _ _ _ _ _ Mobile: _ _ _ _ _ _ _ _ _ _ _ _ _ Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Date of Birth: _ _ _ _ _ _ _ _ _ _ _ _ _ Blood Group: _ _ _ _ _ _ _ _ _ _ Nationality: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Sex: Male / Female: _ _ _ _ _ _ _ _ _ Marital Status: Unmarried/Married _ _ _ _ _ _ _ _ _
Occupational Status:
1. Full-time Student: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2. Full-time Employee: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Do you belong to SC/ST? If yes, please mention: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Religion: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Father's Name:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Mother's Name:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Academic Record
| Examination Level |
Name of Board/University |
Degree/Diploma Received |
Year of Passing |
Marks (%) or Grade |
| HSLC |
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| PDC/PUC/HSC |
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| BA/B.Sc/B.Com |
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| MA/M.Sc/M.Com |
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| BD/M.Div |
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| M.Th/M.Phil/Ph.D |
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| Others |
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(Attach attested copies of all documents)
List of publications, if any (attach separate sheet if necessary)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
List your talents and abilities - attach certificates if applicable
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Give names and addresses of two Christian Leaders who can recommend you, one of whom can be your Pastor, and the other an academician:
1._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
DECLARATION BY THE APPLICANT AND THE GUARDIAN
- I declare that all the entries made above by me in the form are correct to the best of my knowledge. I am aware that if any of the
entries is found to be incorrect, my admission is liable to be cancelled.
- I shall maintain a high academic and ethical standard to the best of my ability. I shall pay all fees as stipulated by the admission
criteria. I shall abide the rules of the University in force from time to time and to submit myself to the disciplinary jurisdiction of
the authorities of the University.
Signature of the Guardian
with date
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Signature of the Applicant
with date
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The form should be accompanied by attested copies of the following:
- High School/Higher Secondary Certificate in support of date of birth
- Details of marks at various examinations
- No objection Certificate from employer, if employed
- Certificate of SC/ST, if applicable
FOR OFFICE USE ONLY
The applicant,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ has been admitted/not admitted
for the course _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Date of admission _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Registrar / Dean
Download Application here
Download Application.Doc (MS-Word format)
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Download Application.PDF (pdf)
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