Vardhman Mahaveer Open University, Kota: Entrance Form
Vardhman Mahaveer Open University, Kota: Entrance Form
Vardhman Mahaveer Open University, Kota: Entrance Form
ENTRANCEFORM
ControlNo.
RAWATBHATAROAD,KOTA(RAJ.)324010
APPLICATIONFORMFORMET0116EntranceExam
SESSION:January2016
1. RollNo.
2.
3.
Programme
RegionalCentre
E1523128
(ForOceUseOnly)
:MET0116
:BIKANER
4. DateofBirth
:06021976
5. FeeDetails
BankChallanNo.
ChallanDate
IssuingBank
:221205548
:22042016
:ICICIPAYSEAL
Amount
:Rs.1000/
6. NameofApplicant
7. Father'sName
8. Mother'sName
:AAKASHBHATNAGAR
:ASHOKKUMARBHATNAGAR
:VANDANABHATNAGAR
9. AddressforCorrespondence
10. Tehsil
12. State
14. MobileNo.
:A7NEARSBBJATM,MUKTAPRASADNAGARBIKANER
:BIKANER
11.District
:RAJASTHAN
13.PinCode
:8107856666
:BIKANER
:334004
15. Gender
17. CategoryDomicile
19. Religion
21. EmploymentStatus
23. DomicileofRajasthan
24. NET/JRF/SET/GATE/TRF
25. Disability
:Male
:General
:Hindu
:Private
:Yes
:No
:NO
:Married
:NotApplicable
:INDIAN
:Urban
26. EducaonalQualicaon
Examinaon
SL.NO.
Year
Passed
1
B.Com.
16.MaritalStatus
18.SpecialCategory
20.Naonality
22.Area
DisabilityType
Nameofthe
Board/University
1997 CCSUNIVERSITY,MEERUT
Percentageof
Marks
Subject
ACCOUNTING,
MANAGEMENT,LAW
27. TotalTeaching/ProfessionalExperience
Year
Months
0
0
48
Division
SECOND
Days
0
UNDERTAKING
IhavegonethroughtherulesofadmissionpertainingtoManagement/B.Ed.ProgrammeaswellasgeneralguidelinesprescribedforMET/B.Ed.
Entrancetest.IhaveunderstoodalltherulesofMET/B.Ed.EntrancetestandIwillabidebytheserules.
Ifurtherdeclarethattheparcularssuppliedbymearetruethebestofmyknowledge&beliefandtheywillbesupportedbyrelevantdocuments.
Intheeventanyinformaonbeingfoundincorrectormisleading,mycandidatureshallliabletocancellaonbytheUniversityatanyme.
MET/B.Ed.
/
|
Date:2204201613:18:53
Place:61.0.92.161
FullSignatureoftheApplicant
Note:IncasethefeehasbeenpaidonlineorviaEMitrastudentisnotrequiredtosendanyhardcopies.