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    PG Diploma Courses Application Form III

    Uploaded by

    Avinash Paravada
    This document is an application form for admission into postgraduate diploma, graduate diploma, and diploma courses at Andhra University. It requests information such as the applicant's name, gender, date of birth, reservation category, minority community, academic qualifications, and contact details. The applicant must also provide details of the qualifying examination and marks obtained, as well as submit a demand draft and attested photographs with the application. The applicant agrees that furnishing false information could lead to cancellation of the application or admission.

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    PG Diploma Courses Application Form III

    Uploaded by

    Avinash Paravada
    8 views1 page
    This document is an application form for admission into postgraduate diploma, graduate diploma, and diploma courses at Andhra University. It requests information such as the applicant's name, gender, date of birth, reservation category, minority community, academic qualifications, and contact details. The applicant must also provide details of the qualifying examination and marks obtained, as well as submit a demand draft and attested photographs with the application. The applicant agrees that furnishing false information could lead to cancellation of the application or admission.

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    Form-3

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    This document is an application form for admission into postgraduate diploma, graduate diploma, and diploma courses at Andhra University. It requests information such as the applicant's name, gender, date of birth, reservation category, minority community, academic qualifications, and contact details. The applicant must also provide details of the qualifying examination and marks obtained, as well as submit a demand draft and attested photographs with the application. The applicant agrees that furnishing false information could lead to cancellation of the application or admission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    8 views1 page

    PG Diploma Courses Application Form III

    Uploaded by

    Avinash Paravada
    This document is an application form for admission into postgraduate diploma, graduate diploma, and diploma courses at Andhra University. It requests information such as the applicant's name, gender, date of birth, reservation category, minority community, academic qualifications, and contact details. The applicant must also provide details of the qualifying examination and marks obtained, as well as submit a demand draft and attested photographs with the application. The applicant agrees that furnishing false information could lead to cancellation of the application or admission.

    Copyright:

    © All Rights Reserved
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    of 1

    ANDHRA UNIVERSITY

    DIRECTORATE OF ADMISSIONS

    Form - III

    APPLICATION FORM FOR ADMISSION INTO

    POST P.G.DIPLOMA / P.G. DIPLOMA / DIPLOMA COURSES


    Note: (i) Read the Information Brochure carefully before filling the application form.
    (ii) Separate application with D.D. has to be applied for each course.

    Registration No.

    Particulars of Demand Draft(s) enclosed towards registration fee (Rs.500/-)


    D.D.No. _____________ Date: ___________ for Rs. __________

    Bank: __________

    1. Course Code &


    Name of the course :
    2. Name of the Applicant (IN

    Attested Photograph

    CAPITAL LETTERS):

    SURNAME

    (taken not earlier


    than 1-5-2016)

    FULL NAME

    Father's Name

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

    Mother's Name

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

    Address

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

    P mark)

    3. Gender : (put
    Male

    Female

    ....................................................................................................................
    PIN:.........................Tel. No. with STD Code ........................................

    4. Date of Birth
    Day

    Month

    Year

    Mobile No.: .................................... E-mail: ............................................


    5. Reservation Category :
    Put
    mark in appropriate box (Enclose attested copies - See Information Brochure)
    6. Minority Community towhich you belong
    LBC
    (Put
    mark)
    ST
    SC
    A
    B
    C
    D
    E
    Muslim Christian Any other

    7. Details of academic record: (a) Details of Qualifying Examination:


    Name of the
    Qualifying Exam.

    Branch

    University

    Year of Passing

    Overall % of Marks
    (all years of study)

    8. Particulars of Marks obtained:


    Years of study

    College / University

    Year of
    Passing

    Marks
    scored

    Maximum
    Marks

    % of
    Marks

    First Year
    Second
    Year
    Third Year
    Fourth Year

    I-Sem.
    II-Sem.
    I-Sem.
    II-Sem.
    I-Sem.
    II-Sem.

    DECLARATION BY THE CANDIDATE


    The particulars furnished above are true and correct to the best of my knowledge and I here by agree for the
    cancellation of my application / admission if any of the above details are found to be false.
    Signature of the Parent / Guardian.

    Signature of the Applicant.

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