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Application Instructions: Campus Lucknow Campus Jaipur Campus For Gurgaon (Manesar) Campus
Application Instructions: Campus Lucknow Campus Jaipur Campus For Gurgaon (Manesar) Campus
Dear Applicant, You are important to us. We have exceptionally high standards for the talent that we take in our programmes. Superior leadership qualities, communication and interpersonal skills, commitment, problem-solving ability, value driven mindset, professionalism, flexibility, motivation and sharp intellectual curiosity are expected. Please read the instructions in the Application Form-2011, carefully before you begin to fill your Application. The Application form has to be filled in your own clear and legible handwriting and the undertaking is to be signed by you only. This Application form is valid for the Amity University - Uttar Pradesh, Campuses in Noida and Lucknow, Amity UniversityRajasthan, Campus in Jaipur & Amity University Haryana, Campus in Gurgaon (Manesar) . For all details relating to Eligibility, Fee structure and Procedure for Admission to MBA programmes, kindly refer to the list of MBA programmes (www.amity.edu). Duly filled in Application Form together with a DD of Rs. 1,100/- in favour of Amity Form payable at New Delhi should be submitted/sent to the respective campus you are applying to :
Noida Campus
Lucknow Campus Amity Admission Office Viraj Khand-5, Gomti Nagar Scheme Admission Helpline
Jaipur Campus Amity Admission Office Amity House, 14 Gopal Bari Admission Helpline
For Gurgaon (Manesar) Campus Amity Admission Office Amity International School Campus Admission Helpline Tel.: 0124-3225651
Visit www.amity.edu/admission for all information relating to your application & admission after submission of application form. Qualifying candidates can select their date for On Campus Admission Process at www.amity.edu/admission. It is your responsibility to check the website for selection of date and appear in the Admission Process accordingly. No separate communication will be sent in this regard. You are advised to keep a photocopy of the complete application form. Incorrectly filled, incomplete, unsigned forms & forms received after due date will be rejected. Forms once rejected will not be reconsidered & form cost will not be refunded. You cannot apply more than once for the same programme in one admission year. Do not attach any Marksheets / Testimonials with the Application Form at this stage. University / Board / Marks filled in the Application Form will be considered for all procedures related to admission. Any discrepancy found during original document verification will result in cancellation of Admission. Amity does not take any responsibility for delay or loss of the material in post/transit.
We do not accept any donations for admission. Merit is the only criteria. Any instances found, even at a later date, will lead to cancellation of admission.
AMITY UNIVERSITY
Application Form Number
APPLICATION FORM-2011
INSTRUCTIONS
1. 2. 3. 4. 5. Please read the instructions in the Admission Prospectus-2011 before filling up this form. Use BLACK BALL POINT PEN in boxes using English capital letters or English numerals. Do not make any stray marks on this sheet. Do not staple, pin, wrinkle, scribble, tear, wet or fold this sheet. Write in CAPITAL LETTERS only within the box without touching the lines as shown in the Sample below.
1741732
0 1 2 3 4 5 6 7 8 9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
6. CATEGORY GEN SC ST
7. NATIONALITY
Indian
Others
If Other please specify OBC 9. DATE OF BIRTH Date Month Year 8. PROGRAM APPLYING FOR (You may be offered option 2 in case you do not qualify for option 1
Choose option 2 from list of programs under same eligibility.)
Program Code
Option -2
10. ADMISSION CATEGORY (Refer admission prospectus for Fee) Non-Sponsored Sponsored Company Sponsored NRI Foreign
12. PREQUALIFYING TEST (For MBA Programs) CAT (For B Arch Program) Date of Test Roll/ID # Score Percentile NATA
D D M M Y Y Y Y
Country Code Mobile No.
.
C S E T H
@ G
15. Write your complete Correspondence address including your name in English in Capital Letters with Black Pen. (For all communication including letter of admission)
17. PHOTOGRAPH
Name : Address :
16. SIGNATURE OF THE CANDIDATE (Within the Box only)
Write Application form number & Name at the back of a recent colour Photograph (only on white background) (size : 3.5x4.5 Cm) & paste (do not staple).
City : PIN :
State :
Do Not Attest
Class X
CBSE
MARKS OBTAINED
MAXIMUM MARKS
XII CLASS XII SUBJECT MARKS DETAILS SUBJECT NAME MARKS OBTAINED GRADE MAXIMUM MARKS (FOR INT. BOARDS)
Name of School :
City :
University Enrollment No. MAXIMUM MARKS SGPA*/AGPA* OBTAINED NO. OF BACK PAPER(S) (NOT CLEARED)
. . . . . . . . . .
2
*Grade point scale used
3 4
5 6
City
POST GRADUATION DETAILS Name of Degree University Duration of Program Years Attended Marks Obtained Yr 1 Fm :_________ Yr 2 Yr 3 To :__________ Total 19. AWARDS / ACHIEVEMENTS if any (Latest two with proof) Name Received when For what 20. PREVIOUSLY APPLIED: Have you previously applied to Amity? Program Year Were you Selected? 21. PROFESSIONAL COURSES Institution Course Full / Part Time Dates Attended Qualification Given Yes No Yes No Maximum Marks
22. EMPLOYMENT HISTORY (if applicable) Work Experience? Yes No If "Yes", total years of work Years Months City : Tel. : Last Designation: Last Salary Drawn: Details of current / last job Organisation Name : Address of Organisation :
23. ADDITIONAL INFORMATION 1. 2. 24. FAMILY INFORMATION Age Father Mother EMAIL ADDRESS OF PARENTS (Only in Capital Letters) Qualification Profession Organisation Designation
25. FAMILY AT AMITY Have any of your family members studied / worked with Amity? If, studied, Name If, worked, Name What is the relation to you 26. CORRESPONDENCE ADDRESS (Same as point 15) Address : Yes Program Institution No Year Year
City :
State :
Pin Code :
27. WRITE YOUR COMPLETE PERMANENT ADDRESS (If different from correspondence address)
Address :
No
Have you ever been suspended, dismissed or put on academic probation or warning at any school or college ? If "Yes" please explain on a separate sheet of paper. 28. Details of Payment of Form BY CASH Cash Receipt No. BY Demand Draft DD No. THROUGH ONLINE Online Transaction No. 29. SIGNATURE Bank : Date : Yes No
201106102824009
Receipt No.
40148
Date :
10/06/2011
I hereby certify that the information given in the Application (all relevant Forms) is complete and accurate. I understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of admission, or expulsion. I have read and do hereby consent to the Terms & Conditions for Admission as mentioned in Admission Prospectus 2011.
Signature :
Date :