Bharathiar University, COIMBATORE - 641 046....INDEX CARD Appln. No. : PG / 2017 - 18 / Strike out...
Transcript of Bharathiar University, COIMBATORE - 641 046....INDEX CARD Appln. No. : PG / 2017 - 18 / Strike out...
Part I
Part II
Part III (excluding FC.NSS etc.)
Major / Main
Ancillary / Allied I
II
15. Details of other PG courses applied for in this University
14. Details of Qualifying Examination(U.G Level) Passed Yet to Pass
12. Address for Communication
11. Annual Income of the Family Rs.
9. Number of Members in the Family :
8. Differently abled Yes No if yes specify the category ..............................................................
7. Community
4. Gender
3. a. Name of Father/Guardian and Occupation
b. Name of Mother and Occupation :
2. Name (In block letters) (as in the SSLC Mark Sheet)
1. Course Applying for Application No. : PG / 2017 - 18
5. Date of BirthMALE FEMALE
Whether belonging to OC/BC/BCM/MBC/DNT/SC/ST/SCA/Others State (Enclose attested Xerox Copy of the Community Certificate)
10. Details of Registration Fee Rs.
OC BC BCM MBC SC SCA ST
Date:
DD/Challan No.& Date
Bank :
Phone No.:
e-mail ID :
Phone No.:
e-mail ID :
Mobile No.:
13. Permanent Address
a. Degree & Branch of study
b. Name of the College
c. Name of the University
d. Register Number
e. Month & Year of Passing
16. Extra curricular activities :
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SubjectsMarks obtained upto
V sem / II year Max. Marks Percentage of Marks
Affix a Passport sizePhotograph attested by
the candidate
Re - Accredited by NAAC with “A” GradeApplication for admission to Post - Graduate / PG Diploma Courses during 2017 - 2018
Please give all the information asked for, clearly indicate, ‘not applicable’ wherever necessary.The filled in application should reach the respective Heads of the University Department,
Bharathiar University, Coimbatore - 641 046 on or before 22-05-2017, 5.30 pm.
Bharathiar University, COIMBATORE - 641 046.
6.Native state
Prospectus2017 - 2018
Signature of the attesting officerName and designation of the attesting officer with seal
Attested
Class in Part III Total in Part III
Strike out whichever is not applicableHSC Eligibility should enclose the attested copy of mark list
Station :
Date :Signature of the Candidate
I certify that all the above statements and entries are true.
Part I :
1.
2.
3.
4.
DETAILS OF SUBJECTS AND MARKS OBTAINED IN THE QUALIFYING EXAMINATION UPTO V SEM. / II YEAR
Part II :
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2.
3.
4.
1.
2.
3.
4.
5.
6.
7.
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22.
Class in Part I
Class in Part II
Total in Part I
Total in Part II
Part III : (Main, Elective & allied / ancillary subjects) - upto V sem. / II year
SubjectsNo. of
AttemptsMarks
securedMax.
Marks% of
Marks
INDEX CARDAppln. No. : PG / 2017 - 18 /
Strike out whichever is not applicable For office use only:
Signature of the Applicant
Eligible / Not eligible
Percentage of Marks in Part III(upto V Sem. / II Year)
Ancillary & Main AlliedMajor subjects:
Degree :
Month & Yearof completion
University :*Passed/yet to pass Passed / Yet to pass
%
Date :
Affix a Passport size
Photograph attested by
the candidate
P.T.O.
Head of the Dept.
(with seal)*To be filled in by the candidate
* Name of the Candidate :
* Course for which application is submitted
*Specimen Signature of the Candidate
The candidate is requested to report at the test centre one hour before the commencement of the
test and present this Hall Ticket. The Candidate is permitted to write the entrance test, subject to the
condition that he/she satisfies the Eligibility conditions presscribed for admission to the course.
Re - Accredited by NAAC with “A” Grade
Entrance Test for Admission to the P.G. Programme 2017 - 2018
Phone : +91-422-242222 Fax : +91-422-2452706 Webiste : www.b-u.ac.in
HALL TICKET
Bharathiar University, COIMBATORE - 641 046.
Name (in block letters as in SSLC Mark Sheet)
Address for sending Hall Ticket
Community :
Indicate the State to which you belong :
Mobile : PIN :Gender Male / Female
Course applied for
Duration Year(s) :OC BC BCM MBC SC SCA ST
Bharathiar UniversityRe - Accredited by NAAC with “A” Grade
COIMBATORE - 641 046
Differently abled Yes No if yes specify the category ..............................................................
Prospectus2017 - 2018
Address to which the Hall Ticket is to be sent:
Date :
Time :
Exam. Centre :
Register No. PG / 2017-18 /
ToTo
Name :
Address :
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