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Price Rs: 500/-

DEVI AHILYA VISHWAVIDYALAYA, INDORE


Website: www.dauniv.ac.in

Admission into University Department/School/ Institute


APPLICATION FORM FOR M.Phil.
ACADEMIC SESSION 20..

Attested
Photo

Department/ School/Institute
Course/Program
Category- Unreserved/ SC/ST/OBC/PF/FF ...........................
(Attach Photocopy of proof except Unreserved)
Sex: Male/Female ..
Blood Group ..
1. Applicants Name (in Hindi) ..........
(in English)...........
2. Applicants Address
(a) Permanent ...........

...........
...........
(b) Local

. .............
...........
...........

Phone (if any) ..................


E- mail (if any) .................
3.. Date of Birth ................
4. Enrollment Number of DAVV (if any).. ..................

5. Nationality ..........
6. Domicile of M.P.: Yes / No
(if yes, attach photocopy of proof)
7. Name of Father / Guardian/ Husband .............
8. Name of Mother ..........
9. Yearly Income of Parents Rs. .............
10. Education qualifications (Enclose attested copies)
Class
Board/University
Year
Division

NSS

Yes/No

NCC

% of Marks /
Grades

Subjects

Yes/No

Participation in Co-curricular Activities

Any other information

Date

(Signature of Applicant)

Parents /Guardian Declaration


I, Father/ Mother / Guardian of .who is seeking
admission in Department /School / Institute of .......................................
declared that my ward will act as per rules of the University, Program, Department
etc. and not involved in any antisocial activities /ragging. We know that ragging is
totally banned in the Institute. It is a cognizable offence. If my ward is found
indulged in any type of ragging /in disciplinary activity, he/she will be punished by
the Institute as per the rules of the University. I take complete responsibility of
his/her overall conduct in the University, Department and class.
Date

(Signature of Applicant )

(Signature of Parents/Guardian )

Instruction for filling the Application Form:


1. The candidate is advised to apply for admission only if he/she fulfills the
eligibility requirements.
2. In case the Application Form is downloaded from the website www.dauniv.ac.in
send the complete form with application fee Rs. 500/- (Rs. 250/- for SC/ST
candidates). The application fee can be paid through Demand draft in the name
of Registrar, Devi Ahilya University, Indore payable at Indore.

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