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: 2014-15
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) ii) _______________________ _______________________ iii) _______________________ iv) _______________________

(5) Status
(Internal/External)

(5a) Enrolment No.

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

(5b) Hall/NRSC
(Code only)

(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 (.................................................................)

Page 2of 4
Year of Passing/ Appearing Board/ University Marks Maximum Marks

Roll No.

(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. ________________________________
(Fathers/Mothers/Guardians)

(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 2014-15 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 (LTI), 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 2014-15.

(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.

DD/Cash Receipt in Original Self attested copy of HS/SSC Certificate or its equivalent in support of date of birth Copies of Marksheets/Grade Sheets of all previous Examinations passed/appeared including parts therein If employed, copy of No Objection Certificate from the employer Copy of documents in support of Special Categories claimed, if any Copy of Office Memo, if rusticated/debarred/convicted by a court of law Documentary evidence in support of Internal Status _____________________________________________

For Office use

1. Verified Original Documents.
2. The candidate is eligible /or not eligible for admission ______________________ 3. Reason(s) for being not eligible________ _________________________________ _________________________________ (________________________________)

Signature of Verifying Officer

Name ______________________________ 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 ____________________________________

Name ____________________________________

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

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

ALIGARH MUSLIM UNIVERSITY

Your application for admission to _____________________________ (mention course) INSTRUCTIONS Class -- / Course for 2014-2015 has (1) Write your complete mailing address on the
right hand side.

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

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.

_________________________

Dealing Assistant
Date ____________

Pin Code

Page 4of 4

ALIGARH MUSLIM UNIVERSITY, ALIGARH Admit Card Session: 2014-15 Name of the Candidate: _______________________________________________ Name of the Course: Centre for Test: _______________________________________________ _______________________________________________
(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 University shall not be responsible for its subject to the scrutiny of the eligibility. It is safekeeping. If a candidate is found in only after verification of the eligibility that the possession of any such item during the candidate would be considered for admission. test, he / she would be deemed to have Mere appearing or qualifying in the test does used unfair means and may lead to not entitle a candidate for selection / cancellation of his/her candidature. admission. 10. During the Test, candidates must maintain Any discrepancy in the Admit Card, perfect silence and must not indulge in any especially with regard to candidates conversation or gesticulation. particulars, must be brought to the notice of the Admission Section/Centre 11. During the Test, 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. (Not: Attach a copy of the Admit Card Received). The allotted Test Centre of the candidate is specified on the Admit Card. Additional information, if any, regarding its location is available on the official website specified below. The University shall not be responsible if it is compelled to make changes in the Admission Test Schedule/ Test Centre due to unforeseen circumstances. Candidates are required to bring their own Stationery Items required to attempt the Admission Test. Eatables/Beverages (except drinking water) are not allowed inside the Admission Test Hall/Room. Candidates will be permitted to enter into the Admission Test Hall/Room only 15 minutes before the scheduled commencement of the test. No candidate will be permitted to enter the Admission Test Centre/Hall/Room 15 minutes after the scheduled commencement of the test Handbag / Carry bag/ Mobile phone/ pager / calculator / any other electronic gadget or any paper (other than the Admit Card) shall not be allowed inside the Admission Test Hall/ Room and the 12. For OMR based tests, the candidates shall initially complete entries on the OMR Answer Sheet and the Question Booklet shall be provided to them 15 minutes after the scheduled commencement of the Test. 13. The time (test duration) as specified on the Question Booklet shall be reckoned from the moment of its distribution. 14. Use only Ball Point Pen (black/blue) for making entries in the Question booklet and the Answer Sheet/Booklet. 15. Candidates the should not on use the whitener/ Answer 3. correction fluid for making any corrections in entries/answers Sheet/Booklet. 16. No candidate will be permitted to leave his/her seat for the entire duration of the Admission Test, except under exigencies. 17. Use of unfair means or impersonation in Admission Test 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 Test. 18. Candidate and the should Answer read carefully the instructions printed on the Question booklet Sheet/Booklet before making any entry on them. 4.
Attempting Questions on OMR Answer Sheet

2.

3.

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 Test will lead to cancellation of his/ her candidature. Further, he/she may be debarred from appearing in any Test/Examination of this University. 21. No request for re-evaluation / re-totaling will be entertained. 22. The admit card must be preserved and produced by the candidate at the time of reporting for admission/chancememo, if offered.

4.

1. 2.

All questions are compulsory. Each question is followed

by

four

5.

6.

alternative answers. Select only one 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.

7.

8.

9.

Affix

ALIGARH MUSLIM UNIVERSITY, ALIGARH

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

Session: 2014-15
PROFORMA FOR OUTSTANDING DEBATER/SPORTSPERSON

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 Volley-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) (9) Status Fathers Name (8) Date of birth

_____/_____/________

_________________________________ (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 _____________ Pin Code Tel./Mobile No. ____________________________ _________________________________________ District ________________ State _____________ 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)

To, ________________________________________ ________________________________________ ________________________________________

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.