Details of Admission Test Fee/ Processing Charges

Page 1of 5
(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: 2012-13
Application Form for Admission to

(Non-Test/Departmental Test Courses Only) (For Indian Nationals Only)

(1) Course Applied For (2) Department (3) Faculty

(4) Order of Preference of Branches of Study/Specialization/Course alongwith Course Code(s) i) _______________________ iii) _______________________ iv) _______________________

ii) _______________________

(5) Status
(Internal/External)

(5a) Enrolment No.

(5b) Hall/NRSC
(Code only)

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

(6) Name of the Candidate (Mr ./Ms.)

(As in HS/SS Certificate)

(7) Fathers Name ___________________________________ (8) Mothers Name ______________________________ Day (9) Date of Birth Month Year (10) Gender (M/F) (11) Gate Score / Passing year
(Applicable to M.Tech. courses only)

(12)

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)

Special Category Claimed

(Attach Attested Certificate)

i)

ii)

iii)

(iii) Domicile State

(Code only)

(ii) Order of preference of Courses/Subjects along its course code in which the candidate wishes to be nominated (a) _____________________________ (b) _____________________________

(13) Details of Qualifying Examination (*Write RA if result is not declared) Year of Board/ Examination Roll No. Passing/ Marks University Appearing

Maximum Marks

Remarks*

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 5
Board/ University Marks Maximum Marks

Roll No.

Year of Passing/ Appearing

(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. ________________________________
(Father s/Mother s/Guardian s)

(19) Information for statistical purpose (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 2012-13 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 (L TI), 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 2011-12.

_________________________________ PROCTOR Dated_______________________

With Office Seal

(For Office of the Dean, Students Welfare)

Allotted___________________________________________________ Hall

_________________________________ DEAN, STUDENTS WELFARE Dated_______________________

With Office Seal

(21) List of enclosures attached with the Application Form:

For Office Use

1. 2.

DD/Cash Receipt in Original

For Office use

1. V erified Original Documents.

Self attested copy of HS/SSC Certificate or its equivalent in support of date of birth 2. The candidate is eligible /or not eligible 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 _____________________________________________ _____________________________________________
for admission ______________________ 3. Reason(s) for being not eligible________

3.

4.

_________________________________ _________________________________ (________________________________) Signature of V erifying Officer Name ______________________________ Deptt.______________________________ Date _______________________________

5.

6.

7.
Signature & Name of Scrutiny Officer

8.

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 ____________________________________ Address __________________________________ _________________________________________

Name ____________________________________ Address __________________________________ _________________________________________

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

Name ____________________________________ Address __________________________________ _________________________________________

Name ____________________________________ Address __________________________________ _________________________________________

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

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Page 4 of 5
For Office Use Affix (Do not staple) Non-attested Photograph of size 2.5cm. x 3 cm.
Photograph must not exceed this box.

(2) R. No.: ______________________

INDEX SLIP

Session: 2012-13
(1) Details of Adm. Test Fee/Process. Charges DD/Cash Receipt No. Dated Amount (Rs.)
Course Applied for ___________________________

(3) Name of the Candidate

(4) Fathers Name ____________________________________ (5) Mothers Name _______________________________________ (6) Correspondence Address ____________________________________________________________________________________ ____________________________________________________________________________________ (7) Gender (M/F) ______________________ (8) Tel./Mobile No.________________________________________
(Father s/Mother s/Guardian s)

__________________________
Date _______________ Signature of the Candidate

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ALIGARH MUSLIM UNIVERSITY

Your application for admission to

ACKNOWLEDGEMENT SLIP
_____________________________ INSTRUCTIONS (mention course) (1) Write your complete mailing address on the Class / Course for 2012-2013 has right hand side. 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.

To ______________________________________ ______________________________________ ______________________________________ ______________________________________

_________________________

Dealing Assistant
Date ____________

ASSTT. CONTROLLER (Admissions)

Pin Code

ALIGARH MUSLIM UNIVERSITY, ALIGARH

Admission Test Card ____________________

(mention course)

Session: 2012-13
Name of the Candidate
(For Office use only)

Fathers Name ___________________________ Address ________________________________

Affix

______________________________________ ______________________________________ District _____________ Pin State _______________ Phone _____________

Test Date

:_________________

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

Schedule Start :_________________ Duration :_________________

CENTRE FOR TEST

Candidates Signature (In Examination Hall)

______________________
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Signature of the Invigilator

CHAIRMAN
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Instructions to Candidate
1. The Admission T est Card is being issued provisionally subject to the scrutiny of the eligibility. It is only after verification of the eligibility that the candidate would be considered for admission. Mere appearing or qualifying in the test does not entitle a candidate for selection / admission. 2. The allotted T est Centre of the candidate is specified on the Admission T est Card. Additional information, if any, regarding its location is available on the official website specified below. 3. The University shall not be responsible if it is compelled to make changes in the Admission T est Schedule/ T est Centre due to unforeseen circumstances. 4. Candidates are required to bring their own Stationery Items required to attempt the Admission T est. 5. Candidates will be permitted to enter into the Admission T est Hall/Room only 15 minutes before the scheduled commencement of the test. 6. No candidate will be permitted to enter the Admission T est Centre/Hall/Room 15 minutes after the scheduled commencement of the test. 7. Handbag / Carry bag/ Mobile phone / pager / calculator /any other electronic gadget or any paper (other than the Admission Test Card) shall not be allowed inside the Admission Test Hall/Room and the University shall not be responsible for its safekeeping. If a candidate is found in possession of any such item during the test, he / she would be deemed to have used unfair means and may lead to cancellation of his/her candidature. 8. During the T est, candidates must maintain perfect silence and must not indulge in any conversation or gesticulation. 9. During the T est, the invigilators will check the Admission T est Card of candidates to satisfy themselves about their identity. 10. Candidates should read carefully the instructions printed on the Question booklet and the OMR Answer Sheet before making any entry on them. 11. Use only Ball Point Pen (black/blue) for making entries in the Question booklet and the OMR Answer Sheet. 12. Initially, the candidates shall complete entries on the OMR Answer Sheet and the Question Booklet shall be provided to them 15 minutes after the scheduled commencement of the T est. 13. Candidates should not use whitener/ correction fluid for making any corrections in the entries/answers on the OMR Answer Sheet. 14. The time (T est duration) as specified on the question booklet shall be reckoned from the moment of its distribution. 15. No candidate shall be permitted to leave his/her seat for the entire duration of the Admission T est, except under exigencies. 16. Candidate should not leave his/her seat without handing over the original OMR Answer Sheet to the Invigilator. 17. Use of unfair means or impersonation in Admission T est 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 T est. 18. Violation of any of these instructions by the candidate or the instructions printed on Question booklet/ OMR Answer Sheet/Guide to Admissions or as announced by the Invigilators during the T est may lead to cancellation of his/ her candidature. Further, he/she may be debarred from appearing in any T est/Examination of this University. 19. No request for re-evaluation / re-totaling will be entertained. Attempting Questions
1. All questions are compulsory. 2. Each question is followed by four 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. 3. 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. 4. Negative Marking : Incorrect answer 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 Courses in the Faculty of Medicine.

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ALIGARH MUSLIM UNIVERSITY, ALIGARH Admission T est Card ____________________ D U P L I C A T E

(mention course)

Session: 2012-13
Name of the Candidate
(For Office use only)

Fathers Name_________________________________

CENTRE FOR TEST

Test Date

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

Schedule Start :_________________ ______________________ Duration :_________________

Candidates Signature (In Examination Hall)

Signature of the Invigilator

CHAIRMAN

Affix

ALIGARH MUSLIM UNIVERSITY, ALIGARH

PROFORMA FOR OUTSTANDING DEBATER/SPORTSPERSON

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

Session: 2012-13

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 V olley-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) Status (8) Date of birth

_____/_____/________

(9) Fathers Name _________________________________ (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 _____________ District ________________ State _____________ Pin Code Tel./Mobile No. ____________________________ Pin Code Tel./Mobile No. ____________________________

POSTAL SLIP
Application Form for Admission to

_____________________
(mention the name of the course)

T o, ________________________________________ ________________________________________ ________________________________________

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 6 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. e.g. Female candidates seeking admission to B.A./B.Sc./B.Com. courses may write the Address as: Principal Womens College Aligarh Muslim University Aligarh 202002 5. 6. Candidates applying for Non-T est courses (like B.A./B.Sc./B.Com. etc) need not to fill Admission T est Card proforma. Please be a regular visitor to our website: www.amucontrollerexams.com which will provide you with necessary updates regarding the status of your Application Form/Admission Test results etc.