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    Madurai Kamaraj University: Directorate of Distance Education

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    neat girish
    This document is an application form for admission to Madurai Kamaraj University's Directorate of Distance Education. It requests information such as the applicant's name, date of birth, gender, nationality, community, occupation, mobile number, email, subjects of study, examination details, and enclosed documents. The applicant agrees that any disputes will be resolved in courts located where the university is situated. The applicant declares the information is correct and agrees to abide by university rules if admitted. Space is provided for signatures of the applicant and program officer.

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    Download as PDF, TXT or read online from Scribd

    Madurai Kamaraj University: Directorate of Distance Education

    Uploaded by

    neat girish
    48 views2 pages
    This document is an application form for admission to Madurai Kamaraj University's Directorate of Distance Education. It requests information such as the applicant's name, date of birth, gender, nationality, community, occupation, mobile number, email, subjects of study, examination details, and enclosed documents. The applicant agrees that any disputes will be resolved in courts located where the university is situated. The applicant declares the information is correct and agrees to abide by university rules if admitted. Space is provided for signatures of the applicant and program officer.

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    https://www.scribd.com/document/325325949/Orthographe-Progressive-Du-Fran-231-Ais-d-233-Butant

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    This document is an application form for admission to Madurai Kamaraj University's Directorate of Distance Education. It requests information such as the applicant's name, date of birth, gender, nationality, community, occupation, mobile number, email, subjects of study, examination details, and enclosed documents. The applicant agrees that any disputes will be resolved in courts located where the university is situated. The applicant declares the information is correct and agrees to abide by university rules if admitted. Space is provided for signatures of the applicant and program officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views2 pages

    Madurai Kamaraj University: Directorate of Distance Education

    Uploaded by

    neat girish
    This document is an application form for admission to Madurai Kamaraj University's Directorate of Distance Education. It requests information such as the applicant's name, date of birth, gender, nationality, community, occupation, mobile number, email, subjects of study, examination details, and enclosed documents. The applicant agrees that any disputes will be resolved in courts located where the university is situated. The applicant declares the information is correct and agrees to abide by university rules if admitted. Space is provided for signatures of the applicant and program officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    MADURAI KAMARAJ UNIVERSITY

    (University with Potential Excellence)


    MADURAI 625 021
    DIRECTORATE OF DISTANCE EDUCATION
    APPLICATION FOR ADMISSION
    Course Course Code Application No.
    For office use only
    Subject Medium Enrolment No.

    Application Fees & Registration Fees Address


    D.D. No.
    Chalan A copy of the photograph in
    the size of 5 x 7 cm duly
    Date signed by the applicant at the
    top of the photo and attested
    by a gazette officer at the
    Amount bottom to be pasted here
    Bank
    Place

    Name (IN BLOCK LETTERS) : English

    : Tamil

    Date of Birth :
    Gender : Male/Female

    Seminar Centre :

    Mother tongue :

    Nationality :

    Community : SC/ST/MBC/BC/OC

    Physically Challenged : Blind/Deaf/Dumb/Others

    Occupation :

    Mobile No. :

    Email id :

    Part I Language for B.A./B.Sc., :

    Elective Subject Area for MBA :


    Examination Passed :

    Name of the Subject Name of the Board/ Reg. No. Month % of Class
    Examination University & Year Marks

    The following original certificates and Xerox copies are enclosed :

    1)
    2)
    3)
    4)
    I do hereby agree that any dispute arising between this University and myself relating to the
    sending of the lessons, seminar to be held, the various examinations in various centers to be
    held, the issuance of pass certificate, course certificate, statement of marks etc. shall be
    resolved/ decided only by the Court, Forum, Tribunal located within the Territorial jurisdiction
    where this University is situated and no other Court, Forum, Tribunal will have any jurisdiction to
    resolve/decide the dispute between the University and myself.

    I hereby declare that the particulars given above are correct and that I have fully understood the
    implications of the above clause and that I will, if admitted, abide by the rules of University.

    Date :
    Place : Signature of the Applicant

    Academic Centre Office Seal Signature of the Programme Officer


    -------------------------------------------------------------------------------------------------------------------------------
    OFFICE USE ONLY
    (FOR Head Quarters, Palkalai Nagar & Madurai City Center)

    Assistant Superintendent/Asst. Registrar Director

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